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90-100710 MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 q� - lab7la PERMIT NO. 9O-ZO24M OWNER'S NAME LOCRWOOD JOB ADDRESS 1212 SW 3OO PL CONTRACTOR NW WATER HEATER ADDRESS 8201 DURANGO ST SW TACOMA CONT. PHONE 984-6404 CONT. REG. NO. NORTHWH113R.T 12�90 OWNER'S PHONE 941-2513 OWNER'S ADDRESS SAME AS SITE 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 �CAANICAL ONLY TAX ACCOUNT NO. NA LEGAL DESCRIPTION EXISTING HOUSE ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE % DATE OF APPLICATION 6/2 9/9 0 BUILDING INFORMATION NE NA OCCUPANCY NA TYPE OF CONSTRUCTION MECHANICAL ONLY BLDG. S�. FT. NA SET BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING�FT. 2.OO BOILER RECEIVEO BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) S: '�'W,,,ERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVis�ORIES DRINKING FOUNTAINS GAS HOT WATEF HTR. �� MISC. SINKS, ' MISC. CONVERSION BURNER BASIC FEE ZO.OO RETURNED DISHW��SHERS TOTAL FIXTURES rIONF� UNIT HEATER TOTAL MECHANICAL �Q AMOUNT NONE VALUATION NnNF. GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE �,7f2 r+f1 TOTAL BLDG. FEES Water Line OI{ Mechanical Inspection Notes: I PART P/C FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE /�� OTHER FEES P'1ECHANICAL PERMIT '� � � AMOUNT DUE $28_50 Account No. 010-000-322-10-004 Total Fee $ Receipt No. � C 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 ET: � � , OWNER OR AGENT DATE 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 OCCUPANCY TYPE OF CONSTRUCTION BLDCa. S�. 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 TOTAI FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION I�� GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD IANICAL FEE L BLDG. FEES Water Line �K 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 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 ✓ ' \ `C � U i , , � �v � � � � � � ' ' ti � � � � � � I i z � � MV } } "J } � f� Y m Z m � m �1 � O ' � � � � � o i � � � � � � z ( a , o i � J � ` p z i Q J � � ; � � i 'V C3 Q I � I � , � U Z i Z O� � \ � � w S w � w � � J J W Q> V � � c2 � > � (� Q � �/ � � � � I � i � � � ,� J ' I ' S � '\ ° � I ' i i ° � ` � Z ' ' � � � � � � o m I i m j \` '� ;; 1� � ! I � � � 'J � il � O I Y Y '�.. t��, � �� ,\ � � Q p � v � � . i ` � W Z p I � z p 1 � V1 I � F a v � Q V � i O Q Q Q � a � � � N � ; �I I; � O o � t7 Z o o �� 4 M " � q a � z � I �',_ � , ;I I ; � � y 5 i N � � � i t � � � I � � pr�i � N \ � � I I � �! u � � � �� v � � o m Z m � r r > � �` � m, � m n Q � t� � �v O - i ti I U-1 �I � ./ e' � � cn � O`�1�j �� ,� i �� i � i � j p�� T. � ,i \ � CJ� Y Z w i Y � � �1 � \ Q m ; o ' �� I IJ � \ � y `. m w � W t- w -� W '� \ , W Q ..=_I Q Y Q Z`�Q , 1 (n o n. 0 0 0 lL o � RECEIVED P ��t # �v -- I 0 JUN 2 91g90 CITY OF FEJE�iAL WAY C�TYQFFEDERALWqY BUILDING PERMIT APPLICATION BUILDING DEPT. —P�ease Print— BOX 1 TENANT NAME: OWNER l2 UD SITE LOCATIO OWNER'S ADDRE S < �` CIT . /�� /1 // PHONE c /-07��1? DESCRIBE JOB ` '� �— THE PROPERTY IS OWNED BY: SINGLE/ AR IED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME � r �tGt r' CONTRACTOR'S REG. # � ' Card MUST be presented CONTRACTOR'S ADDRESS f�-►'d� ��7 �^� CITY�LO/r'� PHONE��'�G�y EXPIRATION DATE � — OR— I HAVE READ CHAPTER 18.27.010 RELATING TO EFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON��'7 PHONE � � y4 y 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.) 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 ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES(inclutling rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ Z� ,C_'�1 N0. WATERCLOSETS GAS PIPING, FEET , $ .11� BATHTUBS N0. FURNACE, ELEC. GAS� $ SHOWERS _Q�GAS HOT WATER HEATER $ �'. r� 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 FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS MADE.I FURTHERAGREETOSAVE HARMLESSTHECITYOFFEDERALWAYASTOANYCLAIM(INCLUDING COSTS,EXPENSES,ANDATTORNEYS' FEES INCURRED IN INVESTIGATION AND D ENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED AGAINST THE CITY EDER L AY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS OFFICERS AND EMP E , N TH CURACY OF THE INFORMATION SUPPLIED TO THE CITY A PA OF THIS APPLICATION. � �� rC� OWNER/AGE • -�� DATE: � ANP-008 3/90