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92-101013 MECHANICAL PERMIT 9a,)g ' O l 3 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 661-4140 PERMIT NO. 92-1039 M OWNER'S NAME MR ELLENSON SITE ADDRESS 4120 SW 315TH CONTRACTOR AMERICAN HEATING SERVIESANC 7517 PORTLAND AVE TACOMA CONT.PHONE 847-8399 CONT.REG.NO. AMERIHS107M6 EXP. 7/92 OWNER'S PHONE 874-1034 OWNER'S ADDRESS 4120 SW 315TH FEDERAL WAY TYPE JOB: NEWRESIDENCF 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. 873198-2608 LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE "_f kl --q17-'' DATE OF APPLICATION BUILDING INFORMATION IlliONF 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 10 FT. 2.00 GAS LOGS 6.50 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. 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 MECHANICAL FEE 28.50 lopkOTAL 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 28.50 Total Fee $ 28.50 Receipt No. D.D.- l5 y(-1--) ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. y" 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 _' c: /_ /.,,4,61 DATE MECHANICAL PERMIT CITY OF BUILDING PERMIT BUILDING INSPECTION FEDERAL WAY 661-4140 PERMIT NO. 1034 14 OWNER'S NAME" - - SITE ADDRESS 4120 SW 315TH CONTRACTOR VIER"CAN H" ADDRESS_ 7517 PORTLAND AVE `�COMIL CONT.PHONF CONT.REG.NO. AN' . /11S I6 EXP. �� OW fNQNE 74 `1034 OWNER'S ADDRESS 4120 SW 315'Mt ?b.4 R1U3 iia Y TYPE JOB: NEW RESIDENCE ADDITION NEWINDU RIAL N COMMERCIAL__ COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. GRADING OTHER TAX ACCOUNT NO. 731 -2608 LE--- PTION ISSUED BY DATE OF ISSUE / ` f it Cr— DATE OF APPLICATION BUILDING INFORMATION 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. 20.00 RETURNED SINKS MISC. BBQ BASIC FEE 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 MECHANICAL FEE TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE 7 ��.,%.L SEPA REVIEW GAS PIPING OK 7-%7- `/Z ate By A/3 WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT 1 AMOUNT DUE Total Fee $ Receipt No. ` T^ 1 L4 `I J 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 .w �:3�-+�.--/�.`/ /L�'^ '-"f. DATE -Jr f o��( QPE • •rmit # LlO37 /l4 Al VISs0" 9y��oe CITY OF FEDERAL WAY „'; " ,0199 GOM14'.'� BUILDING PERMIT APPLICATION 0.- - Please Print- BOX 1 TENANT NAME: '.��,�j OWNER ii, e:1-477 �� ,' SITE LOCATION OWNER'S ADDRESS /.�lJ- ri , /� CITY yd, /cE PHONE ��-'/G"'. V yi- DESCRIBE JOB � I /1 Q- f�'' 6 THE PROPERTY IS OWNED BY:�LE/MAR IR ED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME a,--/-M4,Ces-rt., / -1 4'4 %lea/9 e.. CONTRACTOR'S REG. #d.-177//1, /C//i7(4 Card MUT be presented CONTRACTOR'S ADDRESS 797i7 ✓ `/ �J r;: CCet/Cl/i CITY 61 PHONE' %A 8._,99 EXPIRATION DATE ,2_ ---/-2- — OR — I 2 =/-- — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH 1 OHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON , , --x, _ PHONE ,,,-557,,, ,,,_,-..:-72, BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER .' ' 1-i? 17/ 7,. ~'=2 105 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 A . $ 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 $ DRAINS 94 ,4te �. 1 -L,„-P„Q� $ 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 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 EMPLOYEE ,,UPON THE ACCURArIF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: zC ' 4, ��-� 1�- DATE: �� ANP-008 3/90