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92-100863MECHANICAL PERMIT CITY OF FEDERAL WAY BUILDING PERMIT 9)'- /#Z)$G BUILDING INSP CTION 661-4140 PERMIT NO. 92-899 M OWNER'S NAME DAVID JONES SITE ADDRESS 32625 39 PL SW CONTRACTOR ARCO INSTALL ADDRESS 1908 S 341 PL #9 FED WAY CONT. PHONE 952-5433 CONT. REG. NO. ARCOIL*141LE EXP. 6/93 OWNER'S PHONE 838-7918 OWNER'S ADDRESS TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 873195-0060 LEGAL DESCRIPTION ISSUED BY EBS DATE OF ISSUE DATE OF APPLICATION 6 /10/92 BUILDING INFORMATION ZONE SET BACKS: FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. 3.50 GAS LOGS 6.50 BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK RECEIVED SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS MISC. BBQ BASIC FEE 20.00 RETURNED DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 30.00 AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE UMBING FEE INSPECTION RECORD WCHANICAL FEE $30.00 TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART PIC FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. MECHANICAL PERMIT n .B.C.C. FEE OTHER FEES O AMOUNT DUE DUE $30.00 Total Fee $ 30.00 Receipt No. ALL PERMITS EXPIRE 160 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: Zf_X>— OWNER OR AGENT DATE C� 0 re,etx!1-'--849ti1 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: OWNER S SITE LOCATION 3 -21all3 9 PI- - �-w OWNER'S ADDRESS 3 CITY PHONE �63�'_ %9/, DESCRIBE JOB THE PROPERTY IS OWNED BY: S NGLE/MAR IED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME1IC4i n� S, L 7-0 CONTRACTOR'S REG. r Card MUS be presented CONTRACTOR'S ADDRESS I qOg 50•�S/1 Pl-. 9 CITYI-P PHONE q6- 3 :1 • 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 — EXPIRATION DATE — — $ N0._ FURNACE, ELEC. GAS $ —OR— PIN $ CONVERSION BURNER I HAVE READ CHAPTER 18.27.010 RELATING TOIN IONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND BOILER, SIZE BTU CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. AIR HANDLING UNITS BOX 3 CONTACT PERSON Z— PHONE BOX 4 SEWER DISTRICT WATER DISTRICT $ BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION $ BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION TOTAL MECHANICAL FEE $ (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 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT :1 • 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 /30 / $ 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 H00p $ OTHER 44 S Lo 9 $ $ 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 THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: (O �D 902 ANP -008 3/90 ZONE SETBACKS: FRONT PLANNING DEPARTMENT APPROVAL REMARKS: 0 0 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) SIDE REAR HEIGHT LIMIT SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY TYPE OF CONSTRUCTION STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: OVIVED JUN 10 1992 BUK DM MPT RECEIVED ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL BY DATE_ PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE ACCEPTED FOR FILING MECHANICAL PERMIT CITY OF FEDERAL WAY BUILDING PERMIT BUILDING INSPECTION 661-4140 92_899 N DAVID JONES 32625 39 PL SW PERMIT NO. OWNER'S NAME SITE ADDRESS INSTALLY 1-908 S 341 PL FEIN NAY 952-5433 CONTRACTOR ADQI7 CONT. PHONE ((�� CONT. REG. NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY_____j�N�IT1S_)�Qi1LTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. J jj ((�� LEGAL DESCRIPTION A� EDS 6 1092 ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE SET BACKS: FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. ' GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS of URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES I KING OUNT N �� CONVERSION BURNER MISC. 2+0 RETURNED SINKS MI�. BBQ BASIC FEE i 3 00 DISHWASHERS TOTAL FIXTURES ES DRYER TOTAL MECHANICAL • AMOUNT VALUATION GAS PIPING TEST MUST BE,WI3T]3SSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE UMBING FEE INSPECTION RECORD CHANICAL FEE TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK 7 13 :�� ,� Date %== 3 -%'?By WATER SERVICE WATER MAIN CHG. MECHANICAL PERMIT �j ;✓ S.B.C.C. FEE OTHER FEES f �lJ AMOUNT DUE _ 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 0 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. _ �Z � J 2 MECHANICAL INSPECTION DATE 7 Z 5 ._BY O.K. TO ENCLOSE FRAMING DATE _ - ---- .BY -_ INSULATION DATE . -- -- _. - BY .- _...- WALL BOARD AND FIRE WALL DATE -_.. BY FINAL O.K. TO OCCUPY DATE _T� 3 -'2--,BY QCD PSD FD