90-100726 MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
_ �Et�ERALWAY BUILDING PERMIT 941-1555
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PERMIT NO. 9O-lO6HM OWNER'S NAME ANDERSON-NiJNN JOB ADDRESS 3SZIFi 1 � AVF. SW
CONTRACTOR PP & S HTN[� fr A['_ ADDRESS 1 7 7 0 NW MAPT.F. ST T S SA�TiAA CONT. PHONE]d 7-7$d l
CONT. REG. NO. PPSAF.A1 ��i]A � �OWNER'S PHONE NA OWNER'S ADDRESS SAMF. AS STTF.
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAI ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MUITI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER MECHAIITICAL �NLY
TAX ACCOUNT NO. NA LEGAL DESCRIPTION NA
ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION �/s/9 n
BUILDING INFORMATION
�ONE NA OCCUPANCY NA TYPE OF CONSTRUCTION MECHANTCAT. nNT.Y BLDG. SO. FT. �
SET BACKS: FRONT NA SIDE NA REAR NA STORIES�QA HEIGHT LIMIT ]�j�
PLUMBING NO. NO. MECHANICA�APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. �� BOILER
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) RECEIVED
SHOWERS URINALS FORCED AIR FURNACE i n_nn AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. �_ sn MISC.
SINKS MISC. CONVERSION BURNER BASIC FEE �n n� RETURNED
DISHWASHERS TOTAL FIXTURES NS�N� UNIT HEATER TOTAL MECHANICAL �a AMOUNT j��iT
VALUATION NONE
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
MECHANICAL FEE �3 H.SO
TOTAL BLDG. FEES Water Line OK 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 c� c/
AMOUNT DUE $38.50 Account No. 010-000-322-10-004 Total Fee $ � p . 5� Receipt No. U�3U7
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 � 1i �� ° DATE � � �� '� � U
P, �;t # � n � I i�C o� hr�-
RECEtVEp °
CITY OF FEDERAL WAY
.1U1 5 tggp BUILDING PERMIT APPLICATION
CIN QF F�(���'{/.��,wAY -P�ease Print-
BUILDIN �
BOX 1 TENANT NAME: �
OWNER �����5��/`/�/Ll`>9 SITE LOCATION ' `- � � � �=' � ° �
OWNER'S ADDRESS CITY PHONE
DESCRIBE JOB �2'��. Q(f'. t,J� {� �u �2 g 4a S �1 Q�.
THE PROPERTY IS OWNED BY: SING E/MARRIED PARTNERSH� CORPORATION
BOX 2 CONTRACTOR'S NAME � � L�c' 6� CONTRACTOR'S REG. # �� ��'��-
Card MUST be presented
CONTRACTOR'S ADDRE S ��'IG /V t.G� i�1� t� CITY .l`���IL'YJ�/t-,F-PHONE � �7��-��,/Tl
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 I�l( /L �i?5G?,/'t.� PHONE � �1- �-�'�I
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST �-3 �'o� !� U 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 ( y'SINGLE FAMILY ( �}-IdE1N CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) M CHANICAL APP IANCES— BASIC FEE$ �
N0. WATERCLOSETS GAS PIPING, FEET �-�' $ �
BATHTUBS NO.�_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 $
0 WER $
___��TAL 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 FURTHERAGREETOSAVE HARMLESSTHECITYOFFEDERALWAYASTOANYCLAIM(INCLUDINGCOSTS,EXPENSES,ANDATTORNEYS'
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 EMPLOYE UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: ���y�Z" � �.�- DATE: ��' -�-_ �% �
ANP-008 3/90
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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 INDUSTR�AL 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
�b,���d�
ASSIGNED ADDRESS:
06>��'���a>�
O s�s y�'p PARTIAL PLAN CHECK FEE RECEIVED
'�7'/,�� �/f� �ount Date Receipt#
�3� BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FED�RAL WAY B U I L D I N G PE RM IT 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. LEGAI DESCRIPTION
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
NE OCCUPANCY TYPE OF CONSTRUCTION BLDG. S�. 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 COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL 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 �
TAL BLDG. FEES Water Line �K Mechanical IC1S[�2CtlOIl Notes: �Du,� - � �
PART P/C FEE
SEPA REVIEW GAS PIPING OK Date 8'7-g� By%,S.
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES NIECHANICAL 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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