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90-100502MECHANICAL PERMIT CITY OF FEDERAL WAY BUILDING PERMIT si m BUILDING INSPECTION 941-1555 fb-/005-0) 9U -M CHAFFEY CORP 2912 SW 342ND PL PERMIT NO. OWNER'S NAME JOB ADDR RELIABLE SMET METAL832-6868 CONTRACTOR ADDRESS 5WdT P 0. RELIASM437RS CONT, REG. NO. —5981 P. 130x OWNER'S PHONE OWNER'S ADDRESS b U 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 ____7L0T TAX ACCOUNT NO. 34 GHL)USE POINTE LEGAL DESCRIPTION JOANNE JOHNSON ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION NE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. 7PLSET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT UMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND 99 00 WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) 10.00 SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC. SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 35.50 AMOUNT c VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD FEE 35.50 OTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: 1SECHANICAL PART PIC FEE EPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES 38.50 MECHANICAL PERMIT 35.50 AMOUNT DUE Account No. 010-000-322-10-004 Total Fee $ Receipt No. V 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 �D CITY OF FEDE `IAL WAY CITY OF FEDERAL WAY BUILDING DEPT BUILDING PERMIT APPLICATION — Please Print — Grousepointe BOX OWNER Chaff gy Corporation JOB LOCATION 2912 SW 342nd Pl Lot 34 OWNER'S ADDRESS P.O. Box 560 CITY Kirkland PHONE 822-5981 DESCRIBE JOB Nc--w ;nct-a11 at; on mP h n; cal ysfiem furnace WWT gas -piping THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X BOX 2 CONTRACTOR'S NAME Reliable Sheet Metal CONTRACTOR'S REG. # RF.-T.T-AS-MG.-37RS Card MUST be presented CONTRACTOR'S ADDRESS 11447 120th Ave NE CITY Kirkland PHONE 823-6868 EXPIRATION DATE 12/90 'MI :1D 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 Verrene Johnson PHONE 823-6868 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUM LEGAL DESCRIPTION (it necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK____j_ GARAGE 1 BOX 8 ( SINGLE FAMILY (X) NEW CONSTRUCTION ( MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY sn FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ 20.00 N0. WATERCLOSETS GAS PIPING, FEET im er 1nn — $ 2.00 BATHTUBS N0._1 FURNACE, ELEC. GAS X $ 10.00 SHOWERS I_GAS HOT WATER HEATER $ 6.50 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 $ 5D 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 PER- FORM THE WORK FOR WHICH PERMIT APPLICATION IS MADE. OWNER/AGENT: Aj • DATE: 0 5/21/90 ANP -006 'LBO MECHANICAL PERMIT CITY OF FEDERAL WAY BUILDING PERMIT BUILDING INSPECTION 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 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 HOT 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 PLUMBING FEE INSPECTION RECORD FEE KHANICAL LBLDG.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 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 PIPING O.K. __7 . ...... . . .... . ... ..... 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 PSD FD