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91-101639CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT BUILDING INSPECTION 941-1555 PERMIT NO. 91-1597 M OWNER'S NAME JOHN MARSDEN JOB ADDRESS 127 S 324 PL CONTRACTOR FIREPLACE & PATIO SHOP ADDRESS 707 AUBURN WAY NO AUBURN CONT. PHONE 833-4246 CONT. REG. NO. FIREPPS141J4 (3192) OWNER'S PHONE 661-9232 OWNER'S ADDRESS SAME AS JOB 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 PELLET STOVE INSTALLATION TAX ACCOUNT NO. 701680-0440 LEGAL DESCRIPTION SUED BY ELIZABETH SNYDER DATE OF ISSUE 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 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. MISCPELLET S 6-50 RETURNED SINKS misc. CONVERSION BURNER BASIC FEE 20-00 DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 26-90 AMOUNT NONE. VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE AN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE $26-50 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 $26.50 Account No. 010-000-322-10-004 Total Fee $ 26.50 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 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: �/ 7 CC'` G (J OWNER OR AGENT -�� DATE MECHANICAL PERMIT CITY OF FEDERAL WAY BUILDING PERMIT c� -- ICA bac, 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.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 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 PLUMBING FEE INSPECTION RECORD MECHANICAL 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 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 -_ O.K. TO ENCLOSE FRAMING BY INSULATION DATE BY WALL BOARD AND FIRE WALL DATE . . . . .... ..... . . ........ . . ..... . --..,BY FINAL O.K. TO OCCUPY DATE- — BY - DCD PSD FD I C? 06 co Or, b2 (�l 0 0 RECEIVED 0 Perle # I I NOV 12 1991 CITY OF FEDERAL WAY On OFFEUERALWAY BUILDING PERMIT APPLICATION WILDIM DEPT — Please Print — BOX 1 TENANT NAME: ( ) MULTIFAMILY (NO. OF UNITS OWNER ; ' OHN C l`'/N 5 Uc= /l= SITE LOCATION IZ S /`'A- ( ) COMMERCIAL/INDUSTRIAL OWNER'S ADDRESS 4,'/ ,>O 3 q /'� CITY /4 6&X:/94 ��}<�� PHONE C 6,-,1- 92? BOX 9 PLUMBING FIXTURES (including rough -ins) DESCRIBE JOB i�, %K'E!J $ 2A. NO. WATERCLOSETS THE PROPERTY IS OWNED BY: SINGLE/MARRIED /rv/ti, IAEA) PARTNERSHIP -- CORPORATION — BOX 2 CONTRACTOR'S NAME F/i: / h/A�� 1'1,-r/y CONTRACTOR'S REG. # $ SHOWERS Card MUST be presented $ CONTRACTOR'S ADDRESS 701 /-7Ui3UkN tn,417Na n CITY / UBCII'A,. PHONE 833' 4.46 $ EXPIRATION DATE BOILER, SIZE BTU $ —OR— AIR HANDLING UNITS $ I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND HEAT PUMPS, SIZE CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. LAUNDRY WASHER OUTLET BOX 3 CONTACT PERSON J0 14/i /`�/1�:5 ��_'� PHONE ECL �— BOX 4 SEWER DISTRICT WATER DISTRICT $ - BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION $ BOX 6 PROPERTY TAX ACCOUNT NUMBER _j L $ 1 $ LEGAL DESCRIPTION 11 ' $ TOTAL FIXTURES (If necessary, please submit a separate page with the legal description.) $ ,,,OTHER 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 $ 2A. NO. 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 DRAINS / THER $ 1 $ ` $ TOTAL FIXTURES $ ,,,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 OFTHE 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/AGEN ��'�` �� DATE: / 11V ANP -008 3/90