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92-101020 MECHANICAL PERMIT Gja- )D/D ,ZU CITY OF BUILDING INSPECTION BI L D I N FEDERAL WAY u G PERMIT 661-4140 PERMIT NO. 92-1078 M OWNER'S NAME BUTTERFIELD SITE ADDRESS 30820 11TH AVE SW CONTRACTOR AMERICAN HEATING SE13g _INC 7517 PORTLAND AVE TACOMA CONT.PHONE 847-8399 CONT.REG.NO._ AMERIHS1O7M6 EXP. 792 OWNER'S PHONE 941-4717 OWNER'S ADDRESS 30820 11TH AVE SW FEDERAL WAY 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. 525980-0250 LEGAL DESCRIPTION ISSUED BY JOANNEJOHNSON DATE OF ISSUE _ s,) �' F % `'ry_____DATE OF APPLICATION 7-15-92 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 10 FT 2.00 GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK ..EWERS URINALS GAS HOT WATER HTR. _ AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MtSC.INSERT6.50 SINKS MISC. BBQ - BASIC FEE 20.00 RETURNED C iSHWASHERS 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 •OTALMECHANICAL FEE 28.50 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. ('? y _. / ',i,.,: _ -- 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: - 'T' 7 OWNER OR AGENT t I �� 'C- DATE �' l� � MECHANICAL PERMIT q.)' )0/ () ) O CITY OF BUILDING INSPECTION FEDERAL WAY . BUILDING PERMIT 661-4140 92--1: 3 M 41ITTSRFIELD 30820 11TH AVE .71 PERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR AMERICAN HEATING SE ADDRESS INC7517 PORTLAND CQTy�HO 841-8399CONT.REG.NO. AINgRI 107 EXP. 7I OWNER'S PHONE 941-4717 OWNER'S ADDRESS 30820 11TH A�8 FEDEPAL 'z 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. 525 A-023' LEGAL DESCRIPTION ISSUED BY 70A OHNSM' DATE OF ISSUE DATE OF APPLICATION _ 7--1 --t3? • 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.1NSXT 6.50 SINKS MISC. BBQ BASIC F 20.00 RETURNED DISHWASHERS TOTAL FIXTURES DRYER TO L AL 28.50 AMOUNT �_ 3 -9 VALUATION L,.J�j- I- 18 GAS PIPING TEST MUST BE WITNESSED AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE i Liii ,:lt /?: PLAN CHECK FEE q UMBING FEE �, CORD G1 CHANICAL FEE 0 50 / TOTAL BLDG. FEES Water Line OK 1 -ctio Notes: �(w0' 1,,cc(c. //pd PART P/C FEE L� SEPA REVIEW GAS PIPING OK •-- -> - "-..(;? " II- Y _` LTJ,I/ pQr.c; /l 7)27/ .? (, :.) WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE \_ OTHER FEES MECHANICAL PERMIT < i0 AMOUNT DUE :t:, ,; Total Fee $ Receipt No. (?^ / �' c� n'S 1 nP•; ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL ANDR ING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEDF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: _ fi OWNER OR AGENT "`� DATE �� I SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE _- BY DATE _ __�_ BY __�- _ DATE ________� _ -BY __ ____ PLUMBING ROUGH IN WATER umE0x. MECHANICAL INSPECTION DATE BY - _- _ _- GAS PIPING O.K. � __ _ DATE __ __ _ __av O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL DATE_ BY DATE _-__�_��Bv DATE 8v FINAL O.K. TO OCCUPY DCD PSD FD DATE BY z� ��"L.,'� � «'�//� � ��a^� ��~ ' / _ _ •ermit # ID '1\11, RECEIVED BY CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT DEPARTMENT ` £ j= +^ILDING PERMIT APPLICATION ,tut. 15199 - Please Print— J U L 1 4 1992 BOX 1 TENANT'111A -;'-' �a ' OWNER ria_tte4,42.tr SITE LOCATION OWNER'S ADDRESS i9 CITY _ , - PHONE 9 /—s'"7 DESCRIBE JOB �a JU ) •..6;z Ll d THE PROPERTY IS OWNED BY: SINGLE/MARRIED X PARTNERSHIP CORPORATION J BOX 2 CONTRACTOR'S NAME 71 .ZULU'&-n 4,7 " e CONTRACTOR'S REG. # J€& � ,` �J Card MUST be presented '" CONTRACTOR'S ADDRESS ��j� .�li ; Qr.G CITY PHONE�> 77-f EXPIRATION DATE �- — 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 PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER _ h Y.c5:(9 —Oc25-C 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 J 2ND FLOOR J 3RD FLOOR _/ BASEMENT / DECK / GARAGE / BOX 8 ('4 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 / c' $ 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 HO9D $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER /V, %'a •�; J�2 $ 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 EMPLOYEE., PON THEtCCURa 0 THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT. DATE: ! ) ANP-008 3/90 • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: 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: cc-ITIr 1 PARTIAL PLAN CHECK FEE RECEIVED ,r •`fig, ' Amount Date Receipt# 0 BUILDING DEPARTMENT APPROVAL f 'EIVED BY DATE ACCEPTED FOR FILING