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91-100447 MECHANICAL PERMIT 9 -ebb `/y'7 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 91-429 MBARBARA ANDERSON 29606 21ST PL S PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR WASHINGTON NATURAL G c§DRESS 3130 S 38TH STREET TACOMA CONT. PHONE 4 /5-6/00 CONT. REG. NO. WASHING285CB T PL S FEDERAL WAY 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. 660300-0080 LEGAL DESCRIPTION i &f ISSUED BY JOANNE JOHNSON DATE OF ISSUE i / I DATE OF APPLICATION 4-8-91 BUILDING INFORMATION )NE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT. ET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING 25 FT. 2.00 BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS;-10T WATER HTR. MISC. RANGE 6.50 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 INSPECTION RECORD IITCHANICAL FEE 28.50 AL 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 Account No. 010-000-322-10-004 Total Fee $ 28.50 Receipt No. 22114-- 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 INFORMATIO FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: 17"-/v4 ,O OWNER OR AGENT _ OaJDATE / /� s�005A6-Ct5- / 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 • ONE 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 pur WATER HTR. MISC. SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL Il ` . PERMIT FEEIlk PLAN CHECK FEE LUMBING FEE INSPECTION : 1- ' ' CHANICAL FEE , ' UTAL BLDG. FEES Water Line OK Mechanical I -Cti . -s 1 , i'l • PART P/C FEE SEPA REVIEW GAS PIPING OK Date B �� WATER SERVICE ��- WATER MAIN CHG. • S.B.C.C. FEE 1,5 . I OTHER FEES MECHANICAL PERMIT MO AMOUNT DUE Account No. 010-000-322-10-004 Total 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 ,( sk,REQUIREMENTS WILL BE MET: \vvv OWNER OR AGENT DATE 110 S .mit # ( _7 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION d —Please Print— " 'PR 1I110 1991 BOX 1 TENANT NAME: OWNER t(rr. Y f'Q . 4,7C/e/_'Sri—) SITE LOCATION OWNER'S ADDRESS .?V4'O 6 Q/Sy! ?P/ :S. CITY icde4a/ Cl.7Gc PHONE DESCRIBE JOB ins // • 000 KY& r THE PROPERTY IS OWNED BY: SINGLE/MARRIED - PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME (. .Sh,rLy )� �/) )q i`ura_./ .--der CONTRACTOR'S REG. # 1N// k' C( Card MUST be presented CONTRACTOR'S ADDRESS %,3/%.30 rS CITY 77(edmxt PHONE`/7-— 0/00 EXPIRATION DATE -3 — / 9 a — 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 A.,i)ir 3 r i � _ PHONE 23- 3-3.3 7 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER ,4,03O4 O08O 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 ( NGLE 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 -i- BATHTUBS hBATHTUBS 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 I— OTHER 12 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: ; �r2�r'L �/"i DATE: -V - ,) (/ ANP-008 3/90