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90-100227CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT BUILDING 941-I SSSECTION PERMIT NO. 90-0308M (2) OWNER'S NAME PAULA HOFFMAN JOB ADDRESS 33244 39 AVE SW CONTRACTOR BASIC INSTALLATION ADDRESS 10719 A ST S #A TACOMA CONT. PHONE 9;3r,-11 63 CONT. REG. NO. BASIC*235R1 291 OWNER'S PHONE 228-5813 OWNER'S ADDRESS SAME. 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 MECHANICAL ONLY TAX ACCOUNT NO. NA LEGAL DESCRIPTION NA ISSUED BY ELIZABETH SNVDRR DATE OF ISSUE DATE OF APPLICATION 4.111190 BUILDING INFORMATION ONE NA OCCUPANCY NA TYPE OF CONSTRUCTION NA BLDG, SO. FT. NA SET BACKS: FRONT NA SIDE NA REAR Nps STORIES NA HEIGHT LIMIT NA PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER BATHTUBS LAUNDRY DRAINS GAS PIPING FT. BOILER COMPRESSOR TANK(S) RECEIVED SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. 6-50 MISC. SINKS MISC. CONVERSION BURNER BASIC FEE 20 00 RETURNED _ DISHWASHERS TOTAL FIXTURES NONE_ UNIT HEATER TOTAL MECHANICAL 24. SQ I 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 2650 TAL 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 $26-50 Account No. 010-000-322-10-004 Total Fee $ �� . � Receipt No. (/ L 7 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 RE MET: .) OWNER OR AG C = �✓�c* �. DATE C�) CITY OF FEDERAL WAY �9/�Qq'�< y0 BUILDING PERMIT APPLICATION — Please Print — BOX 1 OWNER /i aL A /-ie Alh.4 JOB LOCATION � � 3 Y A L - OWNER'S ADDRESS `3 '_ y� 3f All S Jv CITY _ , PHONE DESCRIBE JOB :;C-'Y57.4�<)V&A'rel, THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME &4 / L! �7 44ACONTRACTOR'S REG. # SiC"K La resen ed CONTRACTOR'S ADDRESS, l O CITY /ReC Af h PHO S "7lrc� EXPIRATION DATE —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 PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION LAVATORIES CONVERSION BURNER (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: 3RD FLOOR / (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) MULTIFAMILY (NO. OF UNITS = ( ) COMMERCIAL/INDUSTRIAL ( ) NEW CONSTRUCTION ) ( ) EXISTING STRUCTURE TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHAf�JCAL APPLIANCES — BASIC FEE $ 2(_ N0. WATERCLOSETS GAS PIPING, FEET ��" $ BATHTUBS NO. 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 $ D AINS $ THER $ 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 PER- FORM THE WORK FOR PERMIT APPLICATION IS MADE. %%WHICH OWNER/AGENT: ANP -006 2190 ZONE SETBACKS:FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) SIZE 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. ROOF 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 EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO. PERMIT FEE PLAN CHECK FEE - - - - - - - PLUMBING FEE - - - - - - - MECH. FEE TOTAL FEES SBCC SURCHARGE ENERGY SURCHARGE AMOUNT DUE BUILDING DEPARTMENT APPROVAL ----------------------------- DATE REMARKS: ASSIGNED ADDRESS: RECEIVED APR. 1 1 1590 @ OF FC0-ERAL WAY RECEIVED ACCEPTED FOR FILING CITY OF FEDERAL WAY MECHANICAL: PERMIT BUILDING PERMIT BUILDING 941!N 55ECTION 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 APPS !CATIO.1 BUILDING INFORMATION T OCCUPANCY TYPE OF CONSTRUCTION BI_Gea. SO. F?__ S ACKS: FRONT SIDE REAR STORIES HEIGHT LIVI"i �..—, 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. SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION GAS PIPING TEST MUST BE WIT`TESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEEISPECTION RECORD MECHANICAL FEE 0L BLDG. FEES Water Line OK � Mechanical Inspection Notes: f P/C FEE SEPA REVIEW GAS PIPING OK Date y-/�- By /l O/U '6712,441 � WATER SERVICE WATER MAIN CHG. 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