90-101295 MECHANICAL PERMIT
CITY Q� g � L D I N BUILDING INSPECTION
FE��RAL WAY u G P E R M I T 941-1555
9 � -I�I�.g�
PERMIT NO. 9O-� 4�9 M OWNER'S NAME WILLIAM-_KIM JOB ADDRESS 936 S Z91ST
CONTRACTOR NOR PA - •AT N -. & A�� ADDRESS 2402 �A� TRF.F.T S_F._ A B N CONT. PHONE 931-0610
CONT. REG. NO. NnRPAHA123MS OWNER'S PHONE 865-2493 OWNER'S AODRESS 936 S 291 ST FF.DF.RAT. 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. LEGAL DESCRIPTION
ISSUED BY .-ro�NE JnaNsoN DATE OF ISSUE - � � DATE OF APPLICATION 9-1 4-90
BUILDING INFORMATION
NE 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. ��5�p BOI�$�E�a RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR rnnu�p;t�s� �a
SHOWERS URINALS FORCED AIR FURNACE �,_Q�_Q.Q AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS jiOT WATER HTR. �rj..� MISC.
SINKS MISC. CONVERSION BURNER BASIC FEE �a RETURNED
DISHWASHERS TOTP.L FIXTURES UNIT HEATER TOTAL MECHANICAL �a 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 53.OO
TAL BLDG. FEES Water Line �It Mechanical Inspection Notes:
PART PIC FEE
SEPA REVIEW GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE 53.00 Account No. 010-000-322-10-004 Total Fee $ 53.00 Receipt No. ,.�6 ,�
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 ��,:,�� �' ' ( • Z��C�l��fm 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
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
IAVATORIES DRINKING FOUNTAINS GAS�iOT WATER HTR. MISC.
SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTP.L FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION I'
GAS PIPING TEST MUST BE WITNESSED BY INSPEC`i'OR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
MECHANICAL FEE
TOTAL BLDG. FEES Water Line �K Mechanical Inspection Notes I 2C tl c'/� >y��
PART P/C FEE ,
SEPA REVIEW GAS PIPING OK -„2�-�G Date �a'�°''`'�By //� �-,��'c� ,L,�
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNTDUE _ ACCOUrit 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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CITY OF FEDERAL WAY ^
BUILDING PERMIT APPLICATION '
—Please Print—
BOX 1 TENANT NAME:
OWNER �✓� ��i k SITE LOCATION 5 3 6 S, Z 1 l S r
OWNER'S ADDRESS �/ ,3 G S. � q/ �r CITY ���/�..�/ G✓K �_ PHONE gG S'"-�N�3
DESCRIBE JOB '�. � :,.
THE PROPERTY IS OWNED BY: INGLE/MA RIED X ARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME N�•v /��. c /f« �i�.s a �� CONTRACTOR'S REG. # /����fi!/1,�h.S
Card MUST be presente
CONTRACTOR'S ADDRESS �5`C�,2 � S7� S �. CITY �7� G k r�. PHONE - �'
EXPIRATION DATE T �
— 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 /U�v Pu�: It7�ca 1�i:�� � �/� PHONE �1.�%"d G 1 U
�
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 1
LEGAL DESCRIPTION AJ L✓ . /1l�..�'� � 3/C1 �f' FT/� Ma �-i,vc (f�C,.. ` RDrc _r'1'� '
(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
( ) COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
N0. WATERCLOSETS GAS PIPlNG, FEET $
BATHTUBS NO.�_FURNACE, ELEC. GAS $
SHOWERS �GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOIIER, 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 $
DRAINS Fi`.-� c c_ $
OTHER / G�:,�� C�o J��a $
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 EMPLOYEE UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: � DATE: �"� ��' �v
' ANP-008 3/90