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92-100792CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT 9) _10079;? BUILDING INSPECTION 661-4140 92-0836 M MICHAEL JOHNSON 33459 37TH AVE SW PERMIT NO. OWNER'S NAME SITE ADDRESS ARCO INSTALLATIONS INC -DRESS 908 3 ST PL S 9 FEDERAL WAY 952-5433 CONTRACTOR CONT. PHONE ARCOIC141LE 952-5433 874-2499 33459 37TH AVE SW FED WA CONT. REG. NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER 109960-0660 TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE y� �� - DATE OF APPLICATION 5-29-92 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. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE � n n n DUCT WORK 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 CHANICAL FEE 30-00 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. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE 30.00 Total Fee $ 3 0. 0 0 Receipt No. 0,m,1171 -7 Z, 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-f�-'C'--- DATE 14�� l MAY 2 91992 gtrM�LM190�'L� BOX 1 TENANT NAME: CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — OWNER l Y is WN�r,Y'\ >� SITE LOCATION `% - c' - c2 ' OWNER'S ADDRESS 3. �...._C - U,�, CITY \ ' „° � PHONE � DESCRIBE JOB �3i" " a r`_ THE PROPERTY IS OWNED BY: SINGLE/MARRIED PAR ERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME TvV`,k_i�-j.i urn CONTRACTOR'S REG. # 0 n tL-A i Li ILS Card MUST be presented CONTRACTOR'S ADDRESS 190% 39 I C I �. �� CITY Ft' ' ' L��u PHONE^!��J) -S�133 EXPIRATION DATE 1-1 " 30 -`13 —OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND BOX 9 PLUMBING FIXTURES (including rough -ins) CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON L; PHONET3,,)-5y33 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER LAVATORIES CONVERSION BURNER LEGAL DESCRIPTION SINKS BOILER, SIZE BTU (If necessary, please submit a separate page with the legal description.) DISHWASHERS K.C. Plat Recording # $ BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / LAUNDRY WASHER OUTLET 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION DRINKING FOUNTAINS ( ) 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) MECHANICAL APPLIANCES — BASIC FEE $ NO. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0. 4' 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 E8*,bE 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 HE CITY"INCLUDING ITS OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. IL OWNER/AGENT: Li..&� R.e- DATE: 6 - 29 - ClQ z ANP -008 3/90 ZONE SETBACKS: FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW TFIIS 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: REC�I MAY 2 9 1992 WY FERAL M QUIDG wzpr. Y N 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 CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT 9 ),/b 0-79,) BUILDING INSPECTION 661-4140 92-0836 X MICHMM JOiiATWN 33453 37`^H AVE SW PERMIT NO.ARUO IN SITE ADj�$� WWI �+'�'�7jr,�,}[j� (JJ WAY 95Z 433 CONTRACTOR ADDRESS � ��T. PHQ 952-5433 FM CONT. REG. NO- 7TH AVE SW A EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY----(�IJ1g ��jj66 o_,M),MULTI. ADD. SIGN GRADING OTHER j�uu TAX ACCOUNT NO. LEGAL DESCRIPTION JOAj ` r,. 9-92 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 10.00 DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. o RETURNED SINKS MISC. BBQ BASIC FEE .'' DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 3 i' AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE FEE INSPECTION RECORD REUMBING 30.00 CHANICAL FEE TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK Date WATER SERVICE WATER MAIN CHG. C 1� S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE 30.00Total 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: !f �` 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. . . .. .... . MECHANICAL INSPECTION DATE -BY O.K. TO ENCLOSE FRAMING DATE INSULATION DATE WALL BOARD AND FIRE WALL DATE BY FINAL O.K. TO OCCUPY DATE2�. BY DCD PSD I'D