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91-100063 MECHANICAL PERMIT CITY OF BUIL BUILDING INSPECTION FEDERAL WAY DING PERMIT 941-1555 9) - 1aaa(3 91-0039MBRIAN STAUDE 1809 SW 307 ST PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR NW WATER HEATER ADDRESS 8201 DURANGO ST SW TACOMA CONT. PHONE 984-6404 CONT. REG. NO. NORTHWH1O3R2 12/91 OWNER'S PHONE 874-0451 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 MECH ONLY TAX ACCOUNT NO. 770380-0180 LEGAL DESCRIPTION NA ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 1 /10/91 BUILDING INFORMATION ZONE NA OCCUPANCY NA TYPE OF CONSTRUCTION NA 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. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS11OT WATER HTR. 6.50 MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 26.50 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 $26.50 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 AMOUNT DUE $26.50 Account No. 010-000-322-10-004 Total Fee $ 26.50 Receipt No. 1 G �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• • • SN FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS W :E MET: L. .% -e Z.:•-- DATE /"f/ ,!OWNER OR AGENT 11111111i97,---,----- / MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 YVN 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 frIOT WATER HTR. MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT vr 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 43 j 1 1i. • i..., 1 1 , 1 4... i _, .-J Y m Z m m . ----iOn.I. o O V ° ' w U cc p Zcn Z I O 1 ? Q .c' cc 1 -J p 0 ' cc V" U Q • Z• ( Q 1 0 4___ c. ,E D• 1" U ~ J I w Q o � o � o a p J CO z ....., CQ 0 �O >- r---. -- m pZ 1 N. 1 �• 1 OO w z Z p w a -� a O w a Q ww J F- Fto Hp aup a VO o l Z o 76 v cn z 1 1 C'Dz �� >- >- < >- >' >- 17- \� C' U D O LU O \ Z 0 0 : et/ <4.C. iV `Y Y \ \ w Z `mQ O 0 ?i,.':11 C° w 2 w HLU Q w 1- F p F-- Y 1-- Z 1- \ 1 `�r uwi o a o O o it o \ REC itY\---1 Permit # q 0011 EIVEC JAN 10 1991 CITY OF FEDERAL WAY CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION BUILDING DEPT — Please Print— OM BOX 1 TENANT NAME: 12 OWNERr1 G.X 3-VIU j _ SITE LOCATION Ca.: I !I► : ' , ` CO 0 , OWNER'S ADDRESS MAIM SW 3Q'1 / Si- CITI( - p i L-)(1. � PHONE g -04 Si DESCRIBE JOB 1'1S�Q II C) CU-) ]� �1 • h_c �J THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME NI U,-% ' -N eakA CONTRACTOR'S REG. # 1 t_uh - °R Card MUST be presented CONTRACTOR'S ADDRESS 130 (41,UCINT si-S(QITY `1 CLCC O ( PHONE "I nn''S `- EXPIRATION DATE to-aQ-9 I — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICF-L ROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON s Li LLC..1 S-l_ -.1---t LLS k i PHONE ©I'S Li -Lc 40/ BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 9rl C/30-- nt s() 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 (-'-1 SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) (\-) EXISTING STRUCTURE O") COMMERCIAL/INDUSTRIAL 1, , , .j; . .. TOTAL AREA OF PROPERTY SQ FT tip BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ ill) -, NO. WATERCLOSETS GAS PIPING, FEET :' $ BATHTUBS NO. FURNACE, ELEC. GAS. �• $ SHOWERS 1 GAS HOT WATER HEATER $ 43 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 $ /AV OTHER $ 5I9 TOTAL FIXTURES $$ z wir TOTAL MECHANICAL FEE Z 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: LJtILJDATE: 1.- l ANP-008 3/90