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90-100569 MECHANICAL PERMIT CITY C-F BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 90- 785 M OWNER'S NAME TOM BRAATEN CONST JOB ADDRESS 428 SW 347TH ST CONTRACTOR ASSOCIATED HEATING & amidaw METAL POBOX 309 MONROE WA CONT. PHONE 823-5000 CONT. REG. NO. ASSOCI238R7 OWNER'S PHONE 927-3998 OWNER'S ADDRESS 33415 4TH PL SW 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 CAMPUS ESTATES T.OT 1 9 (DTV 2) ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 5-23-90 BUILDING INFORMATION IDNE 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 1 00+FT. 3_50 Q(TOP 6.50 BATHTUBS LAUNDRY DRAINS COMPRESSOR 3 GAS LIWX140 19.50 RECEIVED SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC, B.B.Q. 6.50 SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 62.50 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 62.50 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 62.50 Account No. 010-000-322-10-004 Total Fee $ 2 (3 U Receipt No. wd2l 6 `IY 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 A=ORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MEAT: s OWNER OR AGENT e r// /.mr/`'P��Zi DATE j� 0 •mit # 9i1'16- 7BS--- yyl CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION —Please Print— BOX 1 TENANT NAME: OWNER IAA• �R. •�,_• v SITE LOCATION SLA-.) 3Y 7 JT, OWNER'S ADDRESS - >ri �� ' 1�►Y/1 CITY Y��a i. PHONE �`Z7 3 9��' DESCRIBE JOB S ' , �9L o i .iv l A !'k/ 1 , EIG Je v��r��!�r�f �i'—fia• P�-Ea-, SFR THE PROPERTY IS OWNED Y: SINGLE/MARRIED A TNER� ' CORPORATION BOX 2 CONTRACTOR'S NAME O - `' A t CONTRACTOR'S REG. # 46 so(.�23 i � r`� Card MUST be presented CONTRACTOR'S ADDRESS P© ( c)-1 309 CITY MO n roe wa.- PHONE S;3 - ? o 0 EXPIRATION DATE /Z-/2-7/QU 4$-72 - OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON l ,g 6("L •___ N4 , PHONE_?„3. BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION sJBOX 6 PROPERTY TAX ACCOUNT,�UMBER , LEGAL DESCRIPTION ( %a,//y)GL.S' Or i" ' / ../ (If necessary, please submit,a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 SINGLE FAMILY (XNEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE _ ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ 2-0-CO NO. WATERCLOSETS GAS PIP NG, FEET /DO t'" $ 3 c? BATHTUBS NO. RN�� EL ' _ . t1 1i� .lrl SHOWERS co_ _ s ' •• . '"LAVATORIES deo GJ , 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 3 L-D $ DRAINS - i' 1674aJ $ 3 a-50 OTHER @ $, t $ TOTAL FIXTURES TOTAL MECHANICAL FEE $ 1UP 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 EMPLOY'2%, UPON TH. A CURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. 0 , _�Se-� -7-2---494 -°- OWNER/AGEN '' ice, 1 /- DATE: ANP-008 3/90 MECHANICAL PERMIT CITY OF BUILDING BUILDING INSPECTION FEDERAL WAY PERMIT 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 OA OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. CKS: 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 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 �b BLDG. FEES Water Line OK Mechanical Inspection Notes: (4. 14 r n 1 P/C FEE G SEPA REVIEW GAS PIPING OK i_S_q C Date ‘P-C90 0 By 9G 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 Li U I i Y cc! 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