90-100489 MECHANICAL PERMIT
CITy OF BUILDING INSPECTION
_I�EDERAL WAY B U I L D I N G P E R M I T 941-1555
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PERMIT NO. 90-673 M OWNER'S NAME ROBERTS CONSTRUCTION JOB ADDRESS 35012 13TH PL SW
CONTRACTOR ADDRESS ],.��+d S FAW('RTT "j,j�,(`(1MA CONT. PHONE 3.8�-7 ��1
CONT. REG. NO. ���(1(1('Cl �7f1A OWNER'S PHONE 874-6306 OWNER'S ADDRESS 952 S.W. CAMPUS DR FEDERAL WAY
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 LOT HZ MADRONA MEADOWS
ISSUED BY a�������c9n� DATE OF ISSUE � DATE OF APPLICATION �-?7-�,�
BUILDING INFORMATION
NE OCCUPANCY TYPE OF CONSTRUCTION BLDG. S�. FT.
SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BONO
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING��FT. �� BOIIER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE �QO AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. �_sn MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE �Il.�QO
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL �r1O AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECI'OR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
"ECHANICAL FEE �T�_
TAL 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
AMOUNT DUE �u �n Account No. 010-000-322-10-004 Total Fee $ 38.50 Receipt No. �� 5�
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 �D CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: i� /
- � .- �^ --7-J � .�
OWNER OR AGENT �` �� DATE � � �
mit # �u � �
�EC�lV�p c� rr�.,,, �/!� 1
� CITY OF FEDERAL WAY �,. y . �C`O
aY � 2 1990 °'�
BUILDING PERMIT APPLICAT101'Q�� � �+�
C1Ty OF rtu= ��'s:•.�t:
BUILpJ �RA� WAY —Please Print— • . •
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BOX 1 TENANT NAME: �
OWNER SITE LOCATION /" %3�'� 'L- S; ft/.
OWNER'S ADDRESS �''i:� .%� �'�' lirr1,w� �✓� CITY �-��-11'Yldy PHONE .�11` -�'C'
DESCRIBE JOB � � ` ��'' % �>
THE PROPERTY IS OWNED BY: SINGLE/MARRI D PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME -.li��ofz /c-��'i�=s;;z�d-�r�-�s CONTRACTOR'S REG. #-��'���'L%�S/.�,�G/`/
Card MUST be presented
CONTRACTOR'SADDRESS l�-�y -� �ir/w�c� CITY ��c"/`"y�/� PHONE ���3-IS�/
EXPIRATION DATE 9-- �- �3n
— 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/T�c' ,�c'��Se�.� PHONE 3�"'3'�Slv/
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION /_�t�- fs'c� /�`,�.r1��rv,,,-,�r ✓�"lP.n o�e/s-
(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
( ) COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ a�'o�;
N0. WATERCLOSETS GAS PIPING, FEET "��� $ �°v
BATHTUBS NO.�_FURNACE, ELEC. GAS � $ lG°�
SHOWERS � GAS HOT WATER HEATER $ �50
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 $ 3��r
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 ASTO 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 INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
�-- '
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OWNER/AGENT: �/�� �-�' ���� DATE: � - �� � � �
,,r--�— ,
-- , �
ANP-008 3/90
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERALWAY BUILDING PERMIT 941-1555
� l0?3
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
OCCUPANCY TYPE OF CONSTRUCTION BLDG. S�. FT.
�CKS: 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 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
MECHANICAL FEE
BLDG. FEES Water Line OK Mechanical Inspection Notes:
P/C FEE �I I� /
SEPA REVIEW GAS PIPING OK �-3�i-� Date G�12'��By ''�
WATER SERVICE
WATER MAIN CHG.
S.B.C.C.FEE
OTHER FEES MECHANICAL 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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