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91-101523 MECHANICAL PERMIT J �J ��J 5�J CITY OF BUILDING INSPECTION FEDERALWAY BUILDING PERMIT 941-1555 PERMIT NO. 91—�.48H M OWNER'S NAME WILLIAM ��1$ JOB ADDRESS 553 $�ll� 304TH STREET CONTRACTOR SEATTLE HEATING ADDRESS 13400 NE 20TH BELLEVLTE CONT. PHONE 644-4920 coNr. aeG. No. SEATTH108JT OWNER'S PHONE 941-2447 OWNER'S ADDRESS 553 SW 304TH STREET FEDERAL WAY TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDU5TFilAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 17HHgO-0930 LEGAL DESCRIPTION ISSUED BY JOANNE JOANSON DATE OF ISSUE "�� DATE OF APPUCATION ZO—ZZ-91 BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. 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. ?_nQ BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE i n_n Q AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GASrIOT WATER HTR. MISC. �� RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DIS�i�1ASHERS TOTA.L FIXTURES UNIT HEATER TOTAL MECHANICAL �QA AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. RMIT FEE ..AN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE 32.OO TOTAL BLDG. FEES Water Line �K Mechanical Inspection Notes: PART PIC FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE 32.00 Account No. 010-000-322-10-004 Total Fee $ 32.00 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 I .TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY � REQUIREMENTS WILL BE MET: �c� i � , �L� OWNER OR AGENT � - DATE ��'r��C l ',, �� i MECHANICAL PERMIT CITY OF BUILDING INSPECTION � FEDERALWAY BUILDING PER �IIIIT 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 COMMEFiCIAL 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 N0. 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 UIVATORIES DRINKING FOUNTAINS GAS�iOT 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 �K Mechanical Inspection Notes: PART PIC FEE SEPA REVIEW GAS PIPING OK � , Date�l D By f�� 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 � - . "" `�,-� . �� f I ' , I '� ,....... ,'.., J �I J Y m Z m � m � o o w � ' � i � � o i W ' z i a o � o Z � c � �, c� a � � I (� U Q Z Z O�p � m ' Q � W U � � � w Q a o � o � o �, � ' � I � i I � ' o J I � � � i a z � m j m c o ; ' I z ! � I _ O Y � � Y i ¢ O w z '' d J Z O !I a ~ Q Q O w W a � W F � � � � o 0 0 � � z o 0 il I iI � � �� I � � � � � Z Z r > � } > E- m m Q m a m O I Z ¢ � �. LL � � � � � w U 0 ' � � O� a � � , o ii �� U � _ CYJ I Z ' W I Y '�. a m o ' � m w � w � w Q w � H � F Y F H Z � cn o a o O o � o , Permi � �- �`�(�,�/Ul A►'E��D CITY OF FFDERAL WAY RECEIVED !'Y �� , 1-�4WAY BUILDING PERMIT APPLICATIONMUNITY DEVELOPM��vT DEPARTMENT �'i��.�� —Please Print— ��T Z � �99� ��'.�,. BOX 1 TENANT NAME: �'�/�� ' � ,�„� �� -r�4 � OWNER � l � r� '1 �� SITE LOCATION OWNER'S ADDRESS �`- ` CITY-� �sy� L�%J�PHONE —�% DESCRIBE JOB � `�-` '� `% ''c THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #S�;�jc�'; �-, / Card MUST be presented CONTRACTOR'S ADDRESS I_�G�� Ur' � .-z-� � CITY � P ' � - PHONE Y�'��L��' EXPIRATION DATE �� ,, C�---�1 Z — 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��. �f-�,1��_�C' BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST �)c�-,%�%� `�� EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER r`��R�'~'��' 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 TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0._�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 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 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 AGRINST 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 �, RMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. � OWNER/AGENT: �� DATE: �� ANP-008 3/90