90-101631 MECHANICAL PERMIT
CITY OF g U I L D I N BUILDING INSPECTION
FEDERAL WAY G .P � R M I T 941-1555
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PERMIT NO. 90-1846M OWNER'S NAME G.I. JOE'S ,1p8 ADDRESS 35020 ENCHANTED PRWY S
CONTRACTOR I' ADDRESS ST E UMNER CONT. PHONE 927-7620
CONT. REG. NO. DELTAPH ZZ�9O OWNER'S PHONE 927-6150 OWNER'S ADDRESS POB 596 MILTON
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMEFCIAL ADO. INDUSTRIAL ADD, NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER MECHANICAL
TAX ACCOUNT NO. LEGAL DESCRIPTION NA
219260-0180
ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 11/2 9/9 0
BUILDING INFORMATION
NE NA OCCUPANCY NA TYPE OF CONSTRUCTION MECAANICAI. BLDG. SQ. FT. NA
SET BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING�Q�FT. �Q BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS jiOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE ZQ_9O
DISHWASHERS TOTP.L FIXTURES �QN� UNIT HEATER �4� ��-aO TOTAL MECHANICAL 116_rj O AMOUNT NONF.
VALUATION NONE 8 ��T P�MPS (6, 2 0 TON) & (2, 4 TON)_ $5 2.0 0
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PIUMBING FEE INSPECTION RECORD
1ECHANICAL FEE ,�1 1 6_�i 0
OTAL BLDG. FEES Water Line �It Mechanical I11SjJ2Ct].OIl 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 �
,aMouNr�uE $116.50 Account No. 010-000-322-10-004 Total Fee $ 116.50 Receipt No.
ALL PERMITS EXPIRE 180 OAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
� I CE"'31FY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
EQUIREMENTS WILL BE M T:
GENT �' -✓'�. ll.t�3�-� DATE l'2� 3-/�%
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
ONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
PLUMBING N0. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPFESSOR 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 TOTP.L 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
ECHANICAL FEE
OTAL BLDG. FEES Water Line �It 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
AMOUNTDUE 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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�E�CE�,VEp
NOV 2 9 CITY OF FEDERAL WAY �
t990 BUILDING PERMIT APPLICATION
CI BU��II�G�ql, VI/AY —Please Print—
- -
BOX 1 TENANT NAME: �,,, _? �L%� ��� k�;.__4:r 4��t�c.�� -� c�f �� - -i�-. I �,r �
OWNER ., -+� .-� � �S ��--. SITE LOCATIQN.._, . ,_ _ � . _ll .Y ., � � �
OWNER'S AD RES�I � I► L,X � ' l ' CITY? � . '� C`� 1 PHONE - 1- � F
DESCRIBE JOB JE ut�� J E t
THE PROPERTY IS OWNED BY: SI /MARRIED PARTNERSHIP CORPORATION ` I 1�13 C�t>
BOX 2 CONTRACTOR'S NAME � ( � 1� 1 �� 1(� CONTRACTOR'S REG. K�� � � E I��
Card MUST be presented
CONTRACTOR'S ADDRESS 1� � � � �� � � *' � � CITY�L� r 1l� �`.r PHONE � � f�� --���� �l_ �
EXPIRATION DATE � -� s- �'
— OR—
I HAVE READ CHAPTER 18.27.010 RELATI DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON H-L��-�{ � � �C'�_�I �y PHONE 4.�" � - ' ��('-�� �
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 7
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 (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( X)_COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT ),'�,���
�-��-
BOX 9 LUMBING�IXTURES(including rough-ins) � '��w MECHANICAL APPLIANCES— BASIC FEE$ S S'"G�
. �` WATERCLOSETS AS PIPING� FEET �`` ,<- ��-` � $
BATHTUBS � � 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 �'--�-�• ��L, G .5��:�,� S � �-�< �
LAUNDRY WASHER OUTLET '�UNIT HEATERS - ""%� �"���� c�<<��$ �; }
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $ -��
SUMPS, SPRINKLER VACUUM BREAKERS � OTHER�. 'c:.-`i i j I c" '�'�U I�� " �'(�C�
DRAINS �,.x�� , . �l�.-r ,� �� �'��.� $
�OTHER (1.cc f , - --- , � �� $
���TOTAL FIXTURES Fi�.��r -- � ' ��'t��� — $
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 EMPIAYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
` - ,
OWNER/AGEN�''.--__1T( �.���s c � � �s�-_1 �.� ,-� DATE: I � � �� � d ���_�
�--- ANP-008 3/90