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92-100748CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT BUILDING INSPECTION 941-1555 92-0772 M Q, CHARLES MARIS PERMIT NO. NORTHWEST-WA•1-E�R S_NEATE 8201 DURANGO CONTRACTOR jjjj DRESS 30605 9TH AVE S JOB6F ''1jAAC(�� CONT. PHONE 984-6404 CONT. REG. NO. NORTHWH103R2 OWNER'S PHONE 839-0845 OWNER'S ADDRESS 30605 9TH AVE S 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. 174500-0150 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE l� L DATE OF APPLICATION 5-19-92 BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG.SO.FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT UMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND ATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT BOILER BATHTUBS LAUNDRY DRAINS COMPRESSOR RECEIVED TANK(S) SHOWER'p URINALS FORCED AIR FURNACE 10-00 AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS rIOT WATER HTR. 6.50 MISC. SINKS MISC. CONVERSION BURNER BASIC FEE 20 - OO RETURNED DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 36.5 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 36.50 TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE PA REVIEW GAS PIPING OK Date By TER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE 36.50 Account No. 010-000-322-10-004 Total Fee $ 36.50 Receipt No. 0;2- -/4�S 7 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 WI OWNER OR AGE4T E MET J DATE ffz �c z1__ CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDING PERMIT q)- to b �� A BUILDING INSPECTION 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 NE 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 RIOT 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 FEE VECHANICAL AL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK c� Date 1 MBy 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 0 SET BACKS AND FOOTINGS DATE BY OX TO POUR FOUNDATION WALLS DATE — __ - —,..,BY PLUMBING GROUNDWORK DATE BY PLUMBING ROUGH IN DATE BY WATER LINE O.K. GAS PIPING O.K. JA_ 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 _511 71f _�o 6Y DCD PSD AECEjVEFD MAY 19 1992 �li11Q'��t �Ar tar. BOX 1 TENANT NAME: Permit #V"— CITY OF FEDERAL WAY BUILDING PERMIT 'APPLICATION — Please Print — OWNER C I ()CtJV1� "11 Vlrnv� S SITE LOCATION"3 "'� _ - OWNER'S ADDR SS .. _ CITY 4t >A. ' v PHONES DESCRIBE JOB ! vS ti�1 v�qc g � � kk4-LA, THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAM � ► E CONTRACTOR'S REG. 4I t�'JMw 1 34-4;�- _ Card MUST be presented CONTRACTOR'S ADDRESS - L CITY �(°_{�1-�/� c:> PHONE 17k "' 1. ciii 9 EXPIRATION DATE I of ---)- —OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DE S OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON cLn CA -Q--/ PHONE c_+ V I Li G'-1 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBERS G I $ LEGAL DESCRIPTION $ HEAT PUMPS, SIZE (If necessary, please submit a separate page with the legal description.) UNIT HEATERS K.C. Plat Recording # AIR COOLING UNITS, SIZE BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / OTHER 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 .n 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 MECHANI AL APPLIANCES — BASIC FEE $ GAS PIPING, FEET `04t . �''`�� $ N0. FURNACE, ELEC. J GAS k $ 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 OFTHE 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: (G�" LCA: --C ' DATE: I 19 a ANP -008 3/90