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92-101177 MECHANICAL PERMIT 9 ' ) J77 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 661-4140 PERMIT NO. 92'15 M OWNER'S NAME VIVIAN CHAMBERS SITE ADDRESS 30023 6TH AVE SW CONTRACTOR ABC GAS INSTALLATIONSDDRESS 9923 64TH CT E PUYALLUP _ CONT.PHONE 845-7482 CONT.REG.NO. ABCGAI113N3 EXP. 8/92 OWNER'S PHONE 941-1210 OWNER'S ADDRESS _-- 30023 6TH AVE SW FEDEAL WAY __ TYPE JOB: NEWRESIDENCF ADDITION NEWINDUSTRIAL NEWCOMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC_. PUBLIC ADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER - -_ TAX ACCOUNT NO. 039600-0060 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE _ _DATE OF APPLICATION 7-8-92 BUILDING INFORMATION *NE_ _ _ 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 2 FT. 2.00 GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ BASIC FEE 20_00 DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL _7R_ 50 AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD CHANICAL FEE 28.50 INTAL 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. 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 MECHANICAL PERMIT )07 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 661-4140 92415 K VIVIAN CHAMBERS 30023 6TH AV? SW PERMIT NO. OWNER'S NAME SITE,ADDRESS ADC GAS I=.. 9923 64TU CT A PMA 845-7482 CONTRACTOR ADDRESS CONT.PHONE CONT.REG.NO. AI+ G,AI113' 3 EXP. /92 OWNER'S PHONE 941--1210 OWNER'S ADDRESS 30023 6TH AVE SW FEDEAL 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. 039600-0+ L LEGAL DESCRIPTION ISSUED BY jUANNE JOUNSUA DATE OF ISSUE — DATE OF APPLICATION BUILDING INFORMATION *ONE 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. 6.5n AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ BASIC FEE { Obi DISHWASHERS TOTAL FIXTURES I DRYER TOTAL MECHANICAL 28•50 AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE 23.50 INSPECTION RECORD CHANICAL FEE 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 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 CITY OF FEDERAL WAY B U I L D I N G PERMIT PERMIT NO.: 92-1015 33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/05/92 Federal Way, WA 98003 BY: JJ 661-4000 SITE ADDRESS: 30023 6TH AVE SW PARCEL NO.: 039600-0060 PROJECT DESCRIPTION: MECHANICAL OWNER — CONTRACTOR — LENDER VIVIAN CHAMBERS ABC GAS INSTALLATIONS 30023 6TH AVE SW 9923 64TH CT E FEDERAL WAY WA WA 98023 PUYALLUP WA 98373 941-1210 845-7482 ABCGAI113N3 IPMEC?:X PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •' FEES: TYPE OF WORK:? USE:? 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' •' MEC PRMT ISSUANCE... $ 20.00 CENSUS CATEGORY .7 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •' MEC APPLIANCE FEES.* $ 8.50 OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm :? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 0 SIDE • 0.00 ft WATER SERVICE..:? :? :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:? OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:08/05/92 0: 0: 0: 0: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 28.50 GAS PIPING.: 2 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0 GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0 CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0 BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 ALLTERMITS 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 C<'.,�G - /WE? <-- DATE bb �1 bld_prmt 07/31/92 4 CITY OF FEDERAL WAY B U I L D I N G PERMIT PERMIT NO.: 92®1015 3:530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/05/92 Federal Way, WA 98003 BY: JJ 661-4000 SITE ADDRESS: 30023 6TH AVE SW PARCEL NO.: 039600-0060 PROJECT DESCRIPTION: MECHANICAL — OWNER r- CONTRACTOR — LENDER VIVIAN CHAMBERS I ABC GAS INSTALLATIONS 30023 6TH AVE SW 9923 64TH CT E FEDERAL WAY WA WA 98023 PUYALLUP WA 98373 941-1210 845-7482 ABCGAI113N3 BL6?: MEC?:X PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •7 FEES: TYPE OF WORK:? USE:? 1ST.: 0: O:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS? .7 MEC PRMT ISSUANCE... $ 20.00 CENSUS CATEGORY •7 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •7 MEC APPLIANCE FEES.* $ 8.50 OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW • 0 gpm :? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...S: 0 SIDE • 0.00 ft WATER SERVICE..:? :? :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:? OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:08/05/92 . 0: 0: 0: 0: TOIL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 28.50 GAS PIPING.: 2 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0 GAS NWT • 1 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0 CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0 BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 ALL rriMITS 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 bld_prmt 07/31/92 .‘ . • • 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 GAS PIPING O.K. DATE _g_4/-9 _ _-BY 4601 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 ?y-y7... BY rmit # - Jp /sAj CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: OWNER E.1_ 2-).-'e-..1"'%- - - SITE LOCATION OWNER'S ADDRESS 3.. . G a—) S w CITY _� e� L� PHONE 954/ 12/ ° DESCRIBE JOB 411 THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Q CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS 'S a3 v ' 1-14 CITY -� PHONE 'q -2 ' L.. EXPIRATION DATE — 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 PHONE 5-? ?8 2_ BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 6 3 9 d ' - C O c() 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 (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ NO. WATERCLOSETS GAS PIPING, FEET $ 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 $ 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. OWNER/AGENT: = om � DATE: - / ANP-008 3/90