92-100649 MECHANICAL PERMIT g a ���D� Y 9
CITY OF B I L D I BUILDING INSPECTION
FEDERAL WAY u N G P E R M I T 941-1555
PERMIT NO. 92-OEH3-M OWNER'S NAME TROJAN BUILDERS �pg ADDRESS 38�-2 DASN POINT RD
CONTRACTOR D & E REFRIGERATION & ���NG 16 8 5 0 SE WAX ROAD ICENT CONT. PHONE 6 31-13 3 0
CONT. REG. NO. DEREFHZOSM4 OWNER'S PHONE 631-1344 OWNEF'S ADDRESS 24266 142� A� SE RENT
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. 78OZZO-O92H LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 4-30-92
BUILDING INFORMATION
ONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. S�. 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. 2.OO BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE �Q AIR HANDLING UNIT NUMBER
LAVATORIES ORINKING FOUNTAINS GASrlOT WATER HTR. �Q MIS4OG LITER 6_50
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE �9
DISHWASHERS TOTP.L FIXTURES UNIT HEATER TOTAL MECHANICAL �QO AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
RERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
"'ECHANICAL FEE 45.OO
TAL BLDG. FEES Water Line �K 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
AMOUNT DUE 45_00 Account No. 010-000-322-10-004 Total Fee $ 45.00 Receipt No. �� z —����,y�,
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 �=� '�� ���
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY B U I L D I N G P E R M I T 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
FiECEIVED
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 A NT
.s.
VALUATION ' " ���
,, �
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. T�� OT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
�"v
UMBING FEE INSPECTION R ',"l
:CHANICAL FEE
TOTAL BLDG. FEES Water Line OIZ Mechanical Ins .
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
AMOUNTDUE Account No. 010-000-322-10-004 ee $ Receipt No.
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXR� NE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AIQD THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
. ermit # 9� - G �':� �
nECEIVED BY � '
COMM�NITY DEVELOPMENT DEP�,�i t�":!�'r C I TY O F F E D E R A L WAY
APR 3 0 1992 BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME: �"r� c�,y�, '� i:�;`(��
OWNER � `�"�, � ' - �r Q�f" SITE LOCATION U�
OWNER'S ADDRESS ` � � �- CITY /��d PHONE �� - �
DESCRIBE JOB ��r - - h=:
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME �' � ����� �'� �� + �:' i CONTRACTOR'S REG. # QfQ�FN�%��'���
Card MUST be presented
CONTRACTOR'S ADDRESS ��`��0 �C� I�c�-x ;'�Cx CITY ��� PHONE � 3 I- l,��D
EXPIRATION DATE
— 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 �L - �' - I PHONE 6 3/-,��7
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER - �
LEGAL DESCRIPTION
(If necessary, please submit a separate age with the legal description.)
K.C. Plat Recording # 9�7��$�
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) iST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (�/) SINGLE FAMILY (1/�NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ �6
N0. WATERCLOSETS GAS PIPING, FEET $ ����
BATHTUBS NO.�_FURNACE, ELEC. GAS_� $ i O
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 HOOq $
SUMPS, SPRINKLER VACUUM BREAKERS �_OTHER L.oc, I-ic,��8�' $ '�°6
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 AGlAINST 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: ,%f�'�" DATE: �'_l�! ���
ANP-008 3/90