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92-100777CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT 9.1. 1007,77 BUILDING INSPECTION 941-1555 PERMIT NO. 92-0817 M OWNER'S NAME SALLY CARPENTER JOB ADDRESS A142K 78,711 PT, SW CONTRACTOR RENNIE SHEET METAL INC ADDRESS 4820 S. WASHINGTON TACOMA CONT. PHONE 472-4099 CONT. REG. NO. RENNISM110QN OWNER'S PHONE 838-0262 OWNER'S ADDRESS 31425 28TH PL SW PimyRAT, 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 OTHE TAX ACCOUNT NO. 150330-0240 LEGAL DESCRIPTION UED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION g;-26-42 BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER BATHTUBS LAUNDRY DRAINS GAS PIPING FT. 2-0 n BOILER COMPRESSOR TANK(S) RECEIVED SHOWERS URINALS FORCED AIR FURNACE 10-0 AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS SINKS MISC. GAS POT WATER HTR. MISC. CONVERSION BURNER BASIC FEE - 21, A .� 0 RETURNED DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL -32," AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE FEE INSPECTION RECORD 9IUMBING ECHANICAL FEE 32.00 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. MECHANICAL PERMIT S.B.C.C. FEE OTHER FEES AMOUNT DUE 32.00 Account No. 010-000-322-10-004 Total Fee $ 32.00 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 OWNER OR AGENT—s. DATE Z� RECEIVED BY COMMUNITY DEVELOPMENT DEPARTMW CITY OF FEDERAL WAY MAY 2 6 1992 BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: OWNER r• SITE LOCATION OWNER'S ADDR CITY.yr (�( itl�l PHON --O x DESCRIBE JOB N THE PROPERTY IS OWNED 141' SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #aM_'SM t —0 K) Card MUST be presented CONTRACTOR'S ADDRESS L%4.!.kIN CITY HONE N-1-1-4099 EXPIRATION DATE —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 th ULPk —e f3 PHONE 4472-1-10 g BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 15-6330— 0140 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_____1_ BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ N0. WATERCLOSETS GAS PIPING, FEET $ J BATHTUBS NO. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ 1 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 OFTHE ABOVE PREMISESTO 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 CITYAS A PART OF THIS APPLICATION. OWNER/AGENT: .� �. �., r DATE: 5-'� I-7//S��-- ANP -006 3/90 61TY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT BUILDING INSPECTION 941-1555 PERMIT NO. OWNER'S NAME JOB ADDRESS ADDRESS CONT PHONE CONTRACTOR 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 DATE OF ISSUE DATE OF APPLICATION ISSUED BY BUILDING INFORMATION ONE 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 �iOT 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 INSPECTION RECORD PLUMBING FEE ECHANICAL FEE Water Line OK Mechanical Inspection Notes: DTAL BLDG. FEES PART PIC FEE GAS PIPING OK Date 4L By %o M SEPT REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE MECHANICAL PERMIT OTHER FEES Account No. 010-000-322-10-004 Total Fee $ Receipt No. AMOUNT DUE _ EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. ALL PERMITS t ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY I CERTIFY THAT THE INFORMATION FURNISHED BY REQUIREMENTS WILL BE MET: � ISA OWNER OR AGENT DATE SET BACKS AND FOOTINGS DATE BY O.K TO POUR FOUNDATION WALLS DATE BY PLUMBING GROUNDWORK DATE BY 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 l DATE lam% li. BY RCD PSD FD