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91-101647 MECHANICAL PERMIT 91' �16 �7 CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 PERMIT NO. 91-� S92 M OWNER'S NAME PA TT. RF.TSTF.Y JOB ADDRESS i nn� S 295TA PT. CONTRACTOR NORTHWEST WATER HEATER ADDRESS 8201 DURANGO STREET SW TACOMA CONT. PHONE 984-6404 CONT. REG. NO. NORTHWHZO3R2 OWNER'S PHONE R74-�23� OWNER'S ADDRESS i nn� $ 2�riTA PT. FEiIFRAT. �Y 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. #SZSZSO-0040 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE_I( -� 3 "�� DATE OF APPLICATION 11-12-91 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 3O FT. 2.OO BOILER RECEIVED BATFiTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE �QO AIR HANDLING UNIT NUMBER LAVA'•JRIES DRINKING FOUNTAINS GAS�IOT WATER HTR. �.�Q MISC. SINKS MISC. CONVEFSION BURNER BASIC FEE 20_nn RETURNED DISHWASHERS TOTP.L FIXTURES UNIT HEATER TOTAL MECHANICAL �Q AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. RMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE 3$ S U TOTAL BLDG. FEES Water Line �I� Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATEF MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE 3R_50 Account No. 010-000-322-10-004 Total Fee $ 38.50 Receipt No. L� � � � 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 INF N FURNISHED BY ME IS T RRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS W E MET: OWNER OR AGENT DATE ,�� /� MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY B 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. S�. FT. SET BACKS: FRONT SIDE REAR STOAIES HEIGHT LIMIT PLUMBING NO. N0. 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 HANOLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS rIOT WATER HTR. MISC. RETURNED SINKS MISC. CONVERSION BUANER 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 OK Mechanical Inspection PART PIC FEE SEPA REVIEW GAS PIPING OK Date WATER SERVICE - �l WATER MAIN CHG. S.B.C.C. FEE OP� OTHER FEES MECHANICAL PERMIT AMOUNTDUE Account No. 010-000-322-10-004 Total ee $ eipt No. ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EX EAR 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: �� , s � OWNER OR AGENT DATE �ro 1�EL+ Permit �i 1� � ��"CY`—� �rVEd NOV 11 �� CITY OF FEDERAL WAY ��ntAq�,yyqY BUILDING PERMIT APPLICATION � �'�'��; — Please Print— BOX 1 TENANT NAME: OWNER � c�w C i S �` SITE LOCATION 0� S, qS • � OWNER'S ADDRE�S.��°� CITY � PHONE ? �' 3a3� DESCRIBE JOB 'v.a-e.e �,.s�'(-F..� �' f THE PROPERTY IS OWNED BY: GLE/MARRIED ��— P RTNERSHIP CORPO ATION BOX 2 CONTRACTOR'S NAME �� a- � � CONTRACTOR'S REG. # o r ti�lGf ib 31�'�— ` Card MUST be presented CONTRACTOR'S ADDRESS �a�� ' S7� g�� CITY ��— PHONE �`F_ � �a � EXPI RATION DATE ��— �-- � / — 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 M i��-- PHONE Y`� `�4� BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER /�' � d -- �� 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 (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ N0. WATERCLOSETS GAS PIPING, FEET :3b $ 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 COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS �_OTHER �a-�-z $ 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 FE ERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEE , UP N HE ACCURA OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. � � OWNER/AGENT: � r'�-�-- DATE: l I ANP-008 3/90