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90-101640 MECHANICAL PERMIT CITYOF BUILDING INSPECTION DERAL WAY LD I N G PERM IT 941-1555 FE B U I 96- � o���t�o PERMIT NO. 90-1 SE1 M OWNER'S NAME BFA TnRNSON JOB ADDRESS 1 1 1 �i SW �(10 ST CONTRACTOR NW WATFR AFATF.R ADDRESS R?O 1 1�uRAN('� $9' GW TACnMA CONT. PHONE g�d �d(1 d CONT. REG. NO. NORTHWA�L37TCT 1 2�90 OWNER'S PHONE 9e11—R��� OWNER'S ADDRESS SAMF 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. �+1 �i�7(1-OdR7 LEGAL DESCRIPTION ISSUED BY RT.T 7.ARFTA_ c*nrn�R DATE OF ISSUE /� � �`�' DATE OF APPLICATION 12�4�9 O BUILDING INFORMATION N NA MECHANICAL BLDG. SO. �• NA ZONE NA OCCUPANCY TYPE OF CONSTRUCTION SET BACKS: FRONT NA SIDE NA REAR NA STORIES NA 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. 6.50 MISC. SINKS MISC. CONVERSION BURNER BASIC FEE ZO.00 RETURNED DISHWASHERS TOTP.L FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 26.SO 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 G.S O TOTAL 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 $26.50 Account No. 010-000-322-10-004 Total Fee $ � 5 �' Receipt No. %�'��I 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 T ION FURNISHED BY ME TRUE AND CO CT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS ILL BE MET: OWNER OR AGENT �"'� . f�' � DATE ,�`�- '��`-� MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERALWAY BUILDING � � � � � � 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. IEGAL 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 TA (S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT , NUMBER LAVATORIES DRINKING FOUNTAINS GAS j�OT WATER HTR. MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTP.L 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 MECHANICAL FEE TOTAL BLDG. FEES Water Line OI{ Mechanical II1Sp2CtlOt'1 Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK Date By WATEF 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 FURN!SHED 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 O : i � � , � ; . j , '' � ` � '�. '�. J .; r� J Y m Z m ?� m � p �O ' W -,S U i � ' � p W Z i d � � � � z 4 � O Z Q � � ' Q � I V! CS U Q � Z j Z ' O� I m ' Q � w = w J w � W � a � � \ nJ. O � � � � � � I � � I �' � I � � � J � �, � � J ' � � � I i I a � � � z ' ' •1 �. O Q m I � m ' � o i � i i � • v � �. O I Y Y I `` � p � i w Z O II J Z � I �� a �- � � a. J � F � � � � � Q � \ O � � C7 Z o a '� � 'I I � V�' �—'� n, i i � /j D .� � ' `� � � � � � �'� c� � z I z � m m a m a m � � Z � _ �li o = I w ' � o � � ' �� � Q I � I � i O "'� \ � � I i � � Y Z i W � � � i � � � � a ' m o m w � w � w Q w � W Q J Q Y Q Z Q � � tn o a o O o lL o �. Permit # �� � '�-' f�- RECEIVED , DEC - 4 �ggp CITY OF FEDERAL WAY , C�7YOFF�q�qq� wAY BUILDING PERMIT APPLICATION BUIL�ING pEp7' —P�ease Print— BOX 1 TENANT NAME: OWNER T� � C'�Y� SITE LOCATION ' ` ` ?�` � � OWNER'S ADDRESS, � '�- � � C C � CITY F� c�r l,U�°�-T PHONE `�y I-�5r��'� DESCRIBE JOB � Ci,n � THE PROPERTY IS OWNED BY: SING E/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME � CONTRACTOR'S REG. #-NC�-1-h�.�.�'lI��I � S�} Card MUST be presented CONTRACTOR'S ADDRESS �� � S� CITY ���,l'�i'�n Q- PHONE Lj�S��`��C'`T EXPIRATION DATE - - OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITI OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS ITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON �-- ' PHONE ��-I-L.e MC%t/ BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER S�CJ�JoZ�% '"� ���� rI 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 �� O COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ �,�' BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANIC L APPLIANCES— BASIC FEE$ . N0. WATERCLOSETS GAS PIPlNG, FEET • $ BATHTUBS N0. FURNACE, ELE �. 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 $ �RAINS $ - 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 FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS MADE.I FURTHERAGREE TOSAVE HARMLESSTHE CITYOFFEDERAL WAYASTOANYCLAIM(INCLUDING COSTS,EXPENSES,ANDATTORNEYS' 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. �� , � ° c� OWNER/AGENT: �,.1�,� 1 (' e�l� �� �Q� DATE: I�-LE- !�) ANP-008 3/90