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90-101175 MECHANICAL PERMIT CIT,Y OF B � � p � BUILDING INSPECTION ,FEDERAL WAY u N G P E R M I T 941-1555 � -�o ,►� PERMIT NO._ _ 90-1386 M OWNER'S NAME W T.T.TF. AANSnN JOB ADDRESS 1 441 $W nASA PT R(lAll CONTRACTOR pACTFT _ CAS A .ATTNC & AOb�SS 2702-A 1 1 2TA ST F. TA(�MC`A CONT. PHONE ��-'j�97 CONT. REG. NO. pACTF �H1 1 OMF. OWNER'S PHONE OWNER'S ADDRESS 1 d41 S.W._DA�A PT $OTll 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. �1721 04-91 4fi LEGAL DESCRIPTION ISSUED BY •TOANNE �T�QSON DATE OF ISSUE � '�7- (!� DATE OF APPLICATION $-7(1-Q(1 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 ZO.OO AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. G.�J O MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE �QQ DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL �Q 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 3 H.S O �.,TAL BLDG. FEES Water Line �K Mechanical II1S�Ct1011 Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES NIECHANICAL PERMIT L AMOUNT DUE 38.50 Account No. 010-000-322-10-004 Total Fee $ 38.50 Receipt No. � �7 0-/� 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 T: OWNER OR AGENT �) DATE �I��Q(J MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 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 HOT WATER HTR. MISC. SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED 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 INSPECTIIX�1 RECORD MECHANICAL FEE TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE � SEPA REVIEW GAS PIPING OK Date � � C 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. 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 _ __ �� _.l8�, /' T� 31'da 4� �Sd 0�4 L / ` .ldfl� O 1 N O �tiNl� 1.8 31ba - _ A8 —_ 31`d4 _ A8 31'da ��VM 3t31� aN�i Qab08 llbM N011b'lf1SN1 JNIWda� 3SO��N3 Ol ��O __ __ __. __ �8 __ --_ _ 31d4 - _ _ �H O JNidld SVJ �l9 31`da N011�3dSNl �b'�INbH�3W '�i 0 3N1� d31b'M NI HrJ(lOa JN18Wfl�d .l8 _— ---__—_ 31`d4 _ A8 31d4 A8 31tfa llaOMflNflOtiJ JN18Wfl�d S�lt1M NOIldaNflO� dflOd Ol N O SJNIl00� aNt! S��b'8 13S / 1 P� ��t # 9� -j�� T .. CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION —Please Print— BOX 1 TENANT NAME: W��`� OWNER SITE LOCATION OWNER'S ADDRESS ��I�I� S W OAS�-1 T CITY PHONE DESCRIBE JOB Gt�S �'vR s.� w�sr.�.Ne�T�a• THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME e�'LS' CONTRACTOR'S REG. #��C.�FG^�-II IV YYI� Card MUST be presented CONTRACTOR'SADDRESS �7ba�� 11�.T�ST� CITY T�1C0�(11� PHONE S3(Q7Qq� EXPIRATION DATE `)TSTq 1 — 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 S�.�e_ e,. 1.�� PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER �'CC7-10�1(��J '�'I l LI�o 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 (N0. OF UNITS = ) ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL T L AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ N0. WATERCLOSETS GAS PIPlNG, FEET 30 $ BATHTUBS NO.�_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 $ DRAINS $ OTHER $ TOTALFIXTURES $ 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: ��.A�w.��.r•�'� DATE: �'�I_QQ ANP-008 3/90