92-100886 MECHANICAL PERMIT / 1"' /�D g��
CITY OF B I L D I N P BUILDING INSPECTION
FEDERAL WAY U G E R M I T 66�-4140
PERMITNO. 92-O91�I M OWNER'SNAME JAN HARRIS SITEADDRESS 2231 S. Z91ST STREET
CONTRACTOR NORTAWEST WATER HEAT�Ess 8201 DURANGO ST SW TACOMA CONT.PHONE 984-6404
coNr.Rec.No. NORTHWH103R2 EXP. 12�92 OWNER'SPHONE 893-2261 OWNER'SADDRESS 2231 S. Z91ST STREET FEDERAL WAY
TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEW PUBLIC PUBLICAOD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER
TAXACCOUNTNO. 42227O-OZ�.O LEGALDESCRIPTION
'SSUEO BY .TnANNF. T�HNSON DATE OF ISSUE � � DATE OF APPLICATION 6-15-92
BUILDING INFORMATION
ZONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES
PLUMBING N0. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS
1 O.O O RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWEFS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINK� MISC. BBQ BASIC FEE
Z O.O O RETURNED
DIS�'iWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 3O.OO AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
LUMBING FEE INSPECTION RECORD
MECHANICAL FEE 3 O_O O
TOTAL 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 L�9ECHANICAL PERMIT
AMOUNT DUE 30_00 Total Fee $ 30.00 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 ORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WI B MET:
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OWNER OR AGEN DATE �
, J;:�� 6 `-�G�
MECHANICAL PERMIT
CITY OF g U I L D I N PE R M I BUILDING INSPECTION
FEDERAL WAY G T 661-4140
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PERMITNO. i��'"��e�is �l OWNER'SNAME ��'" �`��v¢ti�`� SITEADDRESS �"'�"r� $ ry�1 �f� S�`��:�'r�
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CONTRACTOR �#C�RT�AE�iFi ''."': . �'�'. �'i:a.+".�ADL1FiESS �✓�Z n���'_.`+3.« � ,'•... n.�.; ,�.�,.,�,,,.,� . . �'��if:
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CONT.REG.NO. `�`�`�fi�`��`�-'�z•• EXP. �-"��'"' OWNER'S PHONE �' ��'�``'`'� OWNER'S ADDRESS " �' .�—" - " `._ . r .""-��.�" ``'aY
TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. � -•�-� ��"�^L-��^` LEGAL DESCRIPTION
ISSUED BY *����`�F+ �Q��'a��4'+ DATE OF ISSUE ' DATE OF APPLICATION ��Z���'�
BUILDING INFORMATION
ONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES
PLUMBING N0. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATEFI CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. 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.
SINKS MISC. BBQ BASIC FEE ���3� RETURNED
DISHWASHERS TOTAL FIXTURES DRYER 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
iCHANICAL FEE ���`��
TAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK�-���r lNr��/ lo� Date 1��5-�2, By ltij�/
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE '' •`'"� 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: -
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Permit # / � J 7 i''
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�� ''����� CITY OF FEDERAL WAY
J�� � 5 t9gz BUILDING PERMIT APPLICATION
�'r�f{�'Jy% }=������� —Please Print—
���.���"�'_
BOX 1 TENANT NAME:
OWNER SITE LOCATI �-3� �, 5;r
OWNER'SADDRESS ' S. � �� . CIT l - l� PHONE�3� -�31�-1
DESCRIBE JOB `" �a 1 ' r�
THE PROPERTY IS OWNED BY: SINGLE/MARRIED � PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME �`�`ntw�-C'�C �,�l��t,��-�+�' ��t a.�i.�r CONTRACTOR'S REG. #,NO�U=�ID��
Card MUST be presented
CONTRACTOR'S ADDRESS [��-O( � L�a-v-uu�,t: S� ��^�CITY PHONE C�-I—�.e�-1��
EXPIRATION DATE �.�aa�I �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 �-- PHONE - L dt�
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 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
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHA�VI�CQL APPLIANCES— BASIC FEE$
N0. WATERCLOSETS GAS PIPr NG, FEET S)J�C.t �tl�"�� $
BATHTUBS N0. 1 FURNACE, ELEC. GAS� $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $ I
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
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 INFORNlATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
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OWNER/AGEN : DATE: C�� L� �•� Z-
. ANP-008 3/90