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91-101628CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT g1_16 WRI, BUILDING INSPECTION 941-1555 91-1605 M SUSAN MENDENHALL 32824 26TH PL SW PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR NORTHWEST USI ADDRESS 1908 341ST PL S #9 FEDERAL WAY CONT PHONE 952-5433 CONT. REG. NO. NORTHUS101JJ OWNER'S PHONE 838-3930 OWNER'S ADDRESS 32824 26ATH PL SW 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. 894520-0230 LEGAL DESCRIPTION SU�BY_ JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 11-12-91 7ZO BUILDING INF MATI NE 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 10-0 fl AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS �iOT WATER HTR. MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE 3O.0 DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. RMIT FEE AN CHECK FEE PLUMBING FEE INSPECTION RECORD 30.00 MECHANICAL FEE TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART PIC FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE 30.00 Account No. 010-000-322-10-004 Total Fee $ 30.00 Receipt No. ALL PERMITS EXPI 18 YS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE FORMA ON FURNISHED BY M TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL B ET: /`/ OWNER OR AGENT DATE Permi4p I tic) vY'_. RF-CEIVED CITY OF FEDERAL WAY Nov 121991 BUILDING PERMIT APPLICATION 'Qffy OF (FEDr qL WAY — Please Print — 6UILDW DEPT BOX 1 TENANT NAME: OWNER SITE LOCATION 3 9 Fel U21 OWNER'S ADDRESS P! : v . LU CITY F&�UA L PHONE (3 " 9 3C) DESCRIBE JOB r r- c - THE PROPERTY IS OWNED BY: SINGLE/MARRIED PART ERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Lje,kA'�N W(_".`_.A L�__ Sti T CONTRACTOR'S REG. # 19c,rt f, a ;C-1 5.5 1— Card MUST be presented CONTRACTOR'S ADDRESS 1' j c` 5, 2�j I OL. #9 CITY F&L Lc�c�u. PHONE c152 -,S5 ``33 EXPIRATION DATEg - `� -`j 2 —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 i7tPHONE_2S_2 - 5-1-:33 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER P9 '-.IS 7 L -D -LD 30 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 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT M 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 MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET �' $ NO. i FURNACE, ELEC. GASB_ $ 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 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. OWNER/AGENT: DATE: ANP -008 3/90 MECHANICAL PERMIT CITY OF FEDERAL WAY BUILDING PERMIT BUILDI94 IN SSECTION 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 RIOT 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 WIL PERMIT FEE PLAN CHECK FEE LUMBING FEE INSPECTION R VVECHANICAL FEE TOTAL BLDG. FEES Water Line OK Mechanical C e PART P/C FEE SEPA REVIEW GAS PIPING OK Date WATER SERVICE _ WATER MAIN CHG. 01 A S.B.C.C. FEE OTHER FEES AMOUNT DUE _ MECHANICAL PERMIT Account No. 010-000-322-10-004 Tota 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 0 0 SET BACKS AND FOOTINGS DATE . .. . . ...... ... OX TO POUR FOUNDATION WALLS DATE . .... . BY . .... . . . .... ... PLUMBING GROUNDWORK DATE PLUMBING ROUGH IN DATE__ _ __BY ------ WATER LINE O.K. GAS PIPING O.K._____ . . . ...... . . .. .... MECHANICAL INSPECTION DATE BY O.K. TO ENCLOSE FRAMING DATE BY INSULATION DATE _.........BY ... . .. .... . .... .... WALL BOARD AND FIRE WALL DATE BY . . ...... ... FINAL O.K. TO OCCUPY DATE -BY . .. ..... . DCD PSID FD -2 _ef