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90-101290 MECHANICAL PERMIT 9 D - to/0290 CITY OF BUILDING INSPECTION ,FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 90-1478M OWNER'S NAME STEVEN ROGERS JOB ADDRESS 1963 S 299 PL CONTRACTOR NORTHWEST USI ADDRESS 1908 S 341ST PL FEDERAL WAY CONT. PHONE 661-2852 CONT. REG. NO. NORTHUSI11OJJ OWNER'S PHONE 941-1543 OWNER'S ADDRESS 1963 S 299TH 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. 367430-0O6ChAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE 9 -/ ( ! /v DATE OF APPLICATION 10-'13590 • 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 15 FT. 2.00 BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS _ URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS pOT WATER HTR. 6- 50 MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE _70.00 DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 2R CO AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE MLUMBING FEE INSPECTION RECORD ECHANICAL 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 qi,AMOUNT DUE 78. 50 Account No. 010-000-322-10-004 Total Fee $ 28.50 Receipt No. / / G s'q ALL PERMITS EXPIRE 180 D R ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFOR TION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE ME . / r OWNER OR AGENT y'4,^" • DATE /V\ /�� MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING I T 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. 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 f;lOT 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 MECHANICAL FEE TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK ().- /'; 9G Date 9=/9-k By /75 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 0 M O 0 0 0 CO Z > T C -I m D m —I K m co O 0 co > Z O \^ Z O ( O o 1 70 (/) O 0 Z 1 O 0 c = O D Z O Z I I. O O cn I P j1 , O o Z 0 g o 0 0• - U> > > > 7C 0 m ,� m m --1 p 0 I- O O OZ m C z m O 0 0 O C z I o > co co --1 -< I -< O z v D cn r- 0 0 r U) 1 0 0 K 0 r -I r- m = m K O ] z j z D (j i O Do D i 0 1 0 r DJ D Z O Z c ( C 1 o -o Z m -n0 g 0 1 53 m -+ 0 03 z 6 -< D -< -< r I 1 I i 1 Pi Pc pen i t # ?c.) 7 I 4/q-se ry -- 3 sEp / ED 0 C/7yol; 1990 CITY OF FEDERAL WAY • BU1LofNGDEPrwAv BUILDING PERMIT APPLICATION —Please Print— BOX 1 TENANT NAME: OWNER Ii e 0) A.,/)q e r 5 SI E LOCATIO r' .moi _ OWNER'S ADDRESS (q b3 5 ) - ' ' CITY- i t.4-1A-7 PHONE _ `f/ —IS-93 DESCRIBE JOB- AVsl'. Dare-cr ti4N T- /}- . /vm, THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Ooctro Loa-5 7` u S) CONTRACTOR'S REG. # 1JOAMUS/D 1 5" l Card MUST be presented c� CONTRACTOR'S ADDRESS /D Fl S 3'I 7( CITY d 6)4 Y PHONE (y(0/- 098.s- EXPIRATION DATE ,(--_5-----,/ <- I C -�) — 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 ..` \k J i S -/'SAV PHONE 6 LD/' as-__s- S BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION '---- BOX 6 PROPERTY TAX ACCOUNT NUMBER -3Y 30 - CO 1,00 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 I 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$ 2--C.(SD NO. WATERCLOSETS GAS PIPING, FEET /J $ -. -(- 13 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 $ RAINS $ OTHER $ TOTAL FIXTURES $ �/�✓- TOTAL MECHANICAL FEE $ I CERTIFY DER 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 INCURR ► NVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED Ae INST T ITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND . PLOYEE ;,UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: ��..____— 111111 ......._" DATE: /C "7 3 _ ANP-008 3/90 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 -f6�moo, ASSIGNED ADDRESS: )6\0 PARTIAL PLAN CHECK FEE RECEIVED �� Amount Date Receipt# � s BUILDING DEPARTMENT APPROVAL RECEIVE BY DATE ACCEPTED FOR FILING