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92-100699CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT q>, ps 0 (a � � BUILDING INSPECTION 941-1555 PERMIT NO. 92-729 M OWNER'S NAME E SPUD WERNER JOB ADDRESS 31728 7 AVE S CONTRACTOR NW WTR HTR ADDRESS 8201 DURANGO ST SW TACOMA CONT. PHONE 984-6404 CONT. REG. NO. NORTHWH103R2 1292 OWNER'S PHONE 984-6404 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. 794160-0340 LEGAL DESCRIPTION ISSUED BY E SNYDR DATE OF ISSUE DATE OF APPLICATION 5111/92 BUILDING INFORMATION ONE 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 10.00 AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�iOT WATER HTR. 6.50 MISC. SINKS MISC. RETURNED CONVERSION BURNER BASIC FEE 20.00 DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 36.50 AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD 14OCHANICAL FEE $36.50 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. - �} / 'n, /� .B.C.C. FEE OTHER FEES O MECHANICAL PERMIT rJy will` )�/ IL E) AMOUNT DUE $36.50 Account No. 010-000-322-10-004 Total Fee $ 36.50 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 FU`ISH BY MkIS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY `FOUIREMENTS WI OWNER OR AGE T: C DATE > CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING INSPECTION BUILDING PERMIT 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 ONE 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�iOT 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 .CHANICAL FEE TAL BLDG, FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK Date 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 0 SET BACKS AND FOOTINGS DATE-- -_ _____BY___ OX TO POUR FOUNDATION WALLS DATE BY PLUMBING GROUNDWORK DATE BY . .... . PLUMBING ROUGH IN DATE__ __ _ BY..-- WATERLINE O.K. GAS PIPING O.K. MECHANICAL INSPECTION DATE --BY O.K. TO ENCLOSE FRAMING DATE _ . .. ... .... . __BY INSULATION DATE BY WALL BOARD AND FIRE WALL DATE BY FINAL O.K. TO OCCUPY DATE BY DCD PSD FD mit# o a- CITY OF FEDERAL WAY MAY 11 1992 BUILDING PERMIT APPLICATION O/ OF FEDERAL WAY — Please Print13UILDM DEPT — BOX 1 TENANT NAME: OWNER SITE LOCATION —1-120 OWNER'S ADDRESS 311 CITY PHONE DESCRIBE JOB' 'jC&C THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAM - 11� /7+_6 A 'l. _ CONTRACTOR'S REG. # �, Card MUST be presented CONTRACTOR'S ADDRESS St SV' CITY 1l6wyyy;_- PHONE q1?Lj —L2LJOu 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 BOX 4 SEWER DISTRICTy WATER DISTRICT PROPERTY TAX ACCOUNT NUMBE 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) N0. WATERCLOSETS BATHTUBS SHOWERS LAVATORIES SINKS DISHWASHERS (_ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS _OTHER_ -- TOTAL FIXTURES MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET $ NO. FURNACE, ELEC. GAS. $ GAS HOT WATER HEATER $ CONVERSION BURNER $ BOILER, SIZE BTU $ AIR HANDLING UNITS $ HEAT PUMPS, SIZE $ UNIT HEATERS $ AIR COOLING UNITS, SIZE $ COMMERCIAL HOOD $ OTHER $ 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: DATE: ANP -008 3/90