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92-100099 MECHANICAL PERMIT 93,loDa 9 5 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 92-0040 M OWNER'S NAME OLSEN JOB ADDRESS 31417 31ST AVE SW CONTRACTOR ENVIRONMENTAL DESIGNd6REss 25328 SE 200TH MAPLE VALLEY CONT.PHONE 432-4247 CONT. REG. NO. ENVIRD1O98K1 OWNER'S PHONE 874-6895 OWNER'S ADDRESS 31417 31ST 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. 438801-0420 LEGAL DESCRIPTION (ISSUED BY JOANNE JOHNSON DATE OF ISSUE 7— //`9.� DATE OF APPLICATION 1-13-92 BUILDING INFORMATION ZONE 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 10 FT. 2.00 BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER 4 LAVATORIES DRINKING FOUNTAINS GASrHOT WATER HTR. 6.50 MISC. 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 AN CHECK FEE LAN 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 � � AMOUNT DUE 28.50 Account No. 010-000-322-10-004 Total Fee $ 28.50 Receipt No. ALL PERMITS EXP -E 180 DAY AFTER ISSUANCE IF NO •RK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT HE INFOR - ION FURNI;;!; " UE AND ERECT TO THE BEST OF MY KNOWLEDGE AND THE APPLI ABLE CITY OF FEDERAL WAY REQUIREMENT WILL BE/ • f OWNER OR AGE T VW?t '11111".Y, '' DATE 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 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 GAS 1OT WATER HTR. MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE 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 LUMBING FEE INSPECTION RECORD CHANICAL 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 ���� ���� SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE ___ BY �-___ DATE ____- _Bv ___� _ DATE ____ ____ _8Y PLUMBING ROUGH IN WATER LINE O.K. -__ _-___ ____ MECHANICAL INSPECTION ��, DATE __ _�ev _____ GASP|p|wGO.K._- 0,5/P-2"��u�� DATE __ ��__sY O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL DATE BYDATE BY _ DATE _�__ _-__�_BY FINAL O.K. TO DCD PSD FD oxrEv��� '7----BY v^ _ Peet # 53)_ ODv JAN 3 11,g2CITY OF FEDERAL WAY°111401I�r� °"�'' RN.„ BUILDING PERMIT APPLICATION orztor4Y -Please Print— BOX 1 TENANT NAME: OWNER • r A / SITE LOCATIO / 1-- % OWNER'S ADDRESS _J • Al / % CITY -I -.y '_ HONE f&�� r DESCRIBE JOB /it f T7-/1 6-A-5” /-7/t27- THE PROPERTY IS OWNED BY: SINGLE/MARRIED "— PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME AA./LI//0/J/Ve 7-7- . D&S/ /4/ ONTRACTOR'S REG. #/ 'i OR n I0r1 ci<l Card MUST be presented CONTRACTOR'S ADDRESS 253 2 6 SG 2-CC'f-4- CITY In/t L-LA - PHONE 14 3 2 4,0 4 7 EXPIRATION DATE I-1 - 1/ - j Z — OR— I HAVE READ CHAPTER 18.27.010 RELATING TO D IONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WH H PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON S PHONE ' .2- SEs- 7 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING B DING VALUATION YBOX 6 PROPERTY TAX ACCOUNT NUMBER 4,13 - YO/ 04 a C) LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat l,ecording# BOX 7 BUILDING `66QUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( INGLE FAMILY ( ) N NSTRUCTION ( ) MULTIFAMILY(NO. OF UNITS = ) (- XISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ NO. WATERCLOSETS GAS PIPING, FEET Il) $ 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 $ URINAL AIR COOLING UNITS, SIZE $ DRIN. G FOUNTAINS COMMERCIAL HOOD $ S , PS, SPRINKLER VACUUM BREAKERS OTHER $ i RAINS $ OTHER $ TOTAL FIXTURES $ r 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 IE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS' FEES INCURRED IN INVESTIGATION AND DEFEN'6E OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED AGAI E CITY OF FEDERAL W , BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS OFFICERS AN MPLO EES, UPON THEi CC ACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGE T. MP:**or i, DATE: / /,D 6_ ANP-008 3/90