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90-100471 MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEFERAL WAY. BUILDING PERMIT 941-1555 9h - iboY7/ PERMIT NO. 90-652 M OWNER'S NAME CHADWICK JOB ADDRESS 115 S 300TH PL CONTRACTOR NW WAV1'ERHEATER ADDRESS 8201 DURANGO ST SW TACOMA CONT. PHONE 984-6404 CONT. REG. NO. NORTHWH137KJ OWNER'S PHONE 839-9511 OWNER'S ADDRESS 115 S 300TH PL 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 SIGNS ARE UP AT THIS LOCATION ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 5-21-90 BUILDING INFORMATION NE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT. BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING 10 FT. 2.00 BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR _ TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC. SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED DISHWASHERS TOTAL FIXTURES _ UNIT HEATER 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 CHANICAL FEE INSPECTION RECORD 98-50 TAL BLDG. FEES Water Line OK Mechanical Inspection Notes: RT 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 Account No. 010-000-322-10-004 Total Fee $ 28.50 Receipt No. j77-5- 5;--,s--4 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 ME `. 23 90 OWNER OR AGENT �+1� �' DATE MECHANICAL PERMIT 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 ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT. S 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 HOT 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 _ BLDG. FEES Water Line OK Mechanical Inspection Notes: -l,(dj- NA ' P/C FEE SEPA REVIEW _ GAS PIPING OK 5-3( '' G d Date rr/-3j I-liCy S 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: -_ _ --) ' i OWNER OR AGENT DATE Oil writ # -G. 5-_? -// RECEIVED CITY OF FEDERAL WAY MAY 2 BUILDING PERMIT APPLICATION CIFEDI; 4L WAY 190 — Please Print— j BUILDING DEPT l BOX 1 TENANT NW,� f OWNER C &_ //C�c _ixl\r--, SITE LOCATIO 4 t OWNER'S ADDRESS /S c2& CITYt 4'c i i PHONE ,�S / 5 g/ DESCRIBE JOB --74- s/,g/1 (C- %� THE PROPERTY IS OWNED BY: SINGLf'7'<'E/MAR IED PARTNERSHIP _CORPORATION l BOX 2 CONTRACTOR'S NAME // /1/7(/' �' CONTRACTOR'S REG. #44r1h''6 J77I jj Card be presented c 4 S7` CONTRACTOR'S ADDRESSV ' C) ja CITE � �" ' PHONE feV , -/el y EXPIRATION DATE (Z D rs - 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/1--) PHONE ?�g-^ 1:70 4/ BOX 4 SEWER DISTRICT r-- WATER DISTRICT BOX 5 ESTIMATED PROJECT COST _ EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBE LEGAL DESCRIPTION I�- .-f, 4\(E_-- (_Q (If necessary, please submit a separate page with the legal description.)_ i K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / V BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION / ( ) MULTIFAMILY (NO. OF UNITS = ) (xf EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL /TOTAL AREA OF PROPERTY SQ FT I BOX 9 PLUMBING FIXTURES (including rough-ins) MEC MECHANICAL APPLIANCES — BASIC FEE$ LC, G.r /v NO. WATERCLOSETS GAS PIPING, FEET 66--C a $ �•(1 C) BATHTUBS NO._ FURNACE, ELEC. GASC' $ _SHOWERS X GAS HOT WATER HEATER $ D 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 $ .UMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ • OTHER $ sir TOTAL FIXTURES $ 215,,-()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, U, HE ACCURAC 0 INFORMATION SUPPLIED TO THE CI Y AS A PART OF THIS APPLICATION. OWNER/AGENT: �u: : �� • .• _ -- TATE: ---)'/ /'°? ANP-008 3/90