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92-100938 MECHANICAL PERMIT 9 .)-/da 932 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 661-4140 PERMIT NO. 92-0962 M OWNER'S NAME H J SICKEL SITE ADDRESS 2428 S. 300TH STREET CONTRACTOR ENVIRONMENTAL DESIGN AISS 25328 SE 200 MAPLE VALLEY CONT.PHONE Q 432-4247 CONT.REG.NO. 5 ENVIRDO98K1 EXP. 93 OWNER'S PHONE 946-2938 OWNER'S ADDRESS 2428 S 300TH STREET FEDERAL WAY TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILYUNITS MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 76220-0260 LEGAL DESCRIPTION ,a ISSUED BY JOANNE JOHNSON DATE OF ISSUE ' a DATE OF APPLICATION 6-25-92 BUILDING INFORMATION GONE - _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. 2. 00 GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS _ URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. DRYER 6.50 RETURNED SINKS MISC. BBQ BASIC FEE 20.00 DISHWASHERS TOTAL FIXTURES 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 INSPECTION RECORD •ECHANICAL FEE 28.50 OTAL 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 - iC 1 OTHER FEES MECHANICAL PERMIT ��i AMOUNT DUE 28.50 Total Fee $ 28.50 Receipt No. ALL PERMITS EXPIRE 1 AFTER ISSUANCE IF NO WORK IS •RTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT T I► •R .TION FURNISHED BY/144.4070,, AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY r REQUIREMENTS WILL BE/ : A �'�`-a `�/ DATE ('� " -- OWNER OR AGENT _ .. _� Tw.ke�-.`---s�tna-•-..ry�w...-s- .,;'.e, 1pY�ly..,c+�ne.,�..., '. .''., • - •-: .-. .. -.-s-- "•+�. ,c•-..., -..—�w'.v-.:1,.i -_a.- 8 MECHANICAL PERMIT 2 ' !(1p c CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 661-4140 PERMIT NO. 92-0962 M OWNER'S NAME ".4 J SICR� SITE ADDRESS 2428 S. 300 STREET E CONTRACTOR "' ADDRESS 25328 SE 200 CONT.PHONE 432-4247 CONT.REG.NO. ENVIRD098KI EXP. OWNER'S PHONE 946-2938 OWNER'S ADDRESS 2428 S 300T: ST- -, FEDERAL WAY TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL___ NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY 761 T vQ�6 fi MULTI.ADD._ SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION l ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 6-25-92 BUILDING INFORMATION t..„).....„-- !! ii ZONE 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. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. DRYER 6.50 SINKS MISC. J j BBQ BASIC FEE 20.00 RETURNED DISHWASHERS TOTAL FIXTURES - ' C DRYER TOTAL MECHANICAL 28.50 AMOUNT VALUATION GAS PIPING TEST MUST BE.7WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE 28.50 TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK 7- .242 6, Date 7-,-Fl B WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE O) '. �( '► ' OTHER FEES MECHANICAL PERMIT AMOUNT DUE 28.50 Total Fee $ 8.50 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 RECEIVED BY PAaTMEN Omit # 97 -/ 62_.,4) COMMUNITY DEVELOPMENT 0 JUN 25 1992 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION —Please Print— BOX 1 TENANT NAME: OWNER r K L SITE LOCATIONI r �— OWNER'S ADDRESS _ iCITY Thi _ 4 'HONE� i DESCRIBE JOB LyKW'�/ �C /)/f"-- I Gila THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME e/V V/ PON/t2E/VT4(... J�6516/1/ ,'/1V6 CONTRACTOR'S REG. #6-7A/1/W)/egWN1 / /Card MUST be presented h CONTRACTOR'S ADDRESS 2632 5C 2a l CITY (/ PHONE /.32 - 174z417 EXPIRATION DATE // - 93 — 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.WH BOX 3 CONTACT PERSON C "F.�L l4 PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER '7 7 2._ 2 C) - ()z. OO 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 COMMEl3CA HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS / OTHER yL $ 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 I i STIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED AGAI T T E CITY OF FEDERAL WAY, : T ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS OFFICERS ANI MP r'YEES, UPON THE Ai,R� Y OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGE %if1 •=='j � i DATE: -2 T " / 2 ANP-008 3/90