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17-103605 Building Single Family City of Federal Way Permit #:17-103605-00-SF Community Development Dept. FILE33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax(253)835-2609 Project Name: CONACHAN . Project Address: 522 S 288TH LN Parcel Number:515293 0220 Project Description: ADD-Whole house remodel to include construction of a 64 square foot addition and adding new walls.Mechanical and Plumbing by separate permit.***REVISED 10/13/17 TO INCLUDE MECHANICAL FIXTURES AND GAS PIPING*** Owner Applicant Contractor Lender JACK CONACHAN MICHAEL RADUTSKIYARMADA ARMADA DESIGN&BUILD INC OWNER IS LENDER 522 S 288TH LN DESIGN&BUILD INC 12727 NORTHUP WAY SUITE 6 FEDERAL WAY WA 12727 NORTHUP WAY SUITE 6 BELLEVUE WA 98005 98003-3186 BELLEVUE WA 98005 Census Category: 434-Residential alt/add-no change in number of units Includes: ( #1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Type V-B Occupancy Load: Floor Area(sq.ft.) 0.00 Additional Permit Information New/Additional Sq.Feet-1st Floor 64 New/Additional Sq.Feet-2nd Floor 0 New/Additional Sq.Feet-3rd Floor 00 Occupancy#1-Area(Sq.Feet) 0 New/Additional Sq.Feet-Basement. 0 Occupancy#1-Construction Type Type V-B New/Additional Sq.Feet-Deck. 0 New/Additional Sq.Feet-Garage 0 Mechanical to be Included Yes Plumbing Work Valuation 0 Mechanical Work Valuation 800.00 Number of Stories 1 New/Additional Sq.Feet-Other 0 Is this an Online or O.T.C.application No Plumbing to be Included? No New/Additional Sq.Feet-Total 64 Will Certificate of Occupancy be Issued'? Yes Occupancy#1-Use Residence(1 or 2 family) Comprehensive Plan Designation SF-High-Density Zoning Designation RS 15.0 Residential Total Valuation:48,600.00 � ;�✓°`s�`�n� ,sr`3 EEt�'i '�'�'1''. "�`z'"'_� � "��eg€ riY� €�a ;q�5' < � .�a' "/ 4 � �,� l'p- &mjr:E[. S`r�s`��j �'��� �� ''a �p Ducting 1 Fans 1 Gas Piping 1 Hoods 1 CONDITIONS: Subject to field inspection with plans. -VGoKk'kclw PlakKiwo� b'^ is Rt EXPIRES T06-uesday, l0 April,2018 Fat,' AKd *( 1rt�iolt '�+�iG c'�s�124" � rk 4( l0 «I Permit Issued on Thursday,July 27,2017 11 I hereby certify that the above information is correct and that the construction on the above described property V and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. • ner or agent: Ma(f Date V . . City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section R110 of the International Residential Code is certifying that at the time of issuance,this structure was in compliance with the various ordinances of the City regulating building construction or use.This certificate is valid ONLY when endorsed by City staff. Tenant Name: CONACHAN Permit# 17-103605-00-SF Address: 522 S 288TH LN Includes: #1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Type V-B Occupancy Load: 0.00 Floor Area(sq.ft.) 0.00 Owner Name: JACK CONACHAN Owner Address: 522 S 288TH LN FEDERAL WAY WA 98003-3186 Building Official Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time and personnel limitations),the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. Building - Single' Family City of Federal Way Permit #;17-103605-00-SF Community Development Dept. 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: CONACHAN Project Address: 522 S 288TH LN Parcel Number:515293 0220 Project Description: ADD-Whole house remodel to include construction of a 64 square foot addition and adding new walls.Mechanical and Plumbing by separate permit. Owner Applicant Contractor Lender . . JACK CONACHAN MICHAEL RADUTSKIYARMADA ARMADA DESIGN&BUILD INC OWNER IS LENDER 522 S 288TH LN DESIGN&BUILD INC 12727 NORTHUP WAY SUITE 6 FEDERAL WAY WA 12727 NORTHUP WAY SUITE 6 BELLEVUE WA 98005 98003-3186 BELLEVUE WA 98005 • Census Category:434-Residential alt/add-no change in number of units Includes: #1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Type V-B Occupancy Load: Floor Area(sq.ft.) 0.00 Additional Permit Information New!Additional Sq.Feet-1st Floor 64 New/Additional Sq.Feet-2nd Floor 0 New!Additional Sq.Feet-3rd Floor 00 Occupancy#1-Area(Sq.Feet) 0 New!Additional Sq.Feet-Basement 0 Occupancy#1-Construction Type Type V-B New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0 Mechanical to be Included? No Plumbing Work Valuation? 0 Mechanical Work Valuation? 0 Number of Stories 1 New/Additional Sq.Feet-Other 0 Is this an Online or O.T.C.application? No Plumbing to be Included? No New!Additional Sq.Feet-Total 64 Will Certificate of Occupancy be Issued? Yes Occupancy#1-Use Residence(1 or 2 family) Comprehensive Plan Designation SF-High-Density Zoning Designation RS 15.0 Residential Total Valuation:48,600.00 s £� F m CONDITIONS: Subject to field inspection with plans. PERMIT EXPIRES Tuesday,23 January,2018 Permit Issued on Thursday,July 27,2017 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will +- in accordance with the laws, rules and regulations of the State_of -- ington and the City of Federal Way. Owner or agent: , j�� Date: d7 271/7 f O. 4 , r City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 111 of the International Building s ie or Section R110 of the International Residential Code is certifying that at the time of issuance,this stru. •re was in compliance with the various ordinances of the City regulating building construction or u •. his certificate is valid ONLY when endorsed by City staff. Tenant Name: CONACHAN Permit# 17-103605-00-SF Address: 522 S 288TH LN • Includes: #1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Type V-B Occupancy Load: 0.00 Floor Area(sq.ft.) 0.00 Owner Nam-• JACK CONACHAN Owner Addr- s: 522 S 288TH LN • FEDERAL WAY WA 98003-3186 B tiding Official Date The priority fo. sin the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience as shown most severely affect the health and safety of the general public. Although the City has made as complete a review, d inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor w. ants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordi'.nce or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon w ich it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. 1 THIS CARD IS TO REMAIN ON-SITE CITY OF Construction Inspection Record Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 103605 00 Address: 522 S 288TH LN Project: GLADYS CONACHAN FEDERAL WAY WA 98003-3186 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible (read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. ® SWM Precon Site Mtg(4400) ® Initial Erosion Control(4365) ® Footings/Setback(4110) Approved To be done PRIOR to breaking ground Approved to place concrete By Date By Date By 0_14...^i Date CI „19--I1 � ® Foundation Wall(4115) ® Drainage/Downspout(4040) ® Slab/Concrete Floor(4255) Approved to place concrete Approved to backfill Approved to place concrete By Date O - 1Tr-11 ..By Date r�By Date ® Underfloor Framing(4285) ® Floor Sheathing(4105) ® Shear Walls(4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date El Roof Sheathing(4220) 1 ID Fire/Draft Stops(4095) 12 Interim Erosion Control(4370) Approved to install roofmg ( Approved Approved By Date By ;y,) Date to j ! By Date Prior to scheduling a Framing inspection; 13 Framing(4120) El Insulation(4150) Electrical,Plumbing&Mechanical Rough-in Approved to insulate Approved and Fire/Dr:tt Stop inspection must be signed- pPr ..1Ins to install wallboard off and approved. IBC 109.3.4 By Date (0 (1 h By ,� Date /e lg I El Gypsum Wallboard Nailing(4130) [19 Final Erosion Control(4375) 1:1 Final-Building(4050) Approved to install mud&tape Approved Approved By j Date 10(1' I.1 1�By Date By Date 0 Rough Electrical 0 Final Electrical Q Right of Way Approved Approved Approved By Date By Date By Date • 41004' THIS CARD IS TO REMAIN ON-SITE Federal V1ia Construction Inspection Record INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 103605 00 Address: 522 S 288TH LN Project: GLADYS CONACHAN FEDERAL WAY WA 98003-3186 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible (read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. El SWM Precon Site Mtg(4400) El Initial Erosion Control(4365) Footings/Setback(4110) Approved To be done PRIOR to breaking ground Approved to place concrete By Date , By Date By Date • ® Foundation Wall(4115) Drainage/Downspout(4040) ® Slab/Concrete Floor(4255) Approved to place concrete Approved to backfill ; Approved to place concrete By Date By Date 1 By Date El Underfloor Framing(4285) ® Floor Sheathing(4105) ® Shear Walls(4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date 10 Roof Sheathing(4220) Mechanical Rough-in(4165) Gas Piping(4125) Approved to install roofmg Approved Approved to release test By Date By 1f4P4 Date 10 110 l Ii By VW, Date 10 I Iv 1't 0 Fire/Draft Stops(4095) ® Interim Erosion Control(4370) Prior to scheduling a Framing inspection; Approved Approved Electrical,Plumbing&Mechanical Rough-in and FireIDratt Stop inspections must be signed- By Date By Date off and approval. IBC 1093.4 El Framing(4120) El Insulation(4150) ® Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape By Date By td Date /4'i t$ By Date to 24- h El Final Erosion Control(4375) Final-Mechanical(4065) El Final-Building(4050) Approved Approved Approved By Date By N Date Z Z By 4. Date E FILE 0 Rough Electrical ❑ Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date • PERMIT APP ON CITY OF Fe d e ra I Way PERMIT CENTER+ 33325 8th Avenue Southp + e er t1' 98003-6325 253-835-2607 + FAX 253-835-2609 + ermitcente I offederalwa com J OCT 132017 PERMIT NUMBER I C) 3/,7 CITY OF FEDERAL WAY _ TARGET DATE COMMUNITY DEVELOPMENT SITE ADDRESS 2Z C, e 8 tet-]i LA) SUITE/UNIT# $ P' ECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# TYPE 0' •ERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PRE NTION NAME OF PRO CT PROJECT DESCRIPTION Detailed description of work to be included on this permit only <(k'S NAME PRIMARY PHONE PROPERTY OWNER MAILING ADDRES E-MAIL CITY STATE ZIP . - NAME . _. - - PHONE MAILING ADDRESS E-MAIL CONTRACTOR CITY ' ATE ZIP FAX WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# . _ NAME .... .. PRIMARY PHONE APPLICANT- MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT (The individual to receive and MAILING CRESS E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX AME _ .. PROJECT FINANCING 0 OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) I certify under pen• ty of perjury that I am the property owner or authorized agent of the property owner.I c fy that to the best of my knowledge, t information submitted in support of this permit application is true and correct.I certify tha will comply with all applicable Ci of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I un• • and that the issuance of thi permit does not remove the owner's responsibility for compliance with local, state, or federal • s regulating construction o environmental laws. I further ••ree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees i rred in the investi••tion and defense of such claim), which may be made by any person,including the undersigned, and filed against the city, but only here such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the informa on supplied to the city as a part of this application. S 'ATURE: DATE PRINT NAME: Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application .w1�GI RECEIVEDPERMIT APPLICATION Federal JUL 2 7 2017 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 253-835-2607+FAX 253-835-2609+permitcente a,citvoffederalway.com CITY OF FEDERAL WAY COMMUNITY OPME F- r, NUMBER I 1 _ ' V `3 Co V - 5 S T _ TARGET DATE F SITE ADDRESS SUITE/UNIT# 5.2. S a_a-K,.., Lh r e awl tel- 6,4 g86o`> PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# y ` c 6 1 3 2 cl 3 b z-- Z- C7 TYPE OF PERMIT E tSUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT h I�l,o l k�,c zi t? 1-6-(x-GJ eeei l%l vc-G%C CC 6 GLS U PROJECT DESCRIPTION Detailed description of work to 2"1r Gvu d/42.0 C-1.0 c ,1- ,17J2}7.1-z be included on this permit only !�a-, e-r- NAME PRIMARY PHONE al-k 4t '4.a_. 206-332—q6-11 PROPERTY OWNER MAILING ADDRESS E-MAIL —5"41146 4S ? -oj., , CITY STATE ZIP NAME A PHONE n(f4404 DC (6?XI 4' /3c,(14_,E) /Air y 2.2S- SC is' t GC, MAILINGG ADDRESS E-MAIL ,,/ CONTRACTOR /2-?2 ? 4'ctb' i t ,/,-, GJ 6 �(G6(4)4t---avw�4a/t.t-Lal CI / STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 8 / / P 13/4/4 NAME //, (� PRIMARY PHONE S'.4 J4'Jifealit APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT M/Cf/ASL n ,6,e-- I.o N low/ /4,4A/461C4 9-2.T-55t-941Ce (The individual to receive and MAILING respond ADDRESS E-MAIL respond to all correspondence /272 N7 Nori-4--(4-, A..),4!-' '..z$1& ( '/CL.6} gaic{f J /3(,(!(,),L3zb concerning this application) CITY STATE ZIP FAX Z-elf. ;,.e. IA,4- 40 oo NAME ,., PROJECT FINANCING L'�F'OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27095) I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit do s not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or enviror a al laws. I further agree to 7 /harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the investigation • .d.• tense of such claim), which may be made by any person,including the undersigned,and filed against the city, but only where _ c. •im arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information su•.•li-i '. the city as a part of this application. SIGNATURE: f"r DATE 9/9 71/. .. PRINT NAM:. JIRAD,,,t i.su 1 Y AitaKA 4 /Ui w4... AA/4mA i)t.C,C;titE f?t-1-jL/ 1/1/6 Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application t , r.. / , gtJcivci To CNC-W-P tir../4-/-fi\i /W, VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ 900 • each type F_.a.re Indicate how many of of r.=� •,r to be installed or relocated as part of this project.Do not include existing fixtures to remain. AIR HANDLING UNITS 7 FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS / HOODS(c....,....1) BOILERS FURNACES HOT WATER TANKS(Gas( TT COMPRESSORS GAS LOG SETS REFRIGERATION SYST 1 Q// I DUCTING GAS PIPING WOODSTOVES 11 Aolot^ ( V"U,. n, PLUMBING PERMIT � �OF•L� alr�o WO-- $ Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain. BATHTUBS(or Tub/Shower combo( LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(1Gtchen/utility( WATER HEATERS(Electric( HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES ! GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS $ EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes❑ No ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION �i AREA DESCRIPTIONt�� (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE 1111 i:V+ A=L3'ywta ,.a: a r.,h.-i Yuri...,# "rT'# tt,a'.,n,;..y.,:,,v :`....'L:',"',*:-* '.±',,� --- --------_--- •- ------------------ =.yf=. ,,;. .,. n..' q .F'. ,„,,- '31.'. ,,.'ex;. ..:uz_..tr.1:, ; :!,i1Y_M1_.._:..">!., Y..7,t1,: ....._____ _______ FIRST FLOOR(or Mobile Home) ' ,a, .'„`!! t' ra t, t..'1t JY.. ,1n �`: ''''',4-1.:.'';'4'.. A .l. p'+:"r�/.'4' i "`! Ffz _w'K;4'.'.Jy` ._.""_ __ ___..._.. -,,..A. I a,a. Zi ,..:1',„:. _ ,,,,,,,,,"„4.;;;,:.„-j,1?.': r" ,'<„ 'i "• ,../if., <.,." 3" �' :-.4.0 .1.5. COVERED ENTRY c, , � � � � ^ ',+ q s„;1+zs}`r•t,, 'Y tt..ti'�„4`, t�' �.... � t< '-''.a.1 :''..F3.-i',.-1-.'V-2';'-', rwj.:y��-$ -�. .� ..;, . :'�W�. .1,,' y P KR t,r �'' t, „�,,-. 4.' .€;4.' .ar „ 5' r ' `'`"i5' 'f ., i '�. i3 '^".1r.�•_ ,, ry set. a'!. rs , "n=� -T ....-4...-4,,,,,a41. �r% GARAGE 0 CARPORT ❑ . ,,a .1' ;,3 r`' ',+'.r4:N ).y ':t" t ''' •'re• ,;.;' ' .r, •fA' -'ter ^" ;1:iil' , .�` ''`.•;: i - 4.:-..:-.0,••. ,:t w, +s;,t`x.3::>a- I. .`','v.,:•:1,',4-fi c * .,? f S''” ix•.'":'''''.4'.. '"V: -`4,1, t ,:� EXISTING PROPOSED TOTAL Area Totals ESTIMATED SELLING PRICE$ I #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area in Construction #of Snuare Feet Occupancy Group(s) Additional Information 04......./ea '''''r ',s 1"41' 44' r s� . :u. ,,ty -!, ' '' tV°"s .5`)_ • ;'t,*''"'.. _'ki,,{.,",, 1 , y ,,,t-;,t,. iri;!a ,. `a1a'rr„.`)• '-:,t,'.,, .a '1.,, i,.i{.- :.A,'i"-,‘;,----,%.7..,,:,,,..:;,-44„,:;>1: . '.;' a T �yE '4,a-. '.?.G `-,,If: °�y",f.i,,# 'Y.<:: ..:+",to>.., -. �x".:.^(kt,_ .,_ -,„1,,,`,",!:��: ;.Sa- 7: ft: iL't7r.:f• .ia�,;r.�%.e:-.• k:a�K•vi: � �^'�,'�••-.• r ,,- ,_;'.. . '•ry,". ,'�;, • . '.,??4,,,,:1,30,?.,,,-,,,',',--:-,:' '.; •.,, 7,„ i"vee,+t;'F,.4,;'..,h,1v,' %,,,,,:.,,,,r t :s r'.> ,,+ `.'rid. ' °:1:. i /X r:;:•""4 s^r:-rt„',;. A a,..-. ADDITION I I k I COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information S.uare Feet .e Stories �%?;:" : `+I i i'r�'-e ..**,4:,.;.'f'''^ ,,;4.14., ,�,F„!. '',,,*.,-,r.-;4„+,.. _ -.:i :•:-:,:t..- _- -:t. �.;1, itivt, :,•••,',, r dr'^:,.,_ .4 t`_A;.._A x- , -`;1'. ` !+`: ,or, c3 '? 1kii;:44 ::,," '',4,,.,'.:.x: #-s-,.- ."T",,"a,. ' , ,1,. sw+ .f'.�y-_..:t. •�.-^ - ..a+{-` ',>� ��a�-' d..v'e�. •- ��t +t .., ,. .. .-. - --'.- TENANT . TENANT AREA ONLY :',,,:-*41",..,'r; • �.” • ,:,,,,4,,:j"-41',.;.': i'f' •: _ • ��, -' . fi-" �Ci."IpS.•i�{t ; i s . � ` �sJ�.�iAsy4'� ` 'e, • ) yrS"M " `.: -QJ ' Qgi� y e ,,-''.:,,,f',,,,,, ��,y: S� y„ Y � y ��• S` L{,,,-. �j ''"4.-":* ++ #yybL1�1FJ'{ , . e t¢+pcT. v.'" . SR- i .E. i)''�`\(Y4. r h4 ,.y„� .7t"t:rs.`- f.f.'� •. , J.st:,:s�`�` eixt? t« 'aY :' '" K �M . X. Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application VALUE OF MECHANICAL WORK MECHANICAL PERMIT Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain. BATHTUBS(or Tub/Shower Combo) LAVS(Hondsinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(siecinc) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes X No ❑Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BAS FIRST FLOOR(or Mobile Home) (OirS. L err FLOOR COVERED ENTRY Ci V 6 GARAGE ?,g CARPORT ❑ 1/662 960 OTHER,(describ f Area TotalsEXISTING PROPOSED TOT � e ( xr ESTIMATED SELLING PRICE$ I #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information Square FeetType Stories NEW BUILI3ING 3 4 7 t ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information Square FeetTy TOTAL eStories TENANT AREA ONLY Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application