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92-101014 MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 661-4140 PERMIT NO. 92-1037 M OWNER'S NAME MR OT,DS SITE ADDRESS 109 SW 366TH CONTRACTOalNERICAN HEATING SERVICEDoktie 7517 PORTLAND AVE TACOMA CONT.PHONE'S47-8399 CONT.REG.NO. AMER IHS1 07M6 EXP.7/92 OWNER'S PHONE 874-4685 OWNER'S ADDRESS 109 SW 366TH FEDERAL WAY TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAI NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 113960-0340 LEGAL DESCRIPTION - ISSUED BY JOANNE JOHNSON DATE OF ISSUE 7 r t V 1 DATE OF APPLICATION 7-13-92 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 1 0 FT. 7_0O GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT - 6_50 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 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 G AMOUNT DUE 28.50 Total Fee $ 28.50 Receipt No. ()a-1 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: c+�Ca _I -OWNER OR AGENTDATE 7 /&.-ice'- -c.li/� `!�9� CITY OF MECHANICAL PERMIT BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 661-4140 PERMIT NO. ti pp�� 1"i5Ji A OWNER'S NAME ,,y OLDS SITE ADDRESS i.L.i ;..,i.. 366TH CONTRACTOR ERtCA'N SMV2---.-. - ';ICaoDrtesS 7517 PORTLAND AVE .{R4A CONT.PHONE847°8399 CONT.REG.NO. A 'RT SZO 6 EXP.7192 OWNER'S PHONE 874-4685 OWNER'S ADDRESS 149 S 8& 1 F- "?RAI, WAY TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD._ NEW MULTI-FAMILY---n-jjyy44 JIb-034„j0 MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION JOANNE JOHNSON —7— ii, c1 ISSUED BY DATE OF ISSUE + DATE OF APPLICATION 7-13 -92 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 6.50 NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. 20.00 RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS _ TOTAL FIXTURES DRYER TOTAL MECHANICAL �r, 10 AMOUNT VALUATION C'''' GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEES PLAN CHECK FEE WUMBING FEE INSPECTION RECORD CHANICAL FEE 28.50 _ o TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: /' ( / c PART P/C FEE SEPA REVIEW GAS PIPING OK Date By -F( (AG ( © (� WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE Total Fee $ R . 53 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 r� . ' e" f✓ ", DATE W • emit �' -/03 7 0 # R ECEIV CITY OF FEDERAL WAY COMMUNITY EVELOPF�tENT DEPARTMENT BUILDING PERMIT APPLICATION ��� 1 0 1992 — Please Print— BOX 1 TENANT NAME: OWNER - `.k SITE LOCATION OWNER'S ADDRESS / 9 „la/_____.;61:_="2- CITY .E.d: -2Q- PHONE �7 �� ''�` DESCRIBE JOB .�j/�. A.fe� id, i-ii• �- 4//_' =7 THE PROPERTY IS OWNED BY: SI9V'GLE/MARRIED PARTNERSHIP CORPORATION r ".eve1fJ BOX 2 CONTRACTOR'S NAME --ii1��%ic'/v??..,/ -3.4- -4 4 < f;r(e. CONTRACTOR'S REG. #71177 .?���ii) _ and MUST be presented CONTRACTOR'S ADDRESS Z6/7 / - �7 7 ici.r�_�ila4 t%� CITY ''�� ,-/- (di _': PHONE __ /7 ") EXPIRATION DATE '77,-2,51-Z: — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICIt P HIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON /Z%:.l;-= PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER //396, 539/c5 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 (...k) 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$ N0. WATERCLOSETS GAS PIPING, FEET /fl $ 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 kis. AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER , `y� $$ DRAINS C OTHER I - . $ 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 QCURAC i THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: , t_2) /, DATE: ANP-008 3/90