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90-101662 MECHANICAL PERMIT 90 / D/ 6� CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 90-1876M OWNER'S NAME RON SAGE JOB ADDRESS 416 SW 335 ST CONTRACTOR NORTHWEST USI ADDRESS 1908 S 341 PL #9 FEDERAL WAY CONT. PHONE 661-2852 CONT. REG. NO. NORTHUS1O1.JJ 4/91 OWNER'S PHONE 874-0832 OWNER'S ADDRESS SAME 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 MECHANICAL TAX ACCOUNT NO. 729804-0550 LEGAL DESCRIPTION NA ISSUED BY ELIZABETH SNYDER DATE OF ISSUE I Z r DATE OF APPLICATION 12/6/90 BUILDING INFORMATION ZONE NA OCCUPANCY NA TYPE OF CONSTRUCTION MECHANICAL BLDG. SQ. FT. NA SET BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING _ FT. 3_ 50 BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR _ TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS frIOT WATER HTR. MISCLOGS 6_50 RETURNED SINKS MISC. Nom__ CONVERSION BURNER BASIC FEE 20_00 DISHWASHERS TOTAL FIXTURES UNIT HEATER _ TOTAL MECHANICAL 30_00 AMOUNT NONE VALUATION NONE GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE $3U_00 TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE '"/ATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE $30.00 Account No. 010-000-322-10-004 Total Fee $ 30.00 Receipt No. 15 7 2- 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 INF ATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL MEy OWNER OR AGENT 6 LL.- Le( �� DATE / .74-- —t2 2c 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. 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;-10T WATER HTR. MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES /j UNIT HEATER TOTAL MECHANICAL AMOUNT Y/ 1 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 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 p m p 0 0 „ p . �, ) 1- Z D .7 ?'--1 r D Ti y\J D m m K m r O W co O ..., Z C m cn{¢. .7 Z r D�` i p Alb n _ co { co D m Z m O i z I O w O cn 4 1 �/ ,` © r?..- j 1 Is 1p p Z 0 g o 0 p m D m r i m --i D v O r O Z Z 0 Mk Z O m c IO O m c z Z p L�� W W D- Z n r p !rA 1 IirI m D m i m K r = WO I r Z I Z pm I 1 -..-A 1 �, r I 39 D Z O pez, Z - 111 0 � r -i 0 ‘..-P com O W O 'co r A Permit # (-) + �� 7 /t1 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print- BOX 1 TENANT NAME: OWNER ROA/ .S.62.G L. SITE LOCATIO1L OWNER'S ADDRESS -47// , SCO 335_ s r CITY tet"/e'/^ r J(2 % PHONE 7'�'aZ DESCRIBE JOB 22YSTci // 6at s L-1 .5 THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATIONA BOX 2 CONTRACTOR'S NAME / . `-, CONTRACTOR'S REG. #f/01-7/l US/6I :1 �� ' f,, / Card MUST be presented CONTRACTOR'S ADDRESS 19049 S ,3yfr�: 1 CITY/C� C.�.'&)/ PHONE arcs/ a851.)-- /EXPIRATION DATE Y - 6 - F% - 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 /)e/Y/V/S J- / PHONE64/ - & - BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST ___EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER l a y 90 V -O 556 6 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 rw!