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90-101352MECHANICAL PERMIT CITY OF FEDERAL WAY BUILDING PERMIT BUILDING INSPECTION 941-1555 PERMIT NO. 90-1553M OWNER'S NAME DR DAVID HOPKINS JOB ADDRESS 1832 S 324 ST CONTRACTOR JWBROWER HEATING/AC ADDRESS 3424 S TACOMA WAY TACOMA CONT. PHONE 474-3731 CONT. REG. NO. JWBROHA159NR 8/91 (OK) OWNER'S PHONE OWNER'S ADDRESS SAME 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 AIR HANDLING UNIT (1150 CFM) TAX ACCOUNT NO. 250140-0020 LEGAL DESCRIPTION NA ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 9/26/90 BUILDING INFORMATION ONE NA OCCUPANCY NA TYPE OF CONSTRUCTION MECHANICAL BLDG. SO. FT. NA SET BACKS: FRONT NA SIDE NA REAR_ NA STORIES NA HEIGHT LIMIT NA 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 6_50 NUMBER LAVATORIES DRINKING FOUNTAINS GAS �iOT WATER HTR. MISC. RETURNED `I^ „ JKS MISC. CONVERSION BURNER BASIC FEE 20_._0_0 DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 210 AMOUNT NONE NONE VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD CHANICAL FEE $26.50 OTAL 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 $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: 1-2 - yy OWNER OR AGENT DATE MECHANICAL PERMIT CITY OF FEDERAL WAY BUILDING PERMIT 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 RONE 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�iOT 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 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 SET BACKS AND FOOTINGS DATE _... ....... ___ BY -....- PLUMBING ROUGH IN DATE -- BY --- O.K. TO ENCLOSE FRAMING DATE-- .... __ .. BY .........-..._....___....._-. FINAL O.K/JT�O CC DATE BY _-✓_!-_....-- 5 0 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 it # RECEIVED Fg-� SEP 2 6 1990 CITY OF FEDERAL WAY CITY OFFEDERALv PILDING PERMIT APPLICATION BUILDING DEPT. — Please Print — BOX 1 TENANT NAME: IJ f • c �% < <( t fo� k I As OWNER SITE LOCATION OWNER'S ADDRESS CITY PHONE DESCRIBE JOB l�zg Lkc'-L c(cts /t j\ca-j THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME I`+'i-u t Ai r C E r�J CONTRACTOR'S REG. # -1i-!)A�(-jjt� IS`i /V/? ti Card MUST be presented CONTRACTOR'S ADDRESS 3J a y So 1,f h Taco rr.� tOlt CITY _TcLc 0 rn . PHONE -� 7 9 -3 ._2 - I EXPIRATION DATE �'---f-9 l� —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 9'7 9.3 7 3 / BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST S 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 ( ) MULTIFAMILY (NO. OF UNITS = ) () COMMERCIAL/INDUSTRIAL ( ) NEW CONSTRUCTION (>() EXISTING STRUCTURE 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 OTHER $ DRAINS $ OTHER $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ "z�U 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 ZONE SETBACKS-.FRONT— PLANNING ETBACKS:FRONTPLANNING DEPARTMENT APPROVAL REMARKS: OFFICE USE ONLY (PLEASE DO 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/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: �&4_tA.v U RECEIVED ASSIGNED ADDRESS ��-'( ?—, ( <`{— C U PARTIAL PLAN CHECK FEE RECEIVED Amount 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 - w BUILDING DEPARTMENT APPROVA� BY DATE ACCEPTED FOR FILING