92-100961 MECHANICAL PERMIT (�a D O 90/
CITY OF BUILDING PERMIT BUILDING INSPECTION
FEDERAL WAY
661-4140
PERMIT NO. 92-0987 M OWNER'S NAME TOM WALLACE SITE ADDRESS 319 S. 297TH STREET
CONTRACTOR NORTHWEST WATER HEATAF&ESS 8201 DURANGO ST SW TACOMA CONT.PHONE 984-6404
CONT.REG.NO. NORTHWHQO3R2
EXP. 12/92 OWNER'S PHONE 941-0559 OWNER'S ADDRESS 319 S. 297TH 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. 692860-0570 LEGAL DESCRIPTION
ISSUED BY _ JOANNE JOHNSON DATE OF ISSUE " Gv -�
_ / _DATE OF APPLICATION 7-1-92
BUILDING INFORMATION
ilkONE 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_ FT. GAS LOGS
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE 1 0. 0 0 DUCT WORK RECEIVED
SHOWERS URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FIXTURES _ DRYER TOTAL MECHANICAL 36.50 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
ECHANICAL FEE 36 50
OTAL 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 3
OTHER FEES MECHANICAL PERMIT4A-47/ ' �I
AMOUNT DUE 36.50 Total Fee $ 36.50 Receipt No. C' ? -- / 'i > / L'
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 : ' T,:
OWNER OR AGENT /. DATE
Or
t
MECHANICAL PERMIT `
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
92--0987 'OM WALLACE :711: STREET
PERMIT NO. OWNER'S NAME t NS SITE ADDRESS
CONTRACTOR WOR�.h �t:►.> }.. '8201 DURANGO ST S1 984-6404
IN:M 'MWH ° JR2 q..Q.4, 11 o CONT.PHONE
CONT.REG.NO. � EXP. B � OWNER'S PHONE ' 41--0559 OWNER'S ADDRESS 419 `"• 297TH STREET FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEWINDUSTRIAI NEW COMMERCIAL COMMERCIAL ADD. _INDUSTRIAL ADD. _ NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNJ.T MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. . ti���?� LEGAL DESCRIPTION
ISSUED BY .70ANWF OMIS I DATE OF ISSUE DATE OF APPLICATION Zai _4,
BUILDING INFORMATION
ZONE 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 FT. GAS LOGS
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE tt10.00 RECEIVED
6 DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. •50 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ BASI
20.00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER T AL 36-5" AMOUNT
VALUATION
GAS PIPING TEST MUST BE WI AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
lib /
PLAN CHECK FEE
UMBING FEE •
•�'
cCHANICAL FEE /�-�
TOTAL BLDG. FEES Water Line OK 4� • 1- t3.• / Notes:
PART P/C FEE Ik�/
SEPA REVIEW 1 GAS PIPING OKo. . r- By
WATER SERVICE : '4'; 'T'''' .
WATER MAIN CHG. °+,-`y
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE 3A�50 ' • ,.f Total Fee $ •�6.50 Receipt No. / !3 7 0
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL ANIG DING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BE9'f OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
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16 414 : • lermit # CD--- Y- fY '
RECEIVED CITY OF FEDERAL WAY
JUL 1 - 1992 BUILDING PERMIT APPLICATION
— Please Print—
T(CEEEDtRAL WAY
litgaltigfire NAME:
OWNERg__\00lJDp l l(P Q_ SITE LOCATIO ` . C-
OWNER'S ADDRESS c �. ' CITY.- �
et PHONE '�
DESCRIBE JOB k��� \1 1'\(.t,Ct_. v� t;- ±Lv u t,� '#
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NA �� I ML: Aka' 1r CONTRACTOR'S REG. #L . 0 -
1 8,6
rd-OlC. --CArlf‘A-
Carld MUST be presented
CONTRACTOR'S ADDRESS C� 4���► �`.7,',lCITY PHONE<1f1 - U(1
EXPIRATION DATE \� aa" �� �,
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DE'47 I ! OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON << C-3 � PHONE Ck _ L.fAC'1-4
BOX 4 SEWER DISTRICT \V WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST cLQ 0 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER —[ C)
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 ( ) 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) MECHANIQAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET '41.-g-1 Y`-c-\ $
BATHTUBS NO. I FURNACE, ELEC. � GAS $
SHOWERS I 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 OTHER $
--.84,1"1"0111I, Ar mom
_ $
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 I THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT. - .t. '�L : _ ....: '- - DATE:
ANP-008 3/90