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91-101390 MECHANICAL PERMIT 9) ( °J29 0 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 REF: 91-802 CA 91-1341 M DUNKIN DONUTS 31830 PACIFIC HWY S PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR REEKIE'S COMM REF ADDRESS 2534 TACOMA AVE S TACOMA CONT. PHONE 627-4417 CONT. REG. NO. REEKICR127M6 6/92 OWNER'S PHONE 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 GAS PIPING ONLY TAX ACCOUNT NO. 092104-9221 LEGAL DESCRIPTION SUED BY ELIZABETH SNYDER DATE OF ISSUE C 0 - q _ q/ DATE OF APPLICATION 9/25/91 BUILDING INFORMATION ZONE 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 3 FT. 2•0 BOILER RECEIVED BATHTUBS _ LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS,frIOT WATER HTR. ON 91-802 MISC. SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 22.00 AMOUNT NONE VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE AN CHECK FEE LE .UMBING FEE INSPECTION RECORD CHANICAL FEE $22.00 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 $22.00 Account No. 010-000-322-10-004 Total Fee $ 22.00 Receipt No. `710 4//7 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 INF RM ON'FURN_SHEDME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL B MET / COWNER OR AGENT -4\t - C L-< L DATE �' MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING P E RM I � 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 eBUILDING INFORMATION ZONE 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 fdOT 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 LUMBING FEE INSPECTION RECO', ' •ECHANICAL FEE TOTAL BLDG. FEES Water Line OK Mechanical Ins On , PART P/C FEE SEPA REVIEW GAS PIPING OK Date By I i . WATER SERVICE WATER MAIN CHG. �/` S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE Account No. 010-000-322-10-004 Total ors eceipt 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: `f OWNER OR AGENT DATE 7\�` ftje 0 iem. Pe t # ( --- (3 i) . . .,,,„ .1:), SEP 2 CITY OF FEDERAL WAY �,oiFF �'��� BUILDING PERMIT APPLICATION 0 ?' �,""GO t, M), - Please Print- / ( � Cr' SAT. BOX 1 TENANT NAME: QAI CIA) boAvu ,S OWNER A Ill l3 DMA/0:c:- TA! SITE LOCATION 3/A72 0 C- ,4 S• OWNER'S ADDRESS 5 y' tt ,� A-11501/P -CITY PHONE DESCRIBE JOB &&_....--.'-.r !• ' THE PROPERTY IS OWNED BY: 'SINGLE/MARRIED PARTNERSHIP CORPORATION eC BOX 2 CONTRACTOR'S NAME /,�2Q/C 'eS (0i,-01!- I< ' /7777- CONTRACTOR'S REG. # QtekiC/2/27 M4 Card MUST be presented CONTRACTOR'S ADDRESS 261-39e Th-CO//7 6- MAECITY I LMhi n PHONE .f 7-cef-/ 7 EXPIRATION DATE accf7P -'Z 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 . )GGP 07 /7111'/7Gl e/0/2.e PHONE62, 7a- 'K/7 BOX 4 SEWER DISTRICT - WATER DISTRICT --- BOX 5 ESTIMATED PROJECT COST EXISTING UILDING VALUATION ,--- BOX 6 PROPERTY TAX ACCOUNT NUMBER &'9,.,Q /04 - 9,24/ 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 I 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$ 2--°• 00 NO. WATERCLOSETS GAS PIPING, FEET _. ' $ Z 0 0 BATHTUBS NO. FURNACE, ELEC. GAS $ SHOWERS _ . ° $ (r LAVATORIES CONVERSION BURNER (c $ S SINKS BOILER, SIZE BTU 5'I 2-- - $ DISHWASHERS AIR HANDLING UNITS 0( $ 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 ,4\ >f tle i"ASff1A $ DRAINS 7(o-k a 190 $ OTHER $ I TOTAL FIXTURES $ AP TOTAL MECHANICAL FEE $ - '— -.000" I CERTIFY UN ER 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: ,,/I2,E 2 ,é&7 DATE: g 23''.-.- /9l/ ANP-008 3,90 • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: 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: PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE 256 -S TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: 5 f PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY � DATE q'( ACCEPTED FOR FILING