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91-101368CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT gj, /o /31a BUILDING INSPECTION 941-1555 PERMIT NO. 91-1316 M. OWNER'S NAME JAY SHEPHERD JOB ADDRESS 33468 37TH AVE SW CONTRACTOR RISCO ADDRESS 10719 "A" S,''j T � C TAC(l� CONT, PHONE 535-1163 CONT. REG. NO. B.ISCO-I—O-9-9-DF OWNER'S PHONE 874-1001 OWNER'S ADDRESS 33468 37TH AVEW FEDERAT, WAY 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. 109960-06.0 LEGAL DESCRIPTION SUED BY N19 JOHNSON DATE OF ISSUE DATE OF APPLICATION 9 23-91 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 _S ' FT. 2-0 BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE 1 0-00 AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS POT WATER HTR. MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE _20_0 DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 32_0 AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE LAN CHECK FEE JMBING FEE INSPECTION RECORD MECHANICAL FEE 32.00 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 S.B.C.C. FEE OTHER FEES AMOUNT DUE 32.00 Account No. 010-000-322-10-004 Total Fee $ 32.00 Receipt No. 9 41_� 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 OWNER OR AGENT DATE ' RECEIVED • Perro SEP 2 31991 01TV OF i;EDEAAL WAY CITY OF FEDERAL WAY LD1NdDEPt BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: GAS PIPING, FEET '57 — $ NO. FURNACE, ELEC. GAS OWNER- LOCATION $ CONVERSION BURNER OWNER' DDRE S J. _._ �/� C CITY PHONE _5? 2tZ- 1.06 AIR HANDLING UNITS DESCRIBE JOB i,4 /Z %�f $ UNIT HEATERS THE PROPERTY IS OWNED BY: SINGLE/MARRIED C--` PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 2 CONTRACTOR'S REG. #,,L/ OTHER $ Card MUST be presented CONTRACTOR'S ADDRESS /D CITY C'a PHONE S3S_//l3 TOTAL MECHANICAL FEE EXPIRATION DATE - - —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 _ ,e.iL/ PHONE r 3C _ //� 3 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 22 LEGAL DESCRIPTION (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 MECHANICALAPPLIANCES — BASIC FEE $ GAS PIPING, FEET '57 — $ NO. 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 HOOD $ OTHER $ 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: ANP -008 3/90 CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDI941'"S SE�'�'°" BUILDING PERMIT 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 BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) RECEIVED SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS �iOT 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 WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE LUMBING FEE INSPECTION RECORD 6_CHANICAL FEE TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART PIC FEE SEPA REVIEW j 4% 2 GAS PIPING OK Date ", ,-��By WATER SERVICE WATER MAIN CHG. ) C �f✓Ko1 C�US �G . j ! L�✓`1� L� 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