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90-100766CITY OF FEDERAL WAY BUILDING PERM .e—� ! .5pll 90-)oa*2l,,6 ITBUILDING INSPECTION 941-1555 "INSPECTION REQUEST LINE -946-6794 90-1361 P QUAIL RUN III 3 PL SW BLDG 14 PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR PUGET SOUND MECH ADDRESS 10015 19 AVE E TACOMA CONT. PHONE 537-8900 CONT. REG. NO. PUGETI*217LQ 12/90(0 )DWNER'SPHONE 854-9610 OWNER'S ADDRESS 10803 RENT RANGLEY RD RENT 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 PLUMBING ONLY TAX ACCOUNT NO. NA LEGAL DESCRIPTION NA ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 8/15/90 BUILDING INFORM-ATIQA E NA OCCUPANCY NA TYPE OF CONSTRUCTION _ PLUMBING ONLY BLDG. SQ. FT. NA SET BACKS: FRONT NA SIDE NA REAR NA _ STORIES NA HEIGHT LIMIT NA PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 12 ELEC. HOT WATER HEATER _� GAS PIPING FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS �_ COMPRESSOR TANK(S) SHOWERS 4 URINALS _ FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER _ LAVATORIES 16- DRINKING FOUNTAINS GAS HOT WATER HTR. MISC RETURNED SINKS _8 MISC. BASIC FEE 20-0 CONVERSION BURNER BASIC FEE DISHWASHERS _ 8 TOTAL FIXTURES 72 X $5 _ 00 UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION NONE PERMIT FEE PLAN CHECK FEE PLUMBING FEE $ 380.00 _ CHANICAL FEE _ fAL BLDG. FEES $ 380.00 PART PIC FEE SEPA REVIEW WATER SERVICE / WATER MAIN CHG. S.B.C.C. FEE DATE PAID AMOUNT $380.00 RECEIPT OTHER FEES $ 380.00 AMOUNT DUE 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: G� S ' �(�/ - +0 OWNER OR AGENT DATE 6 ermit # CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: czv., I (_ (Zv j -M B L-0. A I N0. FURNACE, ELEC. GAS OWNER u A/ R va = Ya ✓,v c -b c -y. SITE LOCATION o _FL, CONVERSION BURNER OWNER'S ADDRESS /2g3 CITY Kk-).j r PHONE A5 A - q61 o AIR HANDLING UNITS DESCRIBE JOB P` u� a HEAT PUMPS, SIZE $ UNIT HEATERS -IR THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME �u�ET. So�,�r� MET�N , CONTRACTOR'S REG. 2 t7L-4 $ Card MUST be presented CONTRACTOR'S ADDRESS to /_5 /91*- CITY �/'� PHONE .S3 -7-S400 $ EXPIRATION DATE 12 -31 - RQ —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. vw.yQ-_ BOX 3 CONTACT PERSON 'DA,., ��� ,_s orJ PHONE -s-3:7 - 8406 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 / 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) NO. I a WATERCLOSETS 8 BATHTUBS _SHOWERS LAVATORIES 8 SINKS S DISHWASHERS 8 ELECTRIC HOT WATER HEATER 8 LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS OTHER TOTAL FIXTURES MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET $ N0. FURNACE, ELEC. GAS $ GAS HOT WATER HEATER $ CONVERSION BURNER $ BOILER, SIZE BTU $ AIR HANDLING UNITS $ HEAT PUMPS, SIZE $ UNIT HEATERS -IR $ COOLING UNITS, SIZE $ COMMERCIAL HOOD T $ _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: L-),_Uk: -35. ) �� i�� DATE: B " L5 -Y L ANP -008 3/90 FCITY OF EDERAL WAY BUILDING PERMIT BUILDI94 IN SP-1555 Rr 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 REARSTORIES 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. t�ASSC_ RETURNED SINKS MISC CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL _ AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW 1 WATER SERVICE { WATER MAIN CHG. i l t r +ai ' � S.B.C.C. FEE DATE PAIL) T: es t3$�: +° t 3Ftt3. 00 OTHER FEES AMOUNT DUE ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT -S 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 _/4 PLUMBING ROUGH IN ll- 3 s'� DATE odG _ BYm WATERLINE 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 OC PY DATE __._.. DCD PSD FD AiZIT '�S