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91-101636CITY OF FEbERAL WAY MECHANICAL PERMIT BUILDING PERMIT BUILDING INSPECTION 941-1555 91-1595 M ROBERT WALKER 32865 40TH CT SW PERMIT NO. OWNER'S NAME JOBADDRESS CONTRACTOR NORTHWEST WATER HEATER ADDRESS 8201 DURANGO STREET SW TACOMA CONT. PHONE 984-6404 CONT. REG. NO. NORTHWH103R2 OWNER'S PHONE OWNER'S ADDRESS 32865 40TH CT SW FEDERAL WAY 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 873204-0690 TAX ACCOUNT NO. LEGAL DESCRIPTION LIED BY JOANNE JOHNSON DATE OF ISSUE _ t DATE OF APPLICATION 11-12-91 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 50 FT. 2.00 BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE 10-0 n AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS POT WATER HTR. 6.50 MISC. RETURNED SIi4KS MISC. CONVERSION BURNER BASIC FEE 2O. 00 DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL iQ AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE N CHECK FEE _UMBING FEE INSPECTION RECORD MECHANICAL FEE 38.50 TOTAL 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 38.50 Account No. 010-000-322-10-004 Total Fee $ 38.50 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 T FORM N FURNISHED BY ME S, TRU CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS ILL BE MET: ) � j / OWNER OR AGENT `-``c =— — DATE RECEIVED N 0 V 12 1991 01TV OF FEUEFiAL WAY BUILDING DEPT BOX 1 TENANT NAME: r PeV # C,( �--- I !, CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — OWNER Keb<1 T-_ Ill OWNER'S ADDRESS 3� ` DESCRIBE JOB _ 1 THE PROPERTY IS OWNED BY •� r 4" Pt- SINGLE/MARRIED tSINGLE/MARRIED SITE LOCATION CITY -4 PARTNERSHIP PHONE % CORPORATION BOX 2 CONTRACTOR'S NAME BASIC FEE $ CONTRACTOR'S REG. # NOk770J14- /1"' -3 2— CONTRACTOR'S ADDRESS �� $ CI n Card MUST be presented PHONE EXPIRATION DATE / >' ` $ BOILER, SIZE BTU $ AIR HANDLING UNITS —OR— HEAT PUMPS, SIZE $ I HAVE READ CHAPTER 18.27.010 RELATING TO 14IONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. $ BOX 3 CONTACT PERSON fy\ ` f- $ PHONE 5'C( _ 6 (v6C V BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST t'60, • C' 0 EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER V7 '3 F d 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 f:II�; 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 $ NO.—FURNACE, ELEC. GAS �� $ --:::LGAS 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 INC[IRRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), %A/WlrW MAAV RE vAADE RV 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 EMPLOYEE , UPO T ACCURACY THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: F='�'� 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 POT 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 LUMBING FEE INSPECTION RECORD 6_CHANICAL FEE TOTAL 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 _ 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 Ll SET BACKS AND FOOTINGS DA_rlE, 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 0 c7 _.-I.I...- --BY O.K. TO ENCLOSE FRAMING DATE__ BY INSULATION DATE ___-__._BY WALL BOARD AND FIRE WALL DATE BY _FF FINAL O.K. TO OCCUPY DATE BY DCD PSD D 1'r- ql MLhA '7/ If