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92-100842iM P MECHANICAL PERMIT CITY OF FEDERAL WAY BUILDING PERMIT y � - boa 8y�? BUILDING INSPECTION 941-1555 PERMIT NO. 92-868 M OWNER'S NAME CHAAFFF.Y CORP JOB ADDRESS 2823 SW 342 PL CONTRACTOR RELIABLE SHEET METAL ADDRESS11447 120 AVE NE KIRKLAND CONT. PHONE 823-6868 CONT. REG. NO. RELIASM345LF 7/92 OWNER'S PHONE 822-5981 OWNER'S ADDRESS POB 560 KIRKLAND TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. SEE BELOW NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 294450-0480 LEGAL DESCRIPTION i ISSUED BY E SNYDER DATE OF ISSUE DATE OF APPLICATION 6/5/92 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. 2.00 BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE 10.0 AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS POT WATER HTR. 6.50 MISC. 20.00 RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE 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 CHANICAL FEE $38.50 OTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. n I 7 1 1 S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT �i-,-J 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: �? /"L � ` OWNER OR AGENT C/i - DATE/ JUN - 51992 ;,war 7", *nit # 20 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: Chaffey Corporation OWNER Chaffee Corporation SITE LOCATION 2823 SW 342nd P1 OWNER'S ADDRESS P.O. Box 560 CITY Ki rkl and PHONE 822-5981 DESCRIBE JOB New installation of mechanical system and gas piping THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X BOX 2 CONTRACTOR'S NAME Reliable Sheet MEtal CONTRACTOR'S REG. # RELIASM345LF Card MUST be presented CONTRACTOR'S ADDRESS 11447 120th Ave NE CITY Kirkland PHONE 823-6868 EXPIRATION DATE 7Z 92 —OR— I HAVE READ CHAPTER 18.27.010 REL I G 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 (STING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 2944500480 LEGAL DESCRIPTION Lot 48 Gro se of me (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 ( X) SINGLE FAMILY ( )0 NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $'� `' N0. WATERCLOSETS GASPI P NG, FEET tt i':kt "' � � a l $ BATHTUBS NO. FURNACE, ELEC. GAS i.' $ 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 $ _JRINALS AIR COOLING UNITS, SIZE $ FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS 1;,P—' OTHER $ DRAINS $ OTHER $ TOTAL FIXTURES $ ZzDRINKING TOTAL MECHANICAL FEE $ I CERf(FY 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 TOSAVE HARMLESS THE CITYOFFEDERAL WAYASTOANY CLAIM (INCLUDING COSTS, EXPENSES, ANDATTORNEYS' 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: 6/4/92 ANP -008 3/90 MECHANICAL PERMIT CITY OF FEDERAL WAY BUILDING PERMIT BUILDING 941 �N555ECTION 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 INSPE °' AF ILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE LUMBING FEE INSPECTI MECHANICAL FEE TOTAL BLDG. FEES Water Line OK Mechanical I eS: PART P/C FEE SEPA REVIEW GAS PIPING OK%/ �j?; y�Date v WATER SERVICE O WATER MAIN CHG. j S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT ✓" AMOUNT DUE Account NO. 010-000-322-10-004 T Fee $ Receipt No. _ ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING ITS EXPI ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLE� D THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE