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91-100221 MECHANICAL PERMIT /J'JDOaII CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 PERMIT NO. 91-221 M OWNER'S NAME FLOYD ERLANDSON ,10B ADDRESS 2237 S. Z91ST ST CONTRACTOR �ERIES COMM REF & HTG ADDRESS 2534 TACOMA AVE S TACOMA CONT. PHONE 627-4417 CONT. REG. NO. �ERZC�J127MF) OWNER'S PHONE OWNER'S ADDRESS 2237 S Z91ST ST FEDER�II, WA 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. 42227O-OZZO LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 2-ZH-91 BUILDING INFORMATION ONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING N0. N0. 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 LAVATORIES DRINKING FOUNTAINS GAS jiOT WATER HTR. �Q MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE 20_nn DISHWASHERS TOTP.L FIXTURES UNIT HEATER TOTAL MECHANICAL 2�_ sn AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD CHANICAL FEE _TAL BLDG. FEES Water Line �I� 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 26_5� Account No. 010-000-322-10-004 Total Fee $ 26.50 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 INF I RNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL MET � .�--..�__.�..._ . OWNER OR AGE DATE � � ,— �� MECHANICAL PERMIT CITY OF � ' D ' BIJILDING INSPECTION FEDERAL WAY u �. 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 NE OCCUPANCY TYPE OF CONSTFiUCTION 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 HAND�ING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�iOT 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 PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION CHANICAL FEE TAL BLDG. FEES Water Line �I{ Mechanical II1S ].Oil . PART P/C FEE SEPA REVIEW GAS PIPING OK D�te By WATER SERVICE � ' WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT n AMOUNTDUE _ ACCOUClt NO. 010-000-322-10-004 Total F��$ 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. r 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 � i I I i � ii i ' � � � } Q } Y m Z m, �y m CL Q w � U I � � � W t� ' z a o I � � z o ' z a � , � � �� Q '� � ( c� ' � Q z ' Z i m m a l/�y� � W � � J � 1 ~ W Q a o � o � o n I j � � � � � � o � � � � � � � a � z o � F= m � n a o ; z i i � � O i O �C I � ' � ' w Z � � � O I Z z � •� a , -� a � � Q w o � � � � F o 0 0 � � z o 0 I , I I � � � I � j c� � z , z � m m Q m a m a � z � � , o = � � I � w U z � I� � i � I p II O� U Uz i 'i' , '� �! \ ¢ ; m o ° m W � W � W Q w � � � � � � w a � a Y c z a cn o a o O o � o rmit # �C�',�-�� I'1r-_ CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION —Please Print— BOX 1 TENANT NAME: OWNER ' F'if'! SITE LOCATION �� G�r.'e�s'Z .G �%�i^P�° OWNER'S ADDRESS ' �' ITY PHONE DESCRIBE JOB � ' � ' P�P �'� �� THE PROPERTY IS OWNED : SINGLE/MA IED a' PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME � � � s /�/y1• � C' g= �f� J° . CONTRACTOR'S REG. # 1�E��l��h�' /.G'7�6 �� Card MUST be pr tes nee d CONTRACTOR'S ADDRESS .25�1/ �CL�!?�CT /�G�(. �j. CITY �1��l�li ��C�. PHONE ��'�- '�r//� 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 C,�1 L�� !? Q t G� PHONE 2��fy/'iZ BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER �.�� .c��G� — O.Z.2 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 (N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ N0. WATERCLOSETS GAS PIPlNG, FEET $ BATHTUBS N0. 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 $ LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ 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 l�EST'j�F MY Iff�tDWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMITAPPLfCATION 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�HE UNDERSI�NED, AND FILED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CIfiY, INCLUDINP ITS OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. � •.;� � � OWNER/AGENT: � �?�' � � � C�C'�Ll DATE ��— " ��7 i/ ANP-008 3/90 OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY TYPE OF CONSTRUCTION STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE � � �� ASSIGNED ADDRESS: � � �,�. I._� � �� PARTIAL PLAN CHECK FEE RECEIVED Q' ��V �� Amount Date Receipt# �` BUILDING DEPARTMENT APPROVAL cr RECEIVED BY DATE ACCEPTED FOR FILING