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90-101479 MECHANICAL PERMIT 7 �D y 7 9 CITY OF BUILDING INSPEIO�V FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 90-1695 M OWNER'S NAME ROBERT D DAILLY JOB ADDRESS 30846 6TH PL SW CONTRACTOR KALAF SERVICE REPAIR ADDRESS 5604-A 140TH ST SW EDMONDS CONT. PHONE 745-4799 CONT. REG. NO. KALAFSR101DN OWNER'S PHONE 839-9036 OWNER'S ADDRESS 30846 6TH PL SW 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. 771620-0080-09 LEGAL DESCRIPTION •ED BY JOANNE JOHNSON DATE OF ISSUE / 0 - -- 3 -£L DATE OF APPLICATION 10-22-90 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 40 FT. 2.00 BOILER RECEIVED BATHTUBS _ LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS frIOT WATER HTR. MISCGAS LOG 6_ 50 RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE 20- 00 DISHWASHERS TOTAL FIXTURES UNIT HEATEFGAS INSERT 6_ 50 TOTAL MECHANICAL 35_.. 00 AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE N CHECK FEE MBING FEE INSPECTION RECORD WECHANICAL FEE 35_00 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 35-00 _ _ Account No. 010-000-322-10-004 Total Fee $ 35.00 Receipt No. _23 /()//( / 3 7 Z. 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 T: OWNER OR AGENT /C/' DATE ��3/YO MECHANICAL PERMIT 9D �� 9 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 *ED 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;iOT 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 eJAN CHECK FEE MBING FEE INSPECTION RECORD MECHANICAL FEE TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK/G-3G--''M3 Date By 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 ZT m r 0 I 02 D a O 0 DO s \ ,44. u) 1 0 , 0 m I = p C53 1z O l z1 co 0 t, 0 1 cn NI N NI ; � oZ ° oO0 o m c 0 m i O O ZC m (\�.k • sAl O -n �t QO I , 0 tk ,a. 1 W I W o 0Z , (:\ \ ..„, 1 z i ›.* k ', cc,3, , ,v , , r i Nu 112 0 m 0 m Z m W co D O I Z Z r D (7 ,n D Z 2 O R litI\ \ l 0 Z m O 7 a w * Z W Nk. -< b -< -< r , 1 N. • vet # q CITY OF FEDERAL WAY )c-L( Pw-fro,,e BUILDING PERMIT APPLICATION cr, — Please Print— /o 2 10 4/-as BOX 1 TENANT NAME: Ren 13 r tZ i E) D IL s-y OWNER Ref V3 l�., ID . i7 it I I-.-L y SITE LOCATION 7e= X74/ 7.? PL 2 5 c--J OWNER'S ADDRESS C= r! P S • CITY ria..D 7 PHONE2'77 -)cs� DESCRIBE JOB / i/4 L C. S s j �� ; r= i Rz_ tI c /15 / ,_ 1A THE PROPERTY IS OWNED BY: SINGLE/MARRIED /WAPP) PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 1`C 4 )-Pt F /=0. ' 1 Rc: CONTRACTOR'S REG. # 1< L A r /P/d/ 0A/ and MUST be presented CONTRACTOR'S ADDRESS /t 110 lil-5%: . CITY )) MDA../17z7,- PHONE 7X6- EXPIRATION DATE _37/.5/ c7 / — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINI(-- 1(?/ IONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON • PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 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 d-22' 2ND FLOOR / 3RD FLOOR / BASEMENT It: r2 / ECK / 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 QP�PLIANCES — BASIC FEE$ NO. WATERCLOSETS GAS PIPING, FEET 't'= r 77 $ 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 OTHER /1116Wf2 1 $ /? DRAINS ' r, p1-f /___06/___06_5-O $ OTHER $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ /5"- e-) 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: / z'� DATE: tom' ANP-008 3/90 • • S . 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 ASSIGNED ADDRESS: RECEIVED OCT 2 2 1990 PARTIAL PLAN CHECK FEE RECEIVED CITY OF FEDERAL WAY Amount Date _ Receipt# BUILDING DEPT. BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE ACCEPTED FOR FILING