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90-101140CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT TENANT- 7.RN(,RR MTT.T.RR q )0) rya BUILDING INSPECTION 941-1555 PERMIT NO, 90-1348 M OWNER'S NAME WASHINGTON PARK PHASE I JOB ADDRESS 33801 IST WAY S011TH (2Nn FLOOR) CONTRACTOR PSF INDUSTRIES INC ADDRESS P.O. BOX 3747 SEATTLE CONT. PHONE 6 2 21 2 5 2 CONT. REG. NO. PSFIN375N9 OWNER'S PHONE 646-6066WNER'S ADDRESS 10500 NF. RTH STITTF. 1985 RF.T.T.F. 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. 926504 0250 LEGAL DESCRIPTION LOT 25 ALTERATION PLAT- WEST rAMPTTR nFP PK nTV ISSUED BY JOANNE. JOHNSON DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE__ OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. SET BAC KS: 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 EXILAUS$ANgQ N 4 550 SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. DTT-FUSERS6-. 530 RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE 7�A0 DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 1��� 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 31.00 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 31.00 Account No. 010-000-322-10-004 Total Fee $ 31.00 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 INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE Mf�Tf / rI� i lj OWNER OR AGENT ! /"A ' DATE UE MECHANICAL PERMIT CITY OF FEDERAL WAY BUILDING PERMIT BUILDING INSPEbYI6N 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. T BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT MBING 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 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 WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: T PIC FEE A 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 SET BACKS AND FOOTINGS DATE ...... .... -._..--....BY- PLUMBING ROUGH IN DATE O.K. TO ENCLOSE FRAMING DATE- __-_ ----...BY ....... .... ..... ......... __..._ FINAL O.K. O OCUPY DATE _omBY// • OX TO POUR FOUNDATION WALLS DATE ---. BY - - WATER LINE O.K. GAS PIPING O.K. _ _...._..... .. .. INSULATION DATE -.- -_._ BY DCD PSD PLUMBING GROUNDWORK DATE -- - -.BY MECHANICAL INSPECTION DATE _ -__ ..._-......_BY WALL BOARD AND FIRE WALL DATE BY FD Pelpit # 9 0--0, � �77 RECEIVED CITY OF FEDERAL WAY AUG 1 31990 BUILDING PERMIT APPLICATION —Please Print — CIITY OF FEDERAL WAY BO A T NAME: FLnor OWNER oLSITE LOCATION 7f OWNER'S ADDRESS /Q25E 086 CITYPHONE DESCRIBE JOB E E C1Jl"�i THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #i�'7R .i( -C CONTRACTOR'S ADDRESS � �- X,5747 CITY "�ZMT E -E- PHONE &Z Z-1 ZC7Z EXPIRATION DATE 4' l - 9 —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 7a*l tJE Zb1 PHONE �ZZ"�ZSZ BOX 4 SEWER DISTRICT I WATER DISTRICT BOX 5 ESTIMATED PROJECT COST fZEXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBE LEGAL DESCRIPTION L.oT I, P N (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 ------J— 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) MECHANICAL APPLIANCES — BASIC FEE $ N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0. 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 tOTHER '=xG St Tv $ S U DRAINS $ - 5-0 OTHER 5 $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ � " c-% 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: C. DATE: �il1J- _9b ANP -008 3/90 ZONE SETBACKS:FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: 0 • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW TI !S LINE) SIDE REAR GHT LIMIT SEPA: EXEMPT NOT EXEMPT, FIRE DEPARTMENT APPROVAL REMARKS: DAT 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: ASSIGNED ADDRESS: S e e e )C ( S'� PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL RECEIVED 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 wq ACCEPTED FOR FILING