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91-101318CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT 9)-/a/,3/B' BUILDING INSPECTION 941-1555 91-1277 M ROBINSON RESIDENCE 33592 36 AVE SW PERMIT NO. OWNER'S NAME JOB ADDRESS NORTHWEST FURNACE/FIREPFA POB 872 SPANAWAY 848-8366 CONTRACTOR CONT. PHONE CONT. REG. NO. NORTHFF0909B9 3/92 OWNER'S PHONE 838-7053 OWNER'S ADDRESS SAM AS SITE 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 SEE BELOW TAX ACCOUNT NO. LEGAL DESCRIPTION NA UED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 9/13/91 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 60 FT. 2.00 BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�iOT WATER HTR, MISCFIREPLACE 6 _ 50 RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE 20-0D DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 9R-91 AMOUNT NONE. VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE $28.50 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 $28.50 Account No. 010-000-322-10-004 Total Fee $ 28.50 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 INFORMA ON F FINISHED BY E 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 SEP 13 IN Perm On OFfiEDEAa�, wqy CITY OF FEDERAL WAY �'DM�°°Ep BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: ( ) MULTIFAMILY (NO. OF UNITS = ) OWNER SITE LOCATION ( ) COMMERCIAL/INDUSTRIAL OWNER'S ADDRESS 3'3 �5 9 Z .3(.--'--" ,4w )CITY Red u:li-, PHONE - 7C5 S 3 BOX 9 PLUMBING FIXTURES (including rough -ins) DESCRIBE JOB I 11i q6s hJ n n , N0. WATERCLOSETS THE PROPERTY IS OWNED BY: SI GLE/MARRIED x PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME art Tt�K:e . -' l CONTRACTOR'S REG. #,tk��T11 03� SHOWERS GAS HOT WATER HEATER Card MUST be presented LAVATORIES CONTRACTOR'S ADDRESS g CITY_S�PHONE 89 K hglal� SINKS EXPIRATION DATE —1 — Z $ DISHWASHERS AIR HANDLING UNITS —OR— ELECTRIC HOT WATER HEATER I HAVE READ CHAPTER 18.27.010 RELATING TO FINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND $ CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON_ � �t) (= F��LiZ PHONE FL-/ K g� —8OX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER C $ AINS (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 BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $• N0. WATERCLOSETS GAS PIPING, FEET $C9L� BATHTUBS N0. $ 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 t OTHER 'Ti e-c—PtQc— $ AINS $ O HER $ OTAL 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 OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLODING ITS OFFICERS AND EMPLOYEES, UPON THEACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE. ANP -008 3/90 • FFICE USE ONLY (PLEASE DO NCT WRITE BELOW THIS LINE) q38 ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT -d Jr�i its PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: PUBLIC WORKS DEPARTMENT APPROVA REMARKS: DATE 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: LU Q $ 6 4 V_ _> W '- 9 UCL L i('RE60/ j ASSIGNED ADDRESS: Amount PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # BUILDING DEPARTMENT APPROVAL BY DA DA' 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 MECHANICAI, PERMIT CITY OF BUILDING PERMIT BUILDING INSPECTION FEDERAL WAY 941-1555 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. 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 RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS POT WATER HTR. MISC. Ct,:e,i'utii RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE 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 ECHANICAL FEE TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW WATER SERVICE GAS PIPING OK Date By 7-77 WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE _ Account No. 0.10-000-322-10-004 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 j 0 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 0.K.-_11>�<._ MECHANICAL INSPECTION DATE -_BY O.K. TO ENCLOSE FRAMING DATE _-_- __ - _ BY - INSULATION DATE _- - ......BY - - - WALL BOARD AND FIRE WALL DATE - _-- BY - FINAL O.K. TO OCCUPY 1 � DATE _\ ` Z- � BY -_ MAN&-_ -___ DCD PSD FD