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90-100720r CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT BUILDING INSPECTION 941-1555 9b'1bb72-n PERMIT NO. 90-1294M OWNER'S NAME LOTZEGSELLE JOB ADDRESS 3 0 9 0 R 3A AVE gW CONTRACTOR SI REFRIGERATION ADDRESS 420 3% AVE NTMI AUBURN CONT. PHONE939-9368 CONT. REG. NO SIREF16106 7 A I OWNER'S PHONE NA OWNER'S ADDRESS RAMP. TYPE JOB: NEW RESIDENCE ADDITION T NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTIFAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER MRCHANTCAT, ONT.Y TAX ACCOUNT NO. NA LEGAL DESCRIPTION NA ISSUED BY ELIZABETH SNDYER DATE OF ISSUE e DATE OF APPLICATION 813190 BUILDING INFORMA ON . JNE NA OCCUPANCY NA TYPE OF CONSTRUCTION MECHANICAL ONLY BLDG. SO. FT. NA SET BACKS: FRONT NA SIDE NA REAR NA STORIES Nn HEIGHT LIMIT j PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING 30 FT. 2-00 BOILER R RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS. URINALS FORCED AIR FURNACE i n _ n0 AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. 6 S0 MISC. SINKS MISC. CONVERSION BURNER BASIC FEE 20 r�A RETURNED DISHWASHERS TOTAL FIXTURES 19ONE_ UNIT HEATER TOTAL MECHANICAL :jA F8 AMOUNT NONE VALUATION NONE GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE $_-Ag _ S O TAIL BLDG. FEES 1ffRT Water Line OK Mechanical Inspection Notes: P/C FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. MECHANICAL PERMIT S.B.C.C. FEE OTHER FEES AMOUNT DUE $38.50 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 >ti +} DATE ti RECEIVED Is %nit # C C ,7-(m. A�5 0 3 1990 CITY OF FEDERAL WAY CITY OFJERALWAy BUILDING PERMIT APPLICATION BUILDING DEPT. — Please Print — BOX 1 TENANT NAME: OWNER 9�1 SITE LOCATION_ -307 0 OWNER'S ADDRESS CITY PHONE DESCRIBE JOB T c -A A Z �. THE PROPERTY IS OWNED BY: SINGLE/MARRIED V"__1 PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S.NVAME CONTRACTOR'S REG. # S I. 4j� % 1 b 14 S r .-5—j_)` d `� S� �` 1 Card MUST be prese tedd CONTRACTOR'S ADDRESS ��,� -� 1c1 CITY '�11 xI PHONE �d' EXPIRATION DATE 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 .RW 0, �13: 7 �V,'/ PHONE , BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST _ _ _ EXISTING BUILDING VALUATION _ BOX 6 PROPERTY TAX ACCOUNT NUMBER 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______1_ GARAGE / N 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) MECHANICPL APPLIANCES — BASIC FEE $ N0. WATERCLOSETS GAS PIPING, FEET —3 0 $ BATHTUBS N0. FURNACE, ELEC. GASB $ SHOWERS XGAS 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 $ $i TOTAL 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 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: ��.��i+rt"—` DATE: ANP -008 3/90 MECHANICAL 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 HOT 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 INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE TOTAL BLDG. FEES Water Line OK MecPaniF al Inspection Notes: C L�Pro0d v_ dew PART P/C FEE SEPA REVIEW GAS PIPING OK Date /o - ZS- /�'Y B (CC__ f WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES AMOUNT DUE MECHANICAL PERMIT 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 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 .... .. ...... _...BY _.—_.......... INSULATION DATE — BY - WALL BOARD AND FIRE WALL DATE..... ...... ... .__.... ... --- .... .._BY FINAL .K TO OCCUPY fJ� DATEd-..Z� BY DCD PSD FD ,J�,Qp n cZ�55 f b 2-5- -C76 � J o Ju_/I � S� — c_-