92-101056 MECHANICAL PERMIT 9. '/b1 D 5-40
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 92-1135 M OWNER'S NAME RICHARD JENNER SITE ADDRESS 1106 SW 335TH ST
CONTRACTOR WASHINGTON NATURAL GAJJRESs 3130 S 38TH STREET TACOMA CONT.PHONE 475-6700
CONT.REG.NO. WASHING285CB EXP. 3/93 - OWNER'S PHONE 874-9282 OWNER'S ADDRESS_ 1106 SW 335TH STREET 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. 926496-0370 LEGAL DESCRIPTION
'-.7ISSUED BY JOANNE JOHNSON DATE OF ISSUE -.)-y 1z^• DATE OF APPLICATION 7-22-92
BUILDING INFORMATION
INE - SET BACKS:FRONT_ SIDE REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING 25 FT. 2.00 GAS LOGS RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS _ GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RANGE 6-5 0
RETURNED
SINKS MISC. BBQ ._ BASIC FEE 20.00
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 78_50 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 78-50
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT 4:4;1,- L
AMOUNT DUE 28.50
Total Fee $ 28.50 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: 77 �f
OWNER OR AGENT � UC DATE O�V ^ c
MECHANICAL PERMIT 9�- /61D 5-60,
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 12-1135 <+ OWNER'S NAME 'ARD JEIX; SITE ADDRESS 1106 a • 7. - T� ST
CONTRACTOR WASHINGTON NA - ADDRESS 3139 S 38TH SI`Rk:FT TAG.. CONT.PHONE 47C-6700
CONT.REG.NO. WASLIING28503 EXP. 3/93 OWNER'S PHONE 874- ?82 OWNER'S ADDRESS 1106 3 3, 'SET 1 DF A=. ,41
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. nil 926496-0370 LEGAL DESCRIPTION
ISSUED BY 'j E JOLiAha3A.'. DATE OF ISSUE x t --Z2-- �'
s 4-- DATE OF APPLICATION
BUILDING INFORMATION
NE - SET BACKS:FRONT .-SIDE - REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. _ TYPE OF HEAT BLDG.SQ.FT._ STORIES
1�
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. 9 GAS LOGS -)
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RANGN 6.50
SINKS "MIF. . BBQ BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FI U DRYERTOTAL MECHANICAL t'-~. AMOUNT
VALUATION
X/ GAS PIPING TEST MUSTFA4714ESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
CHANICAL FEE 28.50
TAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK `..,- ,?-C 2 7);Date ")- -! -5'By ,.t7
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE L�
OTHER FEES MECHANICAL PERMIT 7 1'- ''
AMOUNT DUE 28.50 Total Fee $ 7).!4. 50 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.
�4
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 LU //ti,
REQUIREMENTS WILL BE MET: 1 {I/ 4
1- / 4 - i
L ./
OWNER OR AGENT 1111A.-"A..."4-9.41 DATE ./1-- •'7
/i/
RECEIVED BY • frermit # - / / 35
COMMUNITY DEVELOPMENT DEPARTMENT
2V2 CITY OF FEDERAL WAY
JU 3 1992 BUILDING PERMIT APPLICATION
- Please Print-
orry OF FEDERAL WAY
BOX 1 1P'
OWNER Richard Jenner SITE LOCATION 1106 SW 335 ST
OWNER'S ADDRESS SAME CITY FEDERAL WAY PHONE 874-9282
DESCRIBE JOB GAS PIPING AND HOOK—UP DRYER
THE PROPERTY IS OWNED BY: SINGLE/MARRIED x PARTNERSHIP _CORPORATION
BOX 2 CONTRACTOR'S NAME WASHINGTON NATURAL GAS CONTRACTOR'S REG. # WASHTNG285CB
Card MUST be presented..\
CONTRACTOR'S ADDRESS 3130 S 38 ST CITY TACOMA PHONE 479-6700 ". ),
EXPIRATION DATE 3-1-93 4✓ 1.
— 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 DENA IVEY PHONE 756-5034
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 926496--0370
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 / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( X) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET 25' $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS - AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS X OTHER RANGE $
DRAINS $
OTHER $
TOTAL FIXTURES $
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 PERMIT APPLICATION 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 UNDERSIGNED,
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 ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: 411L.j1k �'A-� �y^\ DATE: C1
ANP-008 3/90
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
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
rn �s
ASSIGNED ADDRESS:
0
11.1 cy PARTIAL PLAN CHECK FEE RECEIVED
11.1 Amount Date Receipt#
: .
700 g
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING