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92-100291 MECHANICAL PERMIT 90'/O-6 , / CITY OF BUILDING PERMITBUILDING INSPECTION FEDERAL WAY 941-1555 PERMIT NO, 92-0239 M OWNER'S NAME ERNEST HANUSZ JOB ADDRESS 402 SW 322ND STREET CONTRACTOR NORTHWEST USI ADDRESS 1908 341ST PL S FEDERAL WAY CONT. PHONE 952-5433 CONT. REG. NO. NORTHUS1O1JJ OWNER'S PHONE 838-5097 OWNER'S ADDRESS 401 SW 322ND ST FEDEAL 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. 926490-1040 LEGAL DESCRIPTION Fri, /4., _ ISSUED BY JOANNE JOHNSON DATE OF ISSUE I DATE OF APPLICATION 2-13-92 IIIBUILDING INFOR A ON ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING NO. Na MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. 2.00 BOILER BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) RECEIVED SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS.0OT WATER HTR. 6. 50 MISC. SINKS MISC. CONVERSION BURNER BASIC FEE 70_00 RETURNED DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 78_co AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE AiLUMBING FEE INSPECTION RECORD CHANICAL 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 ./t.,, k. OTHER FEES MECHANICAL PERMIT AMOUNT DUE _ 28. 50 Account No. 010-000-322-10-004 Total Fee $ 28. 50 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 Lt-'- �= - c' t �� `� y�� DATE [ 7. � 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;-10T 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 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 a\a\\9 By �\v\ _ -- WATER SERVICE 1 1 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 1 j i J J m z m ?� m cc O w I o 0 ; cc o w D c0 Z ZJ Q O 0 Q CC U Q Z z0 m Q DI co w 0 w � w wQ x < 2 < 5 0 1 1 cn J O J i (n a z O co m 0 1 z j D O Y Y u O O Lu z O z Z_ p O a J a H cc E Q Or 1-ui h Co R H. 0 0 3 0 ? < 0 0 I 0 j z F= m m Q m a m O Zcc O = w I 0 co O a OO w 0 Y 0 z Y z i Q m Om w 2 w I— w Q1_ ~ 0 N Y ~ zccn 0 a 0 O 0 a RECPIV P �t # 01 FEB • °IrvoF 3 1992 CITY OF FEDERAL WAY r V U/ Frr NYBUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: OWNER ' i •o _ ♦ _ ' Z SITE LOCATION 2-117 ( S.L): 390 5 f- OWNER'S ADDRESS i . . CITY_FriPFIJONE a� P_� DESCRIBE JOB L .. a y ` c �LJ L�G .Q I QLr�, Ec THE PROPERTY IS OWNED BY: SINGLE/MARRI D PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME NO tL,e CONTRACTOR'S REG. #/ 4L- 5 !Oz Tr q Card MUST be presented CONTRACTOR'S ADDRESS l l()% 3// I �t�' - CITY Q_ !LV PHONE _ - �L 3 EXPIRATION DATE "5 () �j&2 I HAVE READ CHAPTER 18.27.010 RELATING Tll 'Q�ONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON C)e—ri.vti�� 2-r —'(�� PHONE `/ - Y33 BOX 4 SEWER DISTRICT WATER DISTpICT BOX 5 ESTIMATED PROJECT COST EXISTING BUIIIDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 904`j 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 ( ) 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 6- BATHTUBS BATHTUBS NO. FURNACE, ELEC. GAS $ SHOWERS DC.. 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: /�?J /QGl DATE: p2 �oZ ANP-008 3/90