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91-101563 MECHANICAL PERMIT 3 fU) j 6 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 91-1532 M OWNER'S NAME LAND-PAC HOMES INC JOB ADDRESS 32820 20TH AVE S LOT 27 CONTRACTOR USI ADDRESS 1908 S 341ST PL #9 FEDERAL WAY CONT. PHONE 661-2852 CONT. REG. NO. NORTHUS1O1JJ OWNER'S PHONE 874-7842 OWNER'S ADDRESS CEDAR CREEK 32820 20TH AVE S LOT 4 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. 144170-0270 LEGAL DESCRIPTION 'UED BY JOANNE JOHNSON DATE OF ISSUE I t/J cj DATE OF APPLICATION 10-30-91 BUILDING INFORMATION NE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. T BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING 30 FT. 2.00 BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE 10_00 AIR HANDLING UNIT NUMBER LAVATORIES . DRINKING FOUNTAINS GAS pOT WATER HTR. 6_ SO MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE 20 00 VSHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 38.50 AMOUNT VAI DATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE LAN CHECK FEE JMBING FEE INSPECTION RECORD MECHANICAL FEE 38 50 PARTBLDG. FEES Water Line OK Mechanical Inspection Notes: ART P/C FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT K AMOUNT DUE 3R. 50 Account No. 010-000-322-10-004 Total Fee $ 38.50 Receipt No. 4y ALL PERMITS EXPIRE 180 DAYS AFTE- - ANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATI• - ,I HED BY ME IS TRUE A a CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: C/C q OWNER OR AGENT / s: � DATE �(— G - / 7 1 _ 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 ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. 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 1i OT 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 MLUMBING FEE INSPECTION ' ''1.! , ECHANICAL FEE , , • TOTAL BLDG. FEES Water Line OK Mechanical Ins•: ion PART P/C FEE SEPA REVIEW GAS PIPING OK Date By li ^ / J�� WATER SERVICE C /,2 WATER MAIN CHG. ' ' A _11 _ '/ S.B.C.C. FEE SO/ OTHER FEES MECHANICAL PERMITnn 1 AMOUNT DUE _ Account No. 010-000-322-10-004 Total VI- 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: ••,,,/.3(1 OWNER OR AGENT DATE N. o -n o 0 0 0 0 cn D Z D 7D r > m -4 D m -4 K m W O 0 0o D NI ' z 0 O 0 p D O m C0 10 I C C m 002 1-1 D W Z 0 Z . O o CD k 0 0 Z 0 0 0 n D c • D y D • m C m -4 p - mO v z 2 O z O m c z � 0 c O 0 O c c�- 0 co 1 >D { ! -< 0 O Z (1) D 0 1 \ 0) A 0 0 3 0 13 • m r m = m ,__r' . co D co Z I Z •-i , O n O O D O o r D Z O Z u) 1 c o -u Z -n m 0 O , Do 0o D CO CO r 1 1 RECEIVED Permit # / - / ) 3 / OCT 3 O 1991 CITY OF FEDERAL WAY Gip/01= FEDERAL WAY BUILDING PERMIT APPLICATION UU%lDING DEPT - Please Print— BOX 1 TENANT NAME: OWNER Z/ L�-- �; c - ' SITE LOCATION 3 Z' 7-2-) ler S OWNER'S ADDRESSeyt1 I Gz.e'A /r rL CITY/ A/44 /04-PHONE77.f-7z4Z- DESCRIBE JOB IS'/*XV THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Gl_S.z' CONTRACTOR'S REG. # Aiek4/043-3— Card MUST be presented CONTRACTOR'S ADDRESS ,"0 ? ``/srIZ 5 CITY F yl€LctJ19y PHONE ev6/'2g EXPIRATION DATE % ry 5 1Z — 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 '/eie. ree9/f/WSd/'l PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER /4-1970 —c9.2 7C LEGAL DESCRIPTION Z r..a 7 PZ," c'EA4R cep,c a c4e '' 104,--JE'c'cwr c0E Awe (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # 90P_Tr-'2 p/L_4' 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 3c' $ 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 $ 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 EMPLSYEES, UPO Tj-IE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: 44AV. DATE: /a - 4, ANP-008 3/90 A • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) 0 \/13'3IF4 ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL >�+ if REMARKS: •tE up SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL ____ DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY TYPE OF CONSTRUCTION STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: RECEIVED PARTIAL PLAN CHECK FEE RECEIVED OCj. 3 O ,191 Amount Date Receipt# nc FiflERAL WAY BUILDING DEPARTMENT APPROVAL iaiDISQ FI _ _ DATE ACCEPTED FOR FILING • • tt • • • r