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92-100815CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT 01�-lob��s BUILDING INSPECTION 661-4140 PERMIT NO. 92-0852 M OWNER'S NAME DELORES BORREGGINE SITE ADDRESS 30303 1ST AVE S CONTRACTOR FUTURE II NATURAL GAS ADDRESS 9505 120TH ST E PUYALLUP CONT. PHONE 770-2785 CONT. REG. NO. FUTUREINO99QM EXP 11/92 OWNER'S PHONE 946-8880 OWNER'S ADDRESS 30303 2ST AVE S FEDERAL WAY TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 062104-9118 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE ("i . - DATE OF APPLICATION 6-1-92 BUILDING INFORMATION ZONE _ SET BACKS: FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER BATHTUBS LAUNDRY DRAINS GAS PIPING 55 FT. 2.00 GAS LOGS FORCED AIR FURNACE DUCT WORK RECEIVED SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT _ NUMBER LAVATORIES DRINKING FOUNTAINS SINKS MISC. CONVERSION BURNER MISC. BBQ 6. 5 0BASIC FEE 20. 00 RETURNED DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 28.50 AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE LUMBING FEE INSPECTION RECORD CHANICAL FEE 28.50 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 AMOUNT DUE 28.50 MECHANICAL PERMIT n/� Total Fee $ 28. 50 Receipt No.c 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 INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS ILL BE MET: I S\ OWNER OR AGENT DATE U'►1-Q. V ..., .. ..- -_. .. ... ,. ._-c,.�.:rFrR:K:B""�Y^".'3:: s.r;v'-^,.. _•�_...., _... .:.. ., .,.-, .s�: ..- ., •... -. .. _ '_.fir .moo.. ... •2F57'iiF; ^s., c �j"✓,rs':� ?�^�- , oo MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 661-4140 92-0852 lei DEL0 BORPM1131WE 30103 ISTAVE S PERMIT NO. N ME ITE ADDRESS CONTRACTOR14 AP,880 303133 25T Nh PHONE -MAP, CONT. REG. NO. 99 OWNER'S PHONE OWNER'S ADDRESS EXP. TYPEJOB: NEW RESI DENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY &g1j 1141 T1. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. ((jjbb jj jj LEGAL DESCRIPTION rd ISSUED BY JOAN= JOHNSON DATE OF ISSUE DATE OF APPLICATION �� M BUILDING INFORMATION ZONE SET BACKS: FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ BASIC FEE .�0 0 e�JAMOUNT DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE .50 INSPECTION RECORD TOTAL BLDG. FEES PART PIC FEE Water Line OK Mechan' ca Inspecti n dotes: G% Ir ;By SEPA REVIEW GAS PIPING OK ��/ Dat / WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES 28.50 MECHANICAL PERMIT 28.54 i �' 1 Total AMOUNT DUE 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 08 AGENT DATE 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 O.K. MECHANICAL INSPECTION DATE -BY O.K. TO ENCLOSE FRAMING DATE -_._--__BY INSULATION DATE BY WALL BOARD AND FIRE WALL DATE ... . . ..... .. . . . . ..... .. FINAL O.K. TO OCCUPY DATE lo//4_.�'.��BY DCD PSD FID 0 9 RECEIVE-) BY . 00MMLtM 0FvWTI T vr;t # q 2 JUN 1 1992 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: OWNER !._ ' ; L' i t' 151' ( t t ° i SITE LOCATION �1k�% ___C) If!) _- y' -'V' '_1__), OWNER'S ADDRESS 3U503 r '� 5 CITY �_�era k PHONE (c -ST &- DESCRIBE JOB S C, n(� BOILER, SIZE BTU $ THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 71: NIA- • k 41- L- `-> CONTRACTOR'S REG. # P(2,11' k IV E I ( m CONTRACTOR'S ADDRESS $ S+ - & • CITY F)Uq %-�'tL 0 12 PHONE Card MUST be presented -10 5 EXPIRATION DATE f 1 � $ _,�t —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 BOX 4 SEWER DISTRICT WATER DISTRICT & -Z 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 :1 • 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 `%'- $ 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 $ ZOTHER $ 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 ASTO 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: DATE: ANP -008 3/90 0 p4pit # CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: OWNER SITE LOCATION OWNER'S ADDRESS CITY PHONE DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S ADDRESS EXPIRATION DATE CONTRACTOR'S REG. # Card MUST be presented CITY !, )ti ti 1 p1. 1 f : PHON —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 PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER BOILER, SIZE BTU $ LEGAL DESCRIPTION $ HEAT PUMPS, SIZE (If necessary, please submit a separate page with the legal description.) UNIT HEATERS K.C. Plat Recording # AIR COOLING UNITS, SIZE BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / OTHER 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) 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 $ 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 $ 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: DATE: ANP -008 3/90