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91-101502CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT BUILDING INSPECTION 941-1555 PERMIT NO. 91 -1 470 M OWNER'S NAME EFtLING p L(MiA JOB ADDRESS 33419 26TH PT, SW CONTRACTOR NORTHWEST WATER HEATERADDRESS 8201 DURANGO STREET SW TACOMA CONT. PHONE 984-6404 CONT. REG. NO. NORTHWFTI 0IR2 OWNER'S PHONE 874-4322 OWNER'S ADDRESS 33412 26TH 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. 010060-0100 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 10-17-91 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 6.5 0 NUMBER LAVATORIES DRINKING FOUNTAINS GAS POT WATER HTR. FTPEPLACE INSERT RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE ,n _ n0 DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 26 _ SO AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. ERMIT FEE LAN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE 26-90 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 26.50 Account No. 010-000-322-10-004 Total Fee $ 26.50 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 ION FURNISHED AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS L BE MET: 3 OWNER OR AGENT DATE- • Perm* ! 1 _ / y.;/ O �� CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: G v, L i r` � v jat,c GAS PIPING, FEET $ OWNER '�- !`'� c�' e�!c� SITE LOCATION $ GAS HOT WATER HEATER OWNER'S ADDRESS 96' S � CITY PHONE T7 - 3 P1,72 $ DESCRIBE JOB ivJ ,et,'f - 4J,- 6 k W P(6-e_,e_ Tcks $ AIR HANDLING UNITS THE PROPERTY IS OWNED BY: SINGLE/MARRIED �_ PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME PE r CONTRACTOR'S REG. # A%e /;WAV $ �� d r �e�`�-`'ir2% �' 1 CardMUSTbe presented -� V'C COMMERCIAL H CONTRACTOR'S ADDRESS CITY �"`�'� PHONE 7 $ EXPIRATION DATE <3-.� $ —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 fAki (&C— PHONE 5�_- TIC BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST 3 SQ EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER d/ C(0 G 0 O i 616 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 (vl--SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( v�'E_XISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL 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 MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET $ N0. FURNACE, ELEC. GAS $ GAS HOT WATER HEATER $ CONVERSION BURNER $ BOILER, SIZE BTU $ AIR HANDLING UNITS $ HEAT PUMPS, SIZE $ UNIT HEATERS $ AIR COOLING UNITS, SIZE $ COMMERCIAL H $ OTHER -�C'a� , �,1. 6 ('D c:; $ Ft'., r- /4,-c e- i` c� s t��' $ 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 WERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEES, ON T E CURACY OF THE FORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. C OWNER/AGENT: DATE: 41 �� ANP -008 3/90 CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING INSPECTN BUILDING PERMIT 941-1555 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 NE IZSPCEIL OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT. T BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT UMBING 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 WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE LUMBING FEE INSPECTION RECORD CHANICAL 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 9 L -1 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 PI PING 0. 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 DCD PSD FD