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90-1019449 O: - 10I q yq MECHANICAL PERMIT 'CITY OF FEDERAL WAY BUILDING PERMIT BUILDING INSPECTION 941-1555 3 ,�' 6100=�iG PERMIT NO. 90-1729 M OWNER'S NAME WAYNE LENEESTER JOB ADDRESS 2203 SW 325 PL CONTRACTOR NORTHWEST USI ADDRESS 1908 S 341 PL #9 FEDERAL WAY CONT. PHONE 661-2852 CONT.REG. NO, NORTH -US 10 1JJ 4/91 OWNER'S PHONE 838-9574 OWNER'S ADDRESS SAME TYPE JO&: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD, NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER MECHANICAL TAX ACCOUNT NO, 638670-0310 LEGAL DESCRIPTION NA ISSUED BY ET.TZARF.TA SNYDER DATE OF ISSUE - 2- DATE OF APPLICATION 1111I90 BUILDING INFORMATION ,ANE NA OCCUPANCY_ NA TYPE OF CONSTRUCTION MFC`_FiANTCAT. BLDG. SO. FT.�A SET BACKS: FRONT 19A SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA PLUMBING NO. WATER CLOSETS BATHTUBS SHOWERS LAVATORIES SINKS DISHWASHERS VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE )TAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES AMOUNT DUE NO, ELEC. HOT WATER HEATER LAUNDRY DRAINS URINALS DRINKING FOUNTAINS MISC. TOTAL FIXTURES NOMEF $2g,So $28.50 MECHANICAL APPLIANCES GAS PIPING 20 FT. COMPRESSOR FORCED AIR FURNACE GAS;IOT WATER HTR. CONVERSION BURNER UNIT HEATER AMT. 2.00 BOILER AMT, I BOND TANK(S) AIR HANDLING UNIT 6.50 misc. BASIC FEE 20.00 TOTAL MECHANICAL 28.50 RECEIVED NUMBER RETURNED AMOUNT NONE GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. Water Line OK GAS PIPING OK INSPECTION RECORD Mechanical Inspection Notes: Date By MECHANICAL PERMIT Account No. 010-000-322-10-004 Total Fee $ 28.50 Receipt No. 2 £j (ye 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 INFqRMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND TLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL Mr DATE OWNER OR AGENT "+•�h-e l , `� 9o- lot aL4 MECHANICAL PERMIT CITY OF FEDERAL,WAY BUILDING INSPECTION BUILDING PERMIT 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 ZONE. OCCUPANCY TYPE OF CONSTRUCTION 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 HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�fOT 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 TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK Date ] y �.fL WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES _._-_ -- MECHANICAL PERMIT AMOUNT DUE 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 o m Z m o O m � o -u r c m o cn m W O O z 0 m Z c� 77 a n D cn I z O � co D Z 'co Z O z � 1 cn C7 " D Z m c D D > cn � D O m O p z Z O m O O c o 7Z O c 7 z D cn co > D m D m m = > c m co O D O D Z n D r Z O D z o T Z CO v n O c z m ' m 03 < r O [A Z < M co � G r q0_MaL4y ermit # q(J---1729 4 J BOX 1 TENANT NAME: CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — OWNER L-.0 NG �� SITE LOCATION. OWNER'S ADDRE 5 2� Se6 L � CITY t—ecl- L y PHONE 25 DESCRIBE JOB . 5 T. (eUel ' k / _ 1— THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME P-`'�441 eSZ CONTRACTOR'S REG. #tC!'� Card MUST be presented CONTRACTOR'S ADDRESS 15Fe , S 35// 42 . ±Az — CITY 01 0/'0_)e PHONE 4�r: f .� EXPIRATION DATE 1� MWIM 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 14�460lLS Z—d 1" PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 3 to 76) -- 0 3/45 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 I 2ND FLOOR I 3RD FLOOR I BASEMENT 1 DECK 1 GARAGE 1 BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = } ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY __SO FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ N0. WATERCLOSETS GAS PIPING, FEET 2& $ 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 — _ _ — — $ 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 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 AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLMES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: (� aag — — -- DATE: ANP-008 3/90