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90-101655 MECHANICAL PERMIT CITY OF BU ILDIN G PER M BUILDING INSPECTION ECTI ON 9491-15,65 6 s FEDERAL WAY JOB ADDRESS 3616 SW 322 PL 984-6404 90-1867M OWNER'S NAME TOUMA MOUNIER CONT. PHONE PERMIT NO. 8201 DURANGO ST SW TACOMA SAME CONTRACTOR NW WATER HEATER ADDRESS 226_3358 OWNER'S ADDRESS NEW PUBLIC PUBLIC ADD. TONT. REG. NO. NONCE_ 37KJ 12/90 NEW OWNER'S PHONE INDUSTRIAL NEW COMMERCIAL_—MECHANICS INDUSTRIAL ADD. ADDITIONOTHER TYPE JOB: NEW RESIDENCE MULTI.ADD. SIGN GRADING NEW ACCOUNTCNNO 109961 0040 LEGAL DESCRIPTION NA TAX NO. ISSUED BY ELIZABETH SNYDER DATE OF APPLICATION 12 5 90 DATE OF ISSUE BUILDING INFORMATION BLDG. SO. FT.NA NA TYPE OF CONSTRUCTION ME HANICAL aTa NA OCCUPANCY 14 STORIES NA HEIGHT LIMIT ZONE SIDE NA REAR BOND SET BACKS: FRONT NA NO. PLUMBING NO. FT BOILER RECEIVED GAS PIPING TANK(S) WATER CLOSETS ELEC.UNHOT WATER HEATER COMPRESSOR NUMBER ____-- BATHTUBS LAUNDRY DRAINS AIR HANDLING UNIT FORCED AIR FURNACE MISC. -- SHOWERS URINALS GAS RIOT WATER HTR. �.50- RETURNED DRINKING FOUNTAINS BASIC FEE __--NONE -- VALUATION CONVERSION BURNER AMOUNT MISC. TOTAL MECHANICAL 2_6_511_ ----- DISHWASHERS UNIT HEATER DISHWASHERS TOTAL FIXTURES NONE---- *— yTNF, AFFIDAVIT WILL NOT SUFFICE. VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE �' Mechanical Inspection Notes: Water Line OK TOTAL BLDG. FEES PART PIC FEE ------ GAS PIPING OK Date By SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE MECHANICAL PERMIT 26.50 Receipt No. > > OTHER FEES Total Fee $ Account No. 0.10-000-322-10-004 AMOUNT DUE F ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE OE EE YEAR AFTER LDA E O TY OF FEDERAL CWE. Y I CERTIFY THAT THE I ATION FURNISHED = ME IS TRUE A I CORRECT TO THE BEST OF MY KNOWLEDGE AND T REQUIREMENTS W L BE ME j L - b C1 v 1 �� DATE MECHANICAL PERMIT CITY OF INSPE BUILDINGCTION FEDERAL WAY BUILDING PERMIT941-1555 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 GAS1-1OT WATER HTR. MISC. SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES / UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION Vv//` 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 411. Permit # v - 6 CITY OF FEDERAL WAY i0- ,, N BUILDING PERMIT APPLICATION r^(\L.W' - Please Print— BOX 1 TENANT NAME: OWNER n'1NufiE--f' it. Tcvto m0. SITE LOCATION .�(>-1C49 SSW : .Wn`i PL. OWNER'S ADDRESS 5a rrn.Q 0.,i , ( -4- 0Y- CITY `i-...� a WC-L(4 PHONE - , --?(.0 -33F_ DESCRIBE JOB j t`l:3l--a 1 l Ca S Lit J �.� THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Ni ice' Li ( ,L I Lc aA. CONTRACTOR'S REG. # NCa do --�'1139te 5(,tj Card MUST be presented CONTRACTOR'S ADDRESS t-+_o�% �� ti LIACl fY 9O J+CITY ' QCCI Pit k PHONE `1 S'1-1-(-P 404 EXPIRATION DATE IZ-2-Z.-c10 — 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 L''l.�CC( `4 L(& I PHONE 9S LI'(.1 Ll CA-( BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER I C A LI C"F ( — CCC? 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 (x) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL OTAL 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 i 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: .�,tt_C �- "-�W''l.,`t.I? DATE: l - L)" c`, �, ANP-008 3/90