91-101421 /
MECHANICAL PERMIT 91 AD
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CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
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PERMIT NO. 91-1389 M OWNER'S NAME DENNIS FRANZEN JOB ADDRESS 2733 SW
CONTRACTOR NORTHWEST USI ADDRESS 1908 S 341ST PL SUITE #9 FEDERAL W1 NT. PHONE 661-2852
CONT. REG. NO. NORTHUS101JJ OWNER'S PHONE 952-2167 OWNER'S ADDRESS 2733 SW 312TH PL FEDERAL WAY
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. 150320-0060 LEGAL DESCRIPTION 1 V
s71
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 9) DATE OF APPLICATION 10-2-91
BUILDING INFORMATION
*NE 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 85 FT. 7-00 BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS -10T WATER HTR. 6 50 MISC. RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE 70 00
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 78 50 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
ECHANICAL FEE 28-50
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 28.50 Account No. 010-000-322-10-004 Total Fee $ 28.50 Receipt No. V Q
5--
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 '/ET:
OWNER OR AGENT / _._ _ to ' / ' '-- '4\.�-- DATE M/8/ 'V
MECHANICAL PERMIT
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
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 frIOT 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 ' - 4
PERMIT FEE ,
PLAN CHECK FEE
PLUMBING FEE INSPECTI• _ • ,
MECHANICAL FEE
TOTAL BLDG. FEES Water Line OK Mechanical Inspec Nok •: I i 4 74
PART P/C FEE
SEPA REVIEW GAS PIPING OK _ Date By ° 2
WATER SERVICE A r w
WATER MAIN CHG. • '��
S.B.C.C. FEE BY
OTHER FEES MECHANICAL PERMIT V C''r131
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 ,40 ....-.0/
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
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RECEIVED
OCT j - 1991 CITY OF FEC,ERAL WAY
tort Of- FEU RALWFiUILDING PERMIT APPLICATION
i'LDING DEPT — Please Print—
BOX 1 TENANT NAME:
OWNER £fi n I Pro.nzen SITE LOCATION 9 73 3 3c() 312 p1
OWNER'S ADDRESS 733 5W :3I2CITY t Cl' L PHONE q52--,1l6•7
DESCRIBE JOB fee-1-1-10 'to Q.9 Ct.a C�i— ��. d- '<�i '
THE PROPERTY IS OWNED BY: SINGLE/ RRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME iyort-h ,5-t Cif 5.1` CONTRACTOR'S REG. # Ncrh145/6/Z
D Card MUST be presented
CONTRACTOR'S ADDRESS 1908 J• 3 /1 31 SW.�LLI� 9CITY Pd C'I"4-L byt PHONE G76/ kt) ✓Z.
EXPIRATION DATE -5--92,
— 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 ann1 PHONE 1 -2-852_
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER /5O? C> GOCC1
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 ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (includins rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSET` GAS PIPING, FEET 25-` $
B "1-ITUBS NO._ FURNACE, ELEC. GAS $
HOW / GAS HOT WATER HEATER $
LAVA 0: S CONVERSION BURNER $
SINK BOILER, SIZE BTU $
DI ASHERS AIR HANDLING UNITS $
ECTRIC HOT WATER HEATER HEAT PUMPS, SIZE _ $
LAUNDRY WASHER OUTLET UNIT HEATERS $
W URINA ' AIR COOLING UNITS, SIZE $
V D• ING FOUNTAINS COMMERCIAL HOOD $
UMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
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 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 AGAINS' THEt}TY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMP IYEES,"QPON THE ACCURACY OF HE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: I DATE: r --MEW
_
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
Vim
REMARKS: r,
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
ASSIGNED ADDRESS:
RECEIVED
OCT 3 _ 1991 PARTIAL PLAN CHECK FEE RECEIVED
CITY OF FEDERAL WAY Amount Date Receipt#
BUILDING DEPT BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING