91-101179 MECHANICAL PERMIT 9)-/13 II 7 9
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 91-1122 M OWNER'S NAME DR SAEED JOB ADDRESS 28904 5TH AVE S
CONTRACTOR DISCOVERY HOMES CONSTRJ,W6QN 433 S 289 TH FEDERAL WAY CONT. PHONE 941-9474
CONT. REG. NO. DISCHCO91LF OWNER'S PHONE 941-9474 OWNER'S ADDRESS 28904 5TH AVE S FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 515298-0030-02 LEGAL DESCRIPTION
WOW
ISSUED BY JOANNE JOHNSON DATE OF ISSUE qi DATE OF APPLICATION 8-20-91
BUILDING INFORMATION
j ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT.
•ET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. Qp AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING 10 OFT 3-50 Bc1fLjTOTUBU 6.50
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR FTANK(S) 6.50
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVAT IES DRINKING FOUNTAINS GAS1-10T WATER HTR. MISC.GAS LOGS---6-50
RETURNED
SINK. - MISC. CONVERSION BURNER BASIC FEE —2-0,00
DISHW „iHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 43.00 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
MECHANICAL FEE 43.00
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
*ART P/C FEE
SEPA REVIEW GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE 43.00 Account No. 010-000-322-10-004 Total Fee $ 43.00 Receipt No. 1E2:q3__
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISH D BY ME IS TRUE A R T TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL B T.
.7.--' ."-G- '
OWNER OR AGENT I .�?-es'"'-- DATE g/
0 •Permit # 1 (-- / / 2Z /11
RECEIVED
AUG 2 0 1991 CITY OF F470iAL WAY
(my OF FEDERAL w
AY BUILDING PERMIT APPLICATION
BUILDING OEPT -Please Print—
BOX 1 TENANT NAME: `A. 6
OWNER t. _,_ - I _ _SITE LOCATION %. i tiilave -
OWNER'S ADDRESS • w - 6o-uE: SCS - CITY C - L c) (-t)0 j PHONE , •
DESCRIBE JOB /L )1) 1Ti em A?eu.i h (
THE PROPERTY IS OWNED BY: SINGLE/MARRIEDx PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME P16Cot-kj7lL11 efrt S4 1 NC CONTRACTOR'S REG. #Pi 6L- 1.1.c- 6611 LP
/'�
Card MUST be presented
CONTRACTOR'S ADDRESS `-f'?-,3 -o 2 ' -til CITY PAel\al60./n`1 PHONEq•-ll -Q9';/
EXPIRATION DATE uu v.e • q ?_
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON --1-5111A S 2 . `i. 1 o( PHONE 5�� /`f 1,`�
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION 2S a, e-e-1
BOX 6 PROPERTY TAX ACCOUNT NUMBER 51S - 29'8 . 6C5-34;) ' 0 L
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording#
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR ISo c> / '2 24=1 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (4 SINGLE FAMILY ()‹) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (X) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY -7,36' SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ �6 W
NO. WATERCLOSETS GAS PIPING, FEET too F T- $ - 44.°
BATHTUBS NO. FURNACE, ELEC. GAS $
HOWERS GAS HOT WATER HEATER $
L'VATORIES CONVERSION BURNER $
SI , S BOtL-EfitlE iboic�ts BTU /-tot7L-.6 $
DIS ASHE' AIR HANDLING UNITS $
ELEC 'IC OT WATER HEATER HEAT PUMPS, SIZE $
LAUND' WASHER OUTLETLets-1.c/ $
URIN' S AIR COOLING UNITS, SIZE $
DR 'KING FO.NTAINS CARMERML=111000 F ( ,, Lo g $
SUMPS, SPRIN' ER VACUUM BREAKERS OTHER $
/DRAINS TNeo.wt A4osb itf3 X e, Not Tu b qns $
OTHER \ i..ie-evt roo„4"i.c bib • •Fiile ptA(_e $
f TOTAL FIXTURES i-v 5 $
TOTAL MECHANICAL FEE $
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMITAPPLICATION IS
MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACX F T INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
•
OWNER/AGENT: "- "` . DATE: a -2 q 1
ANP-008 3/90
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE a ,. r
1P
ZONE SETBACKS: FRONT SIDE i1REAR HEIGHT LIMIT �t, e AVA
PLANNING DEPARTMENT APPROVAL
• T rn
REMARKS: .y
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
'Q
GS -\\1� PARTIAL PLAN CHECK FEE RECEIVED
,LO 199 �P� Amount Date _ Receipt#
�Fti Gst' BUILDING DEPARTMENT APPROVAL
rtJiOWNND BY DATE ACCEPTED FOR FILING
MECHANICAL PERMIT V-16 )17 2
CITY OF BUILDING INSPECTION
FEDERAL WAY B U I L D I G PERMIT 941-1555
PERMIT NO. OWNER'S NAME JOB ADDRESS
CONTRACTOR ADDRESS CONT. PHONE
CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
SET BACKS: FRONT SIDE _ REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED _
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS;-10T WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
MECHANICAL FEE
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART PEC FEE
SE?A REVIEW GAS PIPING OK //7/1111/ Date /O/2 /By fib
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE Account No. 010-000-322-10-004 Total Fee $ Receipt No.
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
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