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91-102048C71 - C'2 C .L.I CITY OF FEDERAL WAY (-,,q- 1r;UG7­10, MECHANICAL PERMIT BUILDING INSPECTION BUILDING PERMIT PERMIT NO. 91-1466 M OWNER'S NAME DALE KROGSTAD JOB ADDRESS 1920 08TH STRF..ET CONTRACTOR NORTHWEST WATER HEATER ADDRESS 8201 DURANG) STREET SW TACOMA CONT. PHONE 9 8 4-6 4 0 4 CONT REG. NO. R2 OWNER'S PHONE 839-8618 OWNER'S ADDRESS 1920 S 308TH STRF.F.T FFInRRAL WAV 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. 092104-9274 LEGAL DESCRIPTION SUED BY DATE OF ISSUE ^ LD - r !k - !7DATE OF APPLICATION N BUILDING INFORMATION ZONE OCCUPANCY- TYPE OF CONSTRUCTION BLDG. SO, FT. SETBACKS: FRONT _ - SIDE - REAR STORIES HEIGHT LIM1T PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT, BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING =0_-FT. BOILER RECEIVED BATHTUBS - LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS _ FORCED AIR FURNACE inn _ 00 AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS;AOT WATER HTR. MISC. RETURNED SrNKS 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 i ' AN CHECK FEE . NUMBING FEE INSPECTION RECORD MECHANICAL FEE 30 , 00 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 OTHER FEES MECHANICAL PERMIT I 30_00 Account No. 010-000-322-10-004 Total Fee $ 30_pQ Receipt No. i AMOUNT DUE 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 E IS TR�EAND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WI OWNER OR AGEN DATE qk ib Qz-4S CITY OF FEDERAL WAY MECHANICAL PERMIT 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. S0. 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 POT WATER HTR. MISC. SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED 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 By 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 SET BACKS AND FOOTINGS DATE --_ - BY _ _ _ OX TO POUR FOUNDATION WALLS DATE _— ,__.BY PLUMBING GROUNDWORK DATE ----------BY PLUMBING ROUGH IN DATE _ _. BY _ WATER LINE O.K. GAS PIPING O.K. La MLJVt MECHANICAL INSPECTION d� DATE _IO= aI f _BY T�V O.K. TO ENCLOSE FRAMING DATE___ _ BY _ INSULATION DATE BY WALL BOARD AND FIRE WALL DATE FINAL O.K. TO OCCUPY DATE _ �v'��`Q ��BY _Yqu pCII PSD FD Perr" " ## i /Ll G - (OZ�' CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: OWNER ' Q SITE LOCATION OWNER'S ADDRESS CITY �-�' PHONE 9 IF DESCRIBE JOB i--AO--Ce. eek �;f% {S 1 C a THE PROPERTY IS OWNED BY: SINGLE/MARRIED � —YARTN:.:RSFdP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # 4)ICIA04ld &�� CONTRACTOR'S ADDRESS d f s� � - S i.J CITY_ •-PHONE �ard rM�UST be presented FT ` SAC) EXPIRATION DATE L_ An. `-' Yev —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 PHONE BOX 4 SEWER DISTRICT WATER DISTRICT . BOX 5 ESTIMATED PROJECT COST 94 00, o Q 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 ( MINGLE FAMILY ( ) NSW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( v<EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) N0. WATERCLOSETS BATHTUBS SHOWERS LAVATORIES SINKS DISHWASHERS ELECTRIC HOT WATER HEATER .LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS OTHER TOTAL FIXTURES MECHAi APPLIANCES — BASIC FEE $ GAS PIPING, G, FEET $ NO. FURNACE, LEG. GAS $ 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 AGAINST THE CITY OF FEDERAL WAY, BUT ONLY UHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEES_IJPON �HEAcicURACY OF T INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: J` DATE: z Zis F ANP-000 3/90 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. ADDIALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADO/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 SO. FT. _ _ _ @ _ BUILDING SO. FT. .. @ _ BUILDING SO. FT. „ @ _ TOTAL SQ. FT. — TOTAL VALUATION BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL BY — _ DATE 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 ACCEPTED FOR FILING