92-100898MECHANICAL PERMIT
9a.roe898'
CITY OF
FEDERAL WAY BUILDING PERMIT
BUILDING INSPECTION
661-4140
PERMITNO. 92-0930
M OWNER'S NAME ROBERT GONNER SITE ADDRESS 2442 SW 326TH.RTEERT_
CONTRACTOR FUTURE
II NATURAL GAS ADDRESS 9505 1ZUTH ST E PUYALLUY CONT. PHONE 770-27855
CONT. REG. NO. FUTURIN099 M EXP. 11 920WNER'S PHONE_ $3H-5H3O _ OWNER'S ADDRESS 2442 W 2 H
TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY
(UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO.
896590-0060 LEGAL DESCRIPTION
'-'SUED BY JOANI+NE JOHNSON _ DATE OF ISSUE _ __ DATE OF APPLICATION 6-17-92
BUILDING INFORMATION
ZONE
SET BACKS: FRONT SIDE REAR. HEIGHT LIMIT _
OCCUPANCY _
TYPE OF CONSTRUCTION _ CENSUS NO TYPE OF HEAT BLDG. SQ. FT.. STORIES
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER 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. 6.50 AIR HANDLING UNIT _
NUMBER
LAVATORIES
DRINKING FOUNTAINS
CONVERSION BURNER MISC.
RETURNED
SINKS
MISC.
BBQ _ _ BASIC FEE 9 0 - 0
DISHWASHERS
TOTAL FIXTURES
DRYER TOTAL MECHANICAL 26 _ 50
AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
LUMBING FEE
26.50
INSPECTION RECORD
MECHANICAL FEE
TOTAL BLDG. FEES
Water Line OK Mechanical Inspection Notes:
PART P/C FEE
GAS PIPING OK Date By
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
MECHANICAL PERMIT
OTHER FEES
DUE
?F 4O_
Total Fee $ 26 _ 5Q Receipt No.
AMOUNT
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 TH
ORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WI L BE MET:
f `�
'
} OWNER OR AGENT
L_
t �i r� DATE L
MECHANICAL PERMIT
CITY OF PERMIT
FEDERAL WAY BUILDING
BUILDING INSPECTION
661-4140
PERMIT NO. 92--0930 K OWNER'S NAME IWBBRT GOMM SITE ADDRESS 2442 S� STFIK
EIT
CONTRACTOR FUTUM II NAB' GM ADDRESS 9505 120TH 5T E PUYALLUP CONT. PHONE 770-2785
CONT. REG. NO. FIVTURIN099 EXP- 11/920WNER'S PHONE 838-5830 OWNER'S ADDRESS _ 2442 SW 326TH S71frRESS F$I).FjW, �'AY
TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD._ INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS Y MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO- $96590-0060 __ -_ LEGAL DESCRIPTION
ISRUFD BY JOANNE ` OHNSON
ZONE
SET BACKS: FRONT
OCCUPANCY
TYPE OF CONSTRUCTION
PLUMBING NO.
WATER CLOSETS
ELEC. HOT WATER HEATER
BATHTUBS
LAUNDRY DRAINS
SHOWERS
URINALS
LAVATORIES
DRINKING FOUNTAINS
SINKS
MISC.
DISHWASHERS
TOTAL FIXTURES
VALUATION
PERMIT FEE
PLAN CHECK FEE
UMBING FEE
.2CHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
26 0
DATE OF ISSUE _ DATE OF APPLICATION . 6-17-92
BUILDING INFORMATION
SIDE REA HEIGHT LIMIT
CENSUS NO. TYPE OF HEAT BLDG. SQ. FT STORIES
NO. MECHANICAL APPLIANCES AMT. AMT. BOND
GAS LOGS
GAS PIPING FT.
- -
RECEIVED
FORCED AIR FURNACE
DUCT WORK
GAS HOT WATER HTR.
6 . 50 AIR HANDLING UNIT
NUMBER
CONVERSION BURNER
MISC.
RETURNED
BBQ
BASIC FEE j3
DRYER
_ - TOTAL MECHAN141111piliSiF
AMOUNT
GAS PIPING TEST MUST BE WITNESSED BY
Water Line OK
GAS PIPING OK
MECHANICAL PERMIT
WILL NOT SUFFICE.
J
Tota�'ee $ 26.50 Receipt No.,
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PjjftIOTS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
Pe,' pit #
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
X 1 TENANT NAME:
OWNER - SITE LOCATION Z
OWNER'S ADDRESS Cx 3 C�T - CITYt7t I}PHON g
DESCRIBE JOB VS1_. 11V
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
�( 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # BTU 2-4 W 699 OAA
Card MUST be presented
CONTRACTOR'S ADDRESS 9SDS 120TI"' ' • L • CITY 'P0 4 ICU P PHONE D-10 -Z"1S-5
EXPIRATION DATE I I - I 3 _q
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.
JX 3 CONTACT PERSON
OX 4 SEWER DISTRICT WATER DISTRICT
i0X 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBERS90 —(nO 6<D
LEGAL DESCRIPTION .—
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
Lem
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR _
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS = }
( ) COMMERCIAL/INDUSTRIAL
BOX 9 PLUMBING FIXTURES (including rough -ins)
NO. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER -
TOTAL FIXTURES
( ) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY
..SQ FT
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET fin, $
NO. FURNACE, ELEC. GAS $
_ i _GAS HOT WATER HEATER $
CONVERSION BURNER $
BOILER, SIZE BTU $
AIR HANDLING UNITS $
HEAT PUMPS, SIZE $
UNIT HEATERS $
AIR COOLING UNITS, SIZE $
COMMERCIAL HOOD $
OTHER $
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 S� jj
AG THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS ANOEMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
_ -� q?
DATE: �
ANP-008 3/90