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90-100101 Ci'D '/00101 MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 90-1328M OWNER'S NAME DON ACKLES JOB ADDRESS 4630 SW 314 PT. CONTRACTOR NW WATER HEATER ADDRESS 8201 DURANGO ST SW TACOMA CONT. PHONE 984-6404 CONT. REG. NO, NORTHWH137KJ 12/90 OWNER'S PHONE 874-2602 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 MECHANICAT, TAX ACCOUNT NO. 211551-0590 LEGAL DESCRIPTION NA k.. ISSUED BY ELIZABETH SNYDER DATE OF ISSUEl ill DATE OF APPLICATION 8/9/90 BUILDING INFOR TION "NE NA OCCUPANCY NA TYPE OF CONSTRUCTION MECHANTCAL BLDG. SQ. 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_ 1 FT. 2-00 BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GASfr1OT WATER HTR. 6_50 MISC. 0 RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL . 5-8 AMOUNT NONE VALUATION NONE GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE _ INSPECTION RECORD WECHANICAL FEE $28 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 $28.50 Account No. 010-000-322-10-004 Total Fee $ 73 - Receipt No. 1)1/..'.'. ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. 14 4 I CERTIFY THAT THEORMATION FURNISH BY M IS TRUE AND CO RECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WIL B ET: OWNER OR AGENT . CA/VW C 171 DATE P.-./` - 9/) VED rrnit # 10 6-2-Vh,\_-- _ ' RECEI AUG 4 9 1990CITY OF FEDERAL WAY C'WILDNGDEPT. AY BUILDING PERMIT APPLICATION — Please Print- BOX 1 TENANT NAME: 1 , 1/,1t 6 eid. ee> OWNER Qf 1 SITE LOCATION Lus-v) nGu 3p-1-01, Pt-. OWNER'S ADDRESS I-1(or S LL 311401/ ()L u 0..y. CITY FM LPHONE W J U - (r( ccc DESCRIBE JOB jflE4Oj .f 91J Lco,.tU, „ICat°R, THE PROPERTY IS OWNED BY: SINGLE/MARRIED G PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME MLA) U1--1 0j1 CONTRACTOR'S REG. # N&Q I l L )) 13' 1 fps Card MUST be presented CONTRACTOR'S ADDRESS 9 ?C) 1 LI NGO s\--t- S co CITY lC Q- nCl- PHONE (-Y-( 14 -loLjOLI EXPIRATION DATE la-Aa-c10 — 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 ,, °tet. t Com. --LI L,i ( I PHONE `-i' ) --Cc LIC BOX 4 SEWER DISTRICT ---- WATER DISTRICT - BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION "- ; OX 6 ROPERTY TAX ACCOUNT NUMBER -�� EGAL DESCRIPTION �/ ( .. 1 (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 n BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ Z,L�.V NO. WATERCLOSETS GAS PIPING, FEET $ � BATHTUBS NO._ FURNACE, ELEC. GAS $ SHOWERS 1 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 DRAINS $ OTHER $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ 7-(1- --- 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: �,Ll C �� � . .1 1,,L( \,A DATE: ! ANP-008 3/90 0 • t• si 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 TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE fr4 ley ASSIGNED ADDRESS: lykos n 066i 0 4,04, PARTIAL PLAN CHECK FEE RECEIVED ��v Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE ACCEPTED FOR FILING 96 MECHANICAL PERMIT _ jv ' CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING 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 ONE 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;-10T 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 liCHANICAL FEE OTAL BLDG. FEES Water Line OK / '- C /07 Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK 5-/4--C , M3 Date --/S-- By /1/3 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 o m 0 0 0 v 0 cn H Z H •• r H c HH m D m H in K m co O co D 4' m Z O IZ O cn N O r O D Z I('). p Oo o fiO mI c m M O _< O W W Zm Z O O W o 0 z 0 > 0 0 0 O > u) D > D o m c _ m -i D vDO 0 z r 0 5 0 Z c Z O m DO O n 0 C 0 CO CO DH O m Cn , I- o r u) 1 � I O O K 0 -O r m D H i m K CO v CO O Z Z D CS 0 D O o r 30 y - 0 Z c cn O v Z -n m -n T) 0 0 * o IW 7 -< D -< -< r- ''