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92-100310CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT a . /o 0.2 BUILDING INSPECTION 941-1555 PERMIT NO. 92-0259 M OWNER'S NAME CHAFFEY CORP JOB ADDRESS 2816 SW 342ND PL CONTRACTOR RELIABLE SHEET METAL ADDRESS 11447 120TH AVE NE KIRKLAND CONT. PHONE 823-6868 CONT. REG. NO. RELIASM345LF OWNER'S PHONE 822-5981 OWNER'S ADDRESS P O BOX 560 KIRKLAND 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. 294450-0310 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 2-19-92 BUILDING INFORMATION 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 99 FT. 2.00 BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�IOT WATER HTR. 6.50 MISC. SINKS MISC. CONVERSION BURNER BASIC FEE 20. QO RETURNED DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 38.50 AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD ECHANICAL FEE 38.50 TAL 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 A4 AMOUNT DUE 38.50 Account No. 010-000-322-10-004 Total Fee $ 38.50 . 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 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 - Fv COMMUNITY DEVELOPMENT DEPARTMEN0 fermit FEB 19 1992 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: MECHAN CAL APPLIANCES — OWNER Chaffee Corporation SITE LOCATION 2316 SW 342nd P1 OWNER'S ADDRESS P.O. Box 560 CITY Kirkland PHONE__ 822-5981 DESCRIBE JOB Installation of mechanical system and gaspiping (Residence) BATHTUBS THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X BOX 2 CONTRACTOR'S NAME Reliable Sheet Metal CONTRACTOR'S REG. #RELIASM34SI F SHOWERS Card MUST be presented CONTRACTOR'S ADDRESS 11447 120th AVP NF CITY Kirkland PHONE 823-6868 EXPIRATION DATE 7/A2 CONVERSION BURNER —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 Verrene PHONE 823-6868 BOX 4 SEWER DISTRICT WATER DISTRICT $ BOX 5 ESTIMATED PROJECT COST $4500.00 EXISTING BUILDING VALUATION ELECTRIC HOT WATER HEATER BOX 6 PROPERTY TAX ACCOUNT NUMBER 2944500310 $ LEGAL DESCRIPTION Lot 31 Grousepoi me LAUNDRY WASHER OUTLET (If necessary, please submit a separate page with the legal description.) $ K.C. Plat Recording # URINALS BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( X) SINGLE FAMILY (X) NEW CONSTRUCTION $ ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE SUMPS, SPRINKLER VACUUM BREAKERS ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHAN CAL APPLIANCES — BASIC FEE $ Ie L/0 N0. WATERCLOSETS GAS PIPING, FEET (ti.Nr ,__ 4112 1 $ �v� 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 $ 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 TME 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 BUILDING INSPECTION 941-1555 PERMIT NO. f,'� 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. SO. 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 BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) RECEIVED SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS RIOT WATER HTR. MISC. SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT LL FI PERMIT FEE PLAN CHECK FEE RUMBING FEE INSPECTION E CHANICAL FEE TOTAL BLDG. FEES Water Line OK Mechanical I ti es �c PART PIC FEE SEPA REVIEW GAS PIPING OK 2� C �' Date B WATER SERVICE WATER MAIN CHG. O� S.B.C.C. FEE OTHER FEES AMOUNT DUE MECHANICAL PERMIT Account No. 010-000-322-10-004 TotalAy'4 $o� Receipt No. f 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