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90-100519 MECHANICAL PERMIT CITY OF BUILDING BUILDINGWAY PERMIT 941-1555 9-0- /DD5) g PERMIT NO. 90-713 M OWNER'S NAME EMERALD HOMES 29842 10TH AVE S.W. JOB ADDRESS CONTRACTOR AT,PTNR HEATING & COOLING 14522 NE 190TH ST SUITE 201B WOODINVILL ,n CONT. REG. NO. ALPINCH117RG OWNER'S PHONE 228-7508 OWNER'S ADDRESS P.U. BOX DIT6P3HONE_ 4TuN2702 TYPE JOB: NEW RESIDENCE ADDITION _ NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEWbPUBLIC_ 11_VV PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION LOT 12 BLOCK 3 DEMARWOOD ADN TO KING CO ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 5-25-90 BUILDING INFORMATION ONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING NO. NO. l MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING 40 FT. 2.00 BOILER BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) RECEIVED SHOWERS URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC. COOK TOP 6.50 SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 45.00 AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD IFCHANICAL FEE 45.00 TAL 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 45.00 Account No. 010-000-322-10-004 Total Fee $ 45.00 Receipt No. 103q//‘ CJ/ 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 0/ 7 6 MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY U I L D I N G 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 OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. 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 HOT 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 NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD HANICAL FEE lipL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK 6- 67 10 Date b 27-`IO By 16i 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 it‘J1 J � J IY m Z CO CO O 0 W U c 0 z a o 0 Z Q N J O 1 0 Q c U 0 Z a °m m • ~ W~ U ~ J W Q a. o 2 o o ccn J p JU) z • 17-O m I m &, ''N.\',.\ Q 1 O LL O Y Y O b -.4 4." cc 1 wZ 0 O I J 0 0 O w a Q (r~ N 0 0 z LL I- 1-- Cf) /- 0 i o oy N \'' I >- r 2 r m m a m a o \,,,, z Z QU=tiO OJ O CC U ~U w Y U Z Q CN i m , O O fes- V i • m W n W ~ W Q W \C cci) o a 0 O 0 LL 00 • rnit # 7`c) / 1 .3 = CITY OF FEDERAL WAYG5��0 BUILDING PERMIT APPLICATION RE �99� — Please Print— MI's` 2 CS �OWPi VI- BOX 1 TENANT NAME: GV“ v\1.O\NG. cll.() () OWNER ►v, n4. / ci, 1-4 o»le .s SITE LOCATION 1..95-t`I'1 /0 AV. S k OWNER'S ADDRESS P 0 l3 ox $ 8 46 5" CITY R ,v--o w (AJ14 PHONE 2A1- To 8 DESCRIBE JOB Ia,s421ll Fc,,4u4ce /1.,-/ t J« 74w,k /a 4 5Ais pipiA's 'C ....41`1s THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X BOX 2 CONTRACTOR'S NAME /1413/N&- 1-1 c.• 4-,;v9 4- CG a I,..9 CONTRACTOR'S REG. # *LP/PHc WI /e er S.";i—-ko I(3 . , Card MUST be presented CONTRACTOR'S ADDRESS /6/5 .2 /L£ tq 0 54 CITYW000,U%,t lit PHONE `/S' "),, ? c, 2 EXPIRATION DATE / , /et b fj— — 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 {) Le da u g c ft_ft�� PHONE 9(19 - Y o / BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER I g 5 Y 4,0 - 01'18 - 0 3 LEGAL DESCRIPTION Let !'& 3/ock 1 D e anw, woe° igcoo. -{o 1<,;,,5 C e (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # Vp(vw< S'1. R9Srs 4 r T /v k,:.i5 Co 'excrp4 itt F, /8-O if forma BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 OQ SINGLE FAMILY ( Q 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$ 20, NO. WATERCLOSETS GAS PIPING, FEET '10 Pt. $ -2. C 0 BATHTUBS NO. I FURNACE, ELEC. GAS X $ 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 c-oif,k T tsvo $ (cr Sl') DRAINS $ OTHER $ TOTAL FIXTURES TOTAL MECHANICAL FEE $$ 4,< ' 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: i.�rsa—. DATE: S_7,/, ST/ ANP-008 3/90 . S 11OFFICE 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 64j ie �oASSIGNED ADDRESS: 060 t:c1 y/0o7/°9 -�� PARTIAL PLAN CHECK FEE RECEIVED �1 Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE ACCEPTED FOR FILING