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91-101186CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT 91-/oll&6 BUILDING INSPECTION 941-1555 PERMIT NO. 91-1136 M OWNER'S NAME DEBBIE NERNSTEIN JOB ADDRESS 2710 SW 330TH STREET CONTRACTORBISCO ADDRESS 10719 -A- ST S. #A TACOMA CONT, PHONE 535-1163 CONT. REG. NO. BISCOI099OF OWNER'S PHONE 661-7702 OWNER'S ADDRESS 2710 SW 330TH STREET FEDERAL 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. 894250-0360 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 8-21-91 BUILDING INFORMATION NE 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 5 FT. 2.00 BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS �iOT WATER HTR. MISC. SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED DISHViASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL32. 00 AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD CHANICAL FEE 32.00 AL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART PIC FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE 32.00 Account No. 010-000-322-10-004 Total Fee $ 32.00 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 INF IFMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTSF3E MET: OWNER OR AGEN DATE WA 0 Ir it# cl l -I 13 (0 4 RECEI EL) CITY OF FEDERAL WAY AUG 2 1991 BUILDING PERMIT APPLICATION — Please Print — 01TV ap t, . I31ID OWNER SITE LOCATION OWNER'S ADDRESS 7 S ltd CITY 2,0 - A-"'1 t PHONE /- L 4,& % g DESCRIBE JOB j -'7 %i G�fs �l'' 2�We_� THE PROPERTY IS OWNED BY: SINGLE/MARRIED {--- PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #3664 it/s�G Card MUST be presented CONTRACTOR'S ADDRESS JLi%% S�. S. _� CITY'�ol�,j/� PHONE 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 ie_ PHONE _a 3 _ BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 1� �� — Z21 iJ LEGAL DESCRIPTION $ (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOILER, SIZE BTU 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) 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 MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET -5- $ NO.- FURNACE, ELEC. GAS 'd $ 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: o/"���-2`- DATE: l y ANP -008 3/90 OAUSE ONLY (PLEASE DO NOT WRITE BELOW *INE) ZONE SETBACKS: FRONT SIDE 'HEAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: AIT SEPA: EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: NOT EXEMPT DA 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: RECEIVED Ed ,-o 211991 O Y UF FEDERAL WAY SUIWWCEPT. 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 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. 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 RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS rIOT 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 PERMIT FEE PLAN CHECK FEE LUMBING FEE INSPECTIO -CHANICAL FEE TOTAL BLDG. FEES Water Line OK Mechanical Inspect Ot PART P/C FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE A� WATER MAIN CHG. D �1 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 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 O.K. TO OCCUPY DATE --BY-,.. I DCD PSD FID 1117