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WAY BUILDING PERMIT APPLICATION — Please Print — SOX i TENANT NAME: OWNER 15C2 Q jj SITE LOCATION OWNER'S ADORE SS CITY PHONE DESCRIBE JOB S lr G 'iL- _ THE PROPERTY IS OWNED BY: SINGLFIMARAIEO 2S PARTNERSHIP CORPORATION - . .- BOX 2 CONTRACTOR'S NAME CONTRACTOR'S A50. # -� s �� rCard M ! p(meated C-WNTRACTOR'S ADDRESS E . �G /� A CITY fa Q ZVWY4 PHONE S 5? 7 f)-Z EXPIRATION DATE _ I HAVE READ CHAPTER 18.27.010 RELATINOTO DI iF IN) TIONSOF GIN i;RALCONTRACTORS ANDSPECIALTY CONTRACTOR,$ AND CHAPTER 10.27.1 i0 WHICH PAOHIS119 1SGUINO PERMITS WITHOUT PROOF OF REGISTRATION. SOX 3 CONTACT PERSON BOX 4 SEWER DISTRICT —WATER DISTRICT _ SOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION. BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (It necessary, please submit a separate page with the legal 0escriptkln.) K.C. Plat Recording i0—i-7 AUILUING SQUARE FOOTAGE (ExistingiPropnsed) 1ST FLOOR _ I 2ND FLOOR 3RD 1✓lgafl� _- i�,,,�.�._ BASEMkT_ __./ DECK 0AAA9I J� 0_ 8 ( ) SINGLE FAMILY NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS a ) EXISTING STRUCTURE ( GWt Mi� ROIALIINQUSTRIAL ' TOTAL AREA OF PROPERTY —60 FT BOX 9 PLUMBING FIXTURES (InCludIng rough ins) MECHANICAL APPLIANCES — BASIC FEE 9 NO. WATERCLOSET6 GAP. PIPING, FEET : $ _BATHTUBS NO.—FURNACE, ELEC,_ GAS— _— SHOWEAS —OAS HOT WATER HEATER —LAVATORIES LAVATORIES CONVERSION BURNER $ _..,SINKS a$OILI =R, SIZE — BTU $ WDIsHWASHEA$ AIR HANDLING KNITS $ ,_„,,,,,.,,.„ELECTRIC HOT WATER HEATER —HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ _— ._URINALS _.,_..__AIR COOLING UNITS, SIZE $ DRINKING Ft?UNIAINS COMMERCI L HOOD $ — _ SUMPS', SPAINKLER VACUUM BREAKERS ---/—OTHER _4!AtS _ LZ> S $ .�. . —DRAINS $ _—OTHER $ _TI}TAL FIXTURES $ TOTAL. MECHANICAL FEE $ �_ -- I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMAT(ON FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNEROF' 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 (INC LODIN8 COSTS, EXPENSES, AND ATTORNEY9' FEES INOURREEID IN INVESTIGATION AND, DEFENSE of SUCH CLAIM), WHICH MAY 01 MADE OY ANY PERSON, INCLUDING THE UNDERSIGNED, ANEW FILED AGAINST THE CITY OF PEDLMAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF T14E RELIANCE OF THE CITY, INCLUDING ITS OPFICEM AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO IME CITY AS A PART OF THIS APPLICATION, w ' t i�►iY4 MIR —MW— .ate ..Ii,'•►�'lla'- ��+iL*+ AW4* 2A SETWA CKS & FO(?TINGS CD0193 Date By FOUNDATiC)N WALLS Date By PLUMBING GROUNDWORK Date. By UN�ERFIOOR FRAMING Date By SHEAR WALLS Date By PLUMBING:ROUGH -IN . Date By GAS PIPING Date By MECHANICAL ROUGH -IN(. Date By MECHANICAL {OTHER) Date By FRAMING Date By INSULATION Date By GWB - 1STL AYER Date By GWB - 2ND::: LAYER Date By SUSPENDED - CEILING Date By PLANNING :FINAL Date By ENGINEERING FINAL Date By FIRE TINA. L Date By BUILDING FINAL Date By OTHER Date By 70THER, Date By CD0193 ADDRESS:3725 SW 319TH ST NO.: 873198 -3180 PROJECT DESCRIPTION:HVAC INSTALL GAS DIGS AND GAS PIPING. ONNER - =� PAUL BOYCE 3725 SO 314TH ST FEDERAL NAY WA 98023 838 -1113 FUEL TYPES. :GAS ? GAS PIPING.: 55 ft FURN<100I_.: 0 GAS NOT....: 0 CONY BURNER: 0 880......... 0 CAS DRYER-: 0 RANGE...,..: 0 GAS LOGS...: I CONTRACTORg == AMERICAN HEATING SERVICES INC. 7503 PORTLAND AVE ST €AB 111CM,lik 98404 FANS.. i IS( FP . mP0 `' °" 3r �itITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO: BLD94 -0430 33530 First Way South ISSUED: 06 /03/94 Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC 661 -4000 i EXPIRES: 11/30/94 ADDRESS:3725 SW 319TH ST NO.: 873198 -3180 PROJECT DESCRIPTION:HVAC INSTALL GAS DIGS AND GAS PIPING. ONNER - =� PAUL BOYCE 3725 SO 314TH ST FEDERAL NAY WA 98023 838 -1113 FUEL TYPES. :GAS ? GAS PIPING.: 55 ft FURN<100I_.: 0 GAS NOT....: 0 CONY BURNER: 0 880......... 0 CAS DRYER-: 0 RANGE...,..: 0 GAS LOGS...: I CONTRACTORg == AMERICAN HEATING SERVICES INC. 7503 PORTLAND AVE ST €AB 111CM,lik 98404 FANS.. i IS( FP . mP0 `' °" 3r :f MISGs,......: i :P.... AIR 4401li Ul1I .0 !mil iI -- -- < 10,1��; � ABOVE GROUND: 0 � > 10,0411 FN 0 UNDERGROUND.: 0 LENDER __. i $ TOTAL FEES 1 14.50 Does the wafer supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then xater expansion tank is required on Not Oster TaW, inspection Record Oster line OK Nechmical A A tine N s: VV GAS PIPING OK �l'` Datc RY = PERNITS EXPIRE 130 DAYS AFTER ISSUANCE IF NO OORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE. I CERTIFY THAT THE INFORMATION rURNISIDT I AND CORRECT TO THE BEST Of NY KNONLEDGE AND THE APPLICABLE CITY OF FERERAt WAY REOUIRENENTS VILL BE NET. OWNER DR ±IGEIIi ._ �L�- _ _ _..... GraTf FIELD COPY " `�