90-101216 . MECHANICAL PERMIT
C�TY OF BUILDING INSPECTION
�FEDERAL WAY B U I L D I N G P E R M I T 941-1555
(o/s) 9b -/al�/
PERMIT NO. 90-1426M OWNER'S NAME TAIR LEE JOB ADDRESS 32230 13 PL SW
CONTRACTOR NORTHWEST USI ADDRESS 19OH S 341 PL �9 FEDERAL WAY CONT. PHONE 661-2852
CONT. REG. NO. NORTHUSIOZaTaT 4�91 �OR�yyNER'S PHONE 661-2834 OWNER'S ADDRESS SAMF
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 1�IECHANICAL ONLY
TAX ACCOUNT NO. OZO4S1—0170 LEGAL DESCRIPTION NA
�SSUED BY ELI ZABETH SNYDER DATE OF ISSUE "— � DATE OF APPLICATION 8/2 9/9 0
BUILDING INFORMATION
ZONE NA OCCUPANCY NA TYPE OF CONSTRUCTION �CHANICAL BLDG. S�. FT. NA
SET BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING 6O FT. 2.OO BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE IO.OO AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS rlOT WATER HTR. �9 MISC.GAS LOGS 6_50
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE Z.Q._QQ
DISHWASHERS TOTP.L FIXTURES �� UNIT HEATER TOTAL MECHANICAL �QQ AMOUNT NONE
VALUATION NONE
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
UMBING FEE INSPECTION RECORD
!CHANICAL FEE �4�i_O O
TOTAL BLDG. FEES Water Line DIt 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 NIECHANICAL PERMIT
AMOUNT DUE $45.00 Account No. 010-000-322-10-004 Total Fee $ 45.00 Receipt No. S� Z 7
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 FURNISIT Y ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: ,-
, . � � �l-�
.-�—_
OWNER OR AGENT � DATE
P iit # I � � ' ���
AECEIVED CITY OF FEDERAL WAY
AUG 2 91�0 BUILDING PERMIT APPLICATION
Q1TY OF FEDERAL WAY —P�ease Print—
BUILDING OEPT.
BOX 1 TENANT NAME:
OWNER �� SITE LOCATION . / f� . %
OWNER'S ADDRESS � a.3U / .4�� CITY -P � �'X PHONE �
DESCRIBE JOB 1
THE PROPERTY IS OWNED : SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME � l.�J St 'S1� CONTRACTOR'S REG. #/L�D�F'TiS�US/�/��.T�
Card MUST be presented
CONTRACTOR'S ADDRESS �. S s • ��S� .�.� CITY � �"� PHONE LP�����Z.
EXPIRATION DATE
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO D I IONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON �,�/�i S zC1 r/'� PHONE LQ ll �— ��<S;�Z.
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER C�'/l� '7��-5��— G�/ 7� �— � 7
LEGAL DESCRIPTION
..Jk'l S / l ti'�*� ��f���. �'
(If necessary, please submit a separate page with the legal description.) T�
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 = ) �XISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL OT AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHAN CAL/�PPLIANCES— BASIC FEE$ 2(�.
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 OOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER� l��rS $ �
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 FURTHERAGREETOSAVE HARMLESSTHE CITYOFFEDERALWAYASTOANYCLAIM(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 EMPLOYEES, ON TH CC Y OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
/ � , c:,y �' �
OWNER/AGENT: �l DATE: �"
ANP-008 3/90
f� �
� . ' � �}. �..,j ...�..r•••••
. e �., l ^+�•5
OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE) � � � � `
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT � "~ � ~�t,'�
PLANNING DEPARTMENT APPROVAL �'3 �•' "r" � ��
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
'W °'� ASSIGNED ADDRESS:
06'���o�'��i
6'! yy �
O�� sZ9� ° � PARTIAL PLAN CHECK FEE RECEIVED
��� d Amount Date Receipt#
�b BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING
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 PUBIIC 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. S�. 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
LAVATORIES DRINKING FOUNTAINS GAS�iOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTP.L FIXTURES JNIT 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
MECHANICAL FEE
TOTAL BLDG. FEES Water Line �K Mechanical Inspection Notes:
PART PIC FEE
SEPA REVIEW GAS PIPING OK _ %f G� Date By
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNTDUE _ ACCOUClt 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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