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90-101510CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT CTo — ► o i s I o BUILDING INSPECTION 941-1555 PERMIT NO. 90-1682M OWNER'S NAME JAY JACOBS JOB ADDRESS 1927 SO SEATAC MALL CONTRACTOR ALGENE CONSTRUCTION ADDRESS POB 1353 LYNNWOOD CONT. PHONE 774-3115 CONT. REG. NO. ALGENC306BE 11/1/90 OWNER'S PHONE 622-5400 OWNER'S ADDRESS 1530 5TH AVENUE SEATTLE 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 EXHAUST FAN/REMODEL HVAC RETURN AIR DUCT TAX ACCOUNT NO. 762240-0010 LEGAL DESCRIPTION NA ISSUED BY ELIZABETH SNYDER DATE OF ISSUE A V DATE OF APPLICATION 10/30/90 BUILDING INFORMATION WNE NA OCCUPANCY NA TYPE OF CONSTRUCTION MECHANICAL BLDG. SO. FT. NA BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA LUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER 1 GAS PIPING FT, BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�iOT WATER HTR, MISC. EXH FAN 4.50 SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED DISHWASHERS TOTAL FIXTURES 1 X $5.00 UNIT HEATER TOTAL MECHANICAL 31 _ 00 AMOUNT NONE x HVAC RETURN AIR DUCT VALUATION NONE GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. ,, PERMIT FEE PLAN CHECK FEE FEE $ 5 INSPECTION RECORD JEPLUMBING CHANICAL FEE 3 00 TAIL BLDG. FEES $'36-00 Water Line OK Mechanical Inspection Notes: I*T P/C FEE I* E PA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE $36.00 Account No. 010-000-322-10-004 Total Fee $ 36.00 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 MET: �� t O OWNER OR AGENT DATE CITY OF FEDERAL WAY .. �....: :�i�^tiTAa.�-- .--.. .�..T'..�.- _.__.. .. ....�..�..__-•www, MECHANICAL PERMIT BUILDING PERMIT '0--in{�Ifl 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 WINE BUILDING INFORMATION 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 �10T 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 PLUMBING FEE INSPECTION RECORD ECHAFEE �BLDG. TAL 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 SET BACKS AND FOOTINGS DATE ____... BY______.-._..... PLUMBING ROUGH IN DATE _- __ .. BY .-. O.K. TO ENCLOSE FRAMING DATE _ _ _ -- BY ... .-_..... ..... .-...__. FINAL O.K. TO OCCUPY DATE BY 0 OX TO POUR FOUNDATION WALLS DATE .. _ BY ......- WATER LINE O.K. GAS PIPING O.K. INSULATION DATE _ .__.- _ BY DCD 0 PLUMBING GROUNDWORK DATE BY MECHANICAL INSPECTION DATE __ -_ _BY WALL BOARD AND FIRE WALL DATE _ BY .. FD � -le� rmit # CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION 6 3 — Please Print — BOX 1 TENANT NAME: To- ti T , ,L OWNER A 0Cu bS *-' ITE LOCATION<5'.?�=-51`i� t'�'- 4 %92-7 OWNER'S ADDRESS J r L "r' CITY S ewr�Lc PHONE E LZ- S 00 DESCRIBE JOB D L 4 r w ,, r)z THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME r CONTRACTOR'S REG. # I'AL Card MUST be presented CONTRACTOR'S ADDRESS L7' x IL3 :i_3 CITY .4yhWC---`d w4 PHONE 2.2 4'3//5� EXPIRATION DATE // /- 90 I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUM 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) 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 r $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER "��- $ r DRAINS $ OTHER $ TOTAL FIXTURES $ S —, TOTAL MECHANICAL FEE $<Oc, 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 DEF NSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED AGAINST THE CITY OFfEDE LNAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEES, UPON TFgACCURACY OF TI)I�INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: / 11 - / y- F U ANP -008 3/90 ZONE SETBACKS:FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: •0 OFFICE USE ONLY (PLEASE GO NOT WRITE BELOW THIS LINE) SIDE REAR HEIGHT LIMIT SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: 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/ � 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 ASSIGNED ADDRESS: Amount Im PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # 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 BUILDING DEPARTMENT APPROVAL DATE (6- Zl'1� Y ua I ACCEPTED FOR FILING