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90-100160 MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G PE RM IT 941-1555 9� ��D��o PERMIT NO. 90-07� nM OWNER'S NAME $n,$IE C� JOB ADDRESS 5340 $W-��-��`�-.�-� CONTRACTOR �'j1n1jIE SHEET METAL ADDRESS 6229 B SO AL��LMIS TA�'C�N� CONT. PHONR�?-t�Aoo CONT. REG. NO. R�1TI1j,ISM1IOQN 1 1 /9(1 OWNER'S PHONE 661-2422 OWNER'S ADDRESS ��MF �,� ��+� TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADO. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER ��71T_ TAX ACCOUNT NO. j1jA LEGAL DESCRIPTION �ji ISSUED BY R,L�Z�$��j�� DATE OF ISSUE DATE OF APPLICATION �T��TTn BUILDING INFORMATION NE �� OCCUPANCY �� TYPE OF CONSTRUCTION N� BLDG. S�. FT. �r� SET BACKS: FRONT �� SIDE �� REAR �� STORIES �� HEIGHT LIMIT�i1 PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING�_FT. ��Q BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPFESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. 6.SO MISC. SINKS MISC. CONVERSION BURNER BASIC FEE 2O.OO RETURNED DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 28�5� AMOUNT NONE VALUATION NONE GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE $2$.5O TAL BLDG. FEES Water Line �It 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 _�o �� Account No. 010-000-322-10-004 Total Fee $ �, �J 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 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 �"" �` �� MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERALWAY 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. 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 HOT 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 BING FEE INSPECTION RECORD IANICAL FEE TOTAL BLDG. FEES Water Line OIt /�/� Mechanical Inspection Notes: PART P/C FEE i SEPA REVIEW GAS PIPING OK �3 Date � � "y`�By � WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNTDUE 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. 1 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 W�LL BE MET: OWNER OR AGENT DATE J I � i � j j I J J Y m Z c°, � °° O I � H ! � � S ' U i � i IL � ' W ', Z � a ' p i � � � Z O ; Z Q i � � I Q � � � U � Q , Z I Z j O�p � p� Q � UJ U F- J � W Q � o � o � o � I, j i � I �, � � J p J � � I o � � i a � z ')` O m � �i m Q i .�' i i Z J � aI � � i Q Y I � O W Z O �, J Z � � a , a F O � a Q � � Q w w 0 0 � � z o 0 j � i � � j I � � � � c� ' � i ' z z } �- � r r � m m Q m a m o � ? � , � i o � _ � w � '' c� � z ( � I o ii o i � � � Y � �7 W Y I Z � Q : m I O m W � W � W Q w � W Q J Q Y Q Z Q cn o a o O o � o �� o, � �-�� .� �� o�� , l �`� � �� 4�� O o CITY OF FEDERAL WAY o�9� BUILDING PERMIT APPLICATION A''`�9� —Please Print— BOX 1 OWNER � i� ��` Jg6 LOCATION -��- OWNER'S ADDRESS 5�.s y� -� �_ i��d, ��D CITY rc[Y'�% �-�' PHONE c�G�/"ZyZ Z-. DESCRIBE JOB /-l�7' !`.�.��cr 7%'r►1e; /`�/"/�<c�h�.�`� � THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME �'r�c � �� C�?�- CONTRACTOR'S REG. # J�r��5�'1 l/c>4��1J Card MUST be presen ed CONTRACTOR'SADDRESS ��-�-�� S� ��3�� CITY ��"�'�'�" PHONE__�� 'ydjl EXPIRATION DATE /�—/--l� — 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 PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) iST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAI�APPLIANCES— BASIC FEE$ - � �'� N0. WATERCLOSETS GAS PIPING, FEET 70 $ Z ,� BATHTUBS N0. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ `C� 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 FURTH AT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER- FORM THE WORK FOR H PER PLICATION IS MADE. � _.\ OWNER/AGENT: i3'' 7`'`"':l•� f"✓`'(�— DATE: ��-�"— �G ANP-006 2/90 �..�'v�"°�f�.'.;�....µ-Zy,;,,...---�•�•�--�,�x.._...,,..-.. -....e■'�i,i�'�,��s�`e+�'i:yr�.��a*.,�-�•.- ,,w..,�q�,-,.a.�-�.-�.-..,_ .-,�-+,�..�-i�.auc��,tTTst'.".v�+C!�"� ^r•-;��r� - - . �r;ra„,a�=�.q�e"' .. . . �vak�.`R�Ss°�i. .. . _ -.r_� r�� ti. � � � � � OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER OCCUPANCY TYPE OF CONSTRUCTION STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION EBUILDING PERMIT N0. PLAN CHECK FEE REC'D RECEIPT N0. PERMIT FEE PLAN CHECK FEE ------- PLUMBING FEE ------- MECH. FEE TOTAL FEES SBCC SURCHARGE ENERGY SURCHARGE AMOUNT DUE BUILDING DEPARTMENT APPROVAL ----------------------------- DATE REMARKS: ASSIGNED ADDRESS: ��w.��'�� +�r�� 7 �g9� , �A�pY �� ' ;;� 9 L�.��,L,�.A. �. ��... RECEIVED ACCEPTED FOR FILING