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90-101553CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT yb -)0) 5_s3 BUILDING INSPECTION 941-1555 PERMIT NO. 90-1763M OWNER'S NAME HERBERT MOXLEY JOB ADDRESS 32124 43 PL SW CONTRACTOR NW WATER HEATER ADDRESS 8201 UURANGO ST SW TACOMA CONT. PHONE 984-6404 CONT. REG. NO. NORTHWH137KJ 12/90 OWNER'S PHONE 927-8518 OWNER'S ADDRESS SAME 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 TAX ACCOUNT NO. 873202-0830 LEGAL DESCRIPTION NA ISSUED BY ELIZABETH SNYDER DATE OF ISSUE f� DATE OF APPLICATION 11/7/90 BUILDING INFORMATION ZONE NA OCCUPANCY NA TYPE OF CONSTRUCTION MECHANICAL BLDG. SO. 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 ELEC. HOT WATER HEATER GAS PIPING __9_5FT. 2.00 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. LOGS 6 - +0 RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE 90_0 DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 9 R _ 5 n AMOUNT NO F. 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 $7R 50 TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE GAS PIPING OK Date By SEPA REVIEW WATER SERVICE WATER MAIN CHG. MECHANICAL PERMIT S.B.C.C. FEE OTHER FEES DUE $28.50 Account No. 010-000-322-10-004 Total Fee $ 28.50 Receipt No. AMOUNT 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 TION FURNISHED BY ME IS TR AND C07CT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTSBE MET: /~" i OWNER OR AGENT '� = DATE RECE,l/El) Permit # C� ci Nov 0 7 )990 CITY OF FEDERAL WAY BODING 6D"/LWAY BUILDING PERMIT APPLICATION p? — Please Print — BOX 1 TENANT NAME: 'Z kU - OWNER MCX P SITE LOCATION 1Ct 34`3 OWNER'SADDRESS 'V6 CITY " ' PHONE — ` DESCRIBE JOB 'SI C $ THE PROPERTY IS OWNED BY: SINGL /MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME N CONTRACTOR'S REG. # W04 1, ) U A I.3,'J AIR HANDLING UNITS —� Card MUST be presented HEAT PUMPS, SIZE _ 1 ilDCL CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE $ COMMERCIAL HOOD —OR— I HAVE READ CHAPTER 18.27.010 RELATING J.4EFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON '( r' PHONE — BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUM BE f �'� 3, C LEGAL DESCRIPTION (It necessary, please sub it 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 SOFT :M 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 OTAINS HER TOTAL FIXTURES MECHANICAL APPLIANCES — BASIC FEE $ 'Z kU - GAS PIPING, FEET `1 ` � ' $ N0. FURNACE, ELEC. GAS $ GAS HOT WATER HEATER $ CONVERSION BURNER $ BOILER, SIZE BTU $ AIR HANDLING UNITS $ HEAT PUMPS, SIZE $ UNIT HEATERS $ AIR COOLING UNITS, SIZE $ COMMERCIAL HOOD $ BOTHER %C��� .0 ( i $ $ 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 EMPLOYS, ��UP((O'N((TgqHE ACCURACY'' OF THE INFORMATION SUPPLIED TOTHE CITY }AS A PART OF THIS APPLICATION. i OWNER/AGENT: ,�'l Xk )UJB �yl J( DATE: l � — In_q C,r ANP -008 3/90 MECHANICAL PERMIT CITY OF FEDERAL WAY BUILDING PERMIT BUILDING INSPECTION 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 BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) RECEIVED SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�iOT WATER HTR, MISC. SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED 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 FEE INSPECTION RECORD kLUMBING -ICHANICAL FEE TOTAL 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 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 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 MECHANICAL INSPECTION DATE _U7AS __qIL-, -BY __VVLW� O.K. TO ENCLOSE FRAMING DATE BY INSULATION DATE BY WALL BOARD AND FIRE WALL DATE ..BY FINAL O.K. TO OCCUPY DATE-//-/E-e?( BY_MXM___­--- DCD PSD FD ,-7a- 10