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92-100858 MECHANICAL PERMIT 9).4o0.&sg CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 661-4140 PERMIT NO. 92-903 M OWNER'S NAME RONNIE NEWTON SITE ADDRESS 5120 SW 326 ST CONTRACTOR WASH NAT GAS _ ADDRESS_ 3130 S 38 ST TACOMA CONT.PHONE 475-6700 CONT.REG.NO. WASHING285CB EXP.- 3/93 OWNER'S PHONE 874-6373 OWNER'S ADDRESS _ TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIA! NEWCOMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC __PUBLIC ADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO.. 189830-0070 LEGAL DESCRIPTION ISSUED BY EBS DATE OF ISSUE r, DATE OF APPLICATION _ 6/10/92 • BUILDING INFORMATION ZONE _ SET BACKS:FRONT _SIDE__ REAR HEIGHT LIMIT OCCUPANCY _ TYPE OF CONSTRUCTION - CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING25 FT. 2.00 GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK S,°IOWERS - URINALS GAS HOT WATER HTR. _ AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS MISC. BBQ RANGE __6-50 BASIC FEE 20.00 RETURNED DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 28.50 AMOUNT VALUATION ' GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE Awe LUMBING FEE INSPECTION RECORD liPAECHANICAL FEE $28.50 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 $28.50 Total Fee $ 28.50 Receipt No. ( -2 --/ "7Q 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: l { +-� (' OWNER OR AGENT tt c DATE 6 - (/ ^ gC7` R.. MECHANICAL PERMIT 9), /00E5 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 661-4140 92-903 P1RONNIE NEWTON 91.20 SW 326 ST ;STASH NAT GASa PERMIT NO. WNER'S NAME 313 0 S 38 ST TAM, SITE ADDRESS Q 475-6700 CONTRACTOR WASHINCZU5CB ADpF S74-6373 CONT.PHONE CONT.REG.NO. EXP. s/y OWNER'S PHONE_ OWNER'S ADDRESSTYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL_ NEW COMMERCIAL _COMMERCIAL ADD. INDUSTRIAL ADD._ - NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNIT )MULTI.ADD. SIGN GRADING- OTHER TAX ACCOUNT NO. - .7 —_ - LEGAL DESCRIPTION —_— - -- - - - - -- - - — 6/1O/92 ISSUED BY —_ __ —__- DATE OF ISSUE - - _ DATE OF APPLICATION IIIBUILDING INFORMATION , ZONE _ SET BACKS:FRONT _ - SIDE _ _ REAR_ HEIGHT LIMIT OCCUPANCY_ - TYPE OF CONSTRUCTION - _ CENSUS NO. _ TYPE OF HEAT _ BLDG.SQ.FT.- _ --STORIES_ PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER - - - LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ BASIC FEE ��a DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 28.50 AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. liiPERMIT FEE PLAN CHECK FEE .UMBING FEE INSPECTION RECORD CHANICAL FEE $28.50 TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE / G� / SEPA REVIEW _ -_ GAS PIPING OK(o/ �� DateC-'�.��/�A y( + WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE $28 50 Total Fee $ 28.50 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 FU NISHED BY ME IS TR E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: , i ,.." fi-- -f- - n• 1 OWNER OR AGENT / +` ; ' ' DATE /-o -,. 9 0 0 SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE BY DATE BY DATE BY PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION DATE BY GAS PIPING O.K. DATE BY O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL DATE BY DATE BY DATE BY FINAL O.K. TO OCCUPY DCD PSD FD DATE 7/ 5_h 2-BY 'CA/ RECEIVED BY Permit # 2 D3 COMMUNITY DEVELOPMENT DEPARTSE NT CITY OF FEDERAL WAY 192 JUN 1 U 9BUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: OWNER RbNNIE NEWTON SITE LOCATION SX 5120 SW 326 ST OWNER'S ADDRESS SAME CITY FEDERAL WAY PHONE 874-6373 DESCRIBE JOB GAS PIPING AND HOOK UP CUSTOMER'S RNA RANGE THE PROPERTY IS OWNED BY: SINGLE/MARRIED X PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME WASI3.TNGTON NATURAL, GAS CO CONTRACTOR'S REG. #xNAMINX WASHING285cb Card MUST be presented CONTRACTOR'S ADDRESS 3130 S 38 St CITY TACOMA PHONE 475-6700 EXPIRATION DATE 3-1-93 Imo, — OR — I HAVE READ CHAPTER 18.27.010 REL A ING 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 DENA IVEY PHONE 4773--EM7 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 189830-0070 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 x() 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$ NO. WATERCLOSETS GAS PIPING, FEET 25' $ BATHTUBS NO. 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 X OTHER RANGE $ 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 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. 1 OWNER/AGENT: i 44DATE:\ C ANP008x::/90