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92-100120 MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 MMTT7�FF ? a- )00)dO PERMIT NO. 92-0051 M OWNER'SNl{ME MORROW JOB ADDRESS 32024 4TH AVE SW CONTRACTOR NORTHWEST USI ADDRESS 1908 341ST PL S #9 FEDEAL WAY CONT. PHONE 952-5433 CONT. REG. NO. NORTHUS1O1JJ OWNER'S PHONE - 874-6334 OWNER'S ADDRESS 32024 4TH 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. 926490-0350 LEGAL DESCRIPTION ���7 E JOHNSON ISSUe[T'B I DATE OF ISSUE Cr DATE OF APPLICATION 1-16-92 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 68 FT. 2.00 BOILER RECEIVED BATHTUBS _ LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GASpOT WATER HTR. 6.50 MISC. SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 3S- 50 AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. •RMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE 38. 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 el.., AMOUNT DUE 38.50 Account No. 010-000-322-10-004 Total Fee $ 38.50 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 WIL S6EM T: �,n OWNER OR AGENT .1,e4� 'L DATE / MECHANICAL PERMIT CITY OF B U ' L D ' N G P E R 1111 I T BUILDING INSPECTION FEDERAL WAY 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 111) 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 FT BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GASpOT WATER HTR. MISC. • SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER _ TOTAL MECHANICAL hill. .11Nillk o: VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. 14 S F . PERMIT FEE PLAN CHECK FEE \iilli % UMBING FEE INSPECTION RECO', _CHANICAL FEE !!''--/ TOTAL BLDG. FEES Water Line OK Mechanical Inspectio , .. AZi PART P/C FEE Or SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. /iPt S.B.C.C. FEE OTHER FEES MECHANICAL PERMITAMOUNT DUE _ Account No. 010-000-322-10-004 Tota $ No. ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMPIREYEA�ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APAABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE 1:11C / • Permit• j)- -(11)b I i� JAN V�1? c ,�F 161gg2 CITY OF FEDERAL WAY euklivciE BUILDING PERMIT APPLICATION OEP7 k - Please Print— BOX 1 TENANT NAME: OWNER r l02-P c1c 1 m; SITE LOCATION 3QC4`)`� �/ ��e S,(,� . OWNER'S ADDRESS 3� c-/ �) awe ,S.LJ CITY AQPc.4_f) PHONE 9-g9---�-81-V3'3C/ DESCRIBE JOB s'_v►1cc,�t' r>r-N l=c�p �_� �Jo THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP _CORPORATION BOX 2 CONTRACTOR'S NAME No CONTRACTOR'S REG. #/gc:.212 Lk (.0(T� Card MUST be presented CONTRACTOR'S ADDRESS (9O$ -3i l PI. S. - 7 PHONE 9 -49 x`/33 EXPIRATION DATE I S'9) — OR — Alf I HAVE READ CHAPTER 18.27.010 RELATIN o DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON DnPHONE9ZEL9 L BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXIS BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBE co(,L19 0 --DISC ) 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 J 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 oe BATHTUBS NO. I 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 HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS ( OTHER 4--"c�3 $ DRAINS $ :THER :i•�►�t._are'_ ■ .:: id4r. $ TO A L 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: 4,,p7vUdr_./;7" " DATE: // ) ANP-008 3/90