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91-100209 MECHANICAL PERMIT 9��I��8 9 CITY OF g I L D i N BUILDING INSPECTION FEDERAL WAY u G P E R M I T 941-1555 91-222 M RATHRYN TSFIMAEL 1815 S. 290TH STREET PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR �ERIE COMM REF & HTG ��SS 3 TAOMCA AVE S. TACOMA CONT. PHONE 627-4417 CONT. REG. NO. �ER CR M OWNER'S PHONE 8 3 9-3 6 0 9 OWNER'S ADDRESS 1 H 1�J S 2 9OTH STREET FEDERAI, WAY TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY �22300 >MOO�IOD. SIGN GfiADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE � � DATE OF APPLICATION 2-�-H-91 BUILDING INFORMATION iNE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. _ET BACKS: FRONT SIDE REAR STORIES HEIGHT I.IMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. 2�� BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE lO.OO AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�10T WATER HTR. MISC. SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED DISHWASHERS TOTP,L FIXTURES UNIT HEATER TOTAL MECHANICAL �QO 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 32_OO TAL BLDG. FEES Water Line �It Mechanical Inspection Notes: �ART P/C FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE orHeR Fees NIECHANICAL 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 INFOR A N FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WI OWNER OR A NT DATE � — I — l,� MECHANICAL PERMIT �ITY 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 COMMERCIAI 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 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. 801LER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�,iOT WATER HTR. MISC. SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS TOTRL 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 �ECHANICAL FEE (OTAL BLDG. FEES Water Line OK 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 � �j '�EQUIREMENTS WILL BE MET: ! /� / � � OWNER OR AGENT DATE � ��, - �� 1; � ; ��, � ��nv� �s�� --� � �� ' _�,, � � l� � � � �. �-�' ' _,_ _ 1.9��J�,��31ba a� aSd a�a � ✓ � O �dNl� _ __ A8 __ ____ __ 31ti� - _ A8 31da _ _ J��► _ _ 31da l�`dM 3a1� aN`d Qab08 lltfM NOIlt1�flSNl JNIW�lki� 3SOl�N3 Ol �"O _ A9 __ _- 31'da - _— �i"O JNldld S`dJ 1�8 31b'Q NOI1�3dSNl lb'�INbH�3W �i 0 3N1� a31t1M NI HrJflOa JN18Wflld _ ___ A8 _ 31`d� .l8 31V4 ___ A8 31�Y� �1aOM�Nf10aCJ tJN19Wflld S�l`dM NOIldoNflO� aflOd Ol�i 0 SrJNIlOQ� aNd S��`d8 13S �� - � �rmit # �,�e CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION —Please Print— BOX 1 TENANT NAME: OWNER � L� � a� /�1C f� SITE LOCATION � s �n � � �' � ✓� ' OWNER'S ADDRESS CITY PHONE�'.�c> -�3�U� DESCRIBE JOB - '� L1 /�I�CC' L�fl � THE PROPERTY OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME � � "J "� zE - CONTRACTOR'S REG. # � � �' � � Card MUST be presented CONTRACTOR'S ADDRESS � feCITY_/C�LC�`�?Gj' PHONE +�.��ir -��%/ .� EXPIRATION 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 .S�✓� G�` ✓� �� PHONE �-�f �S�//� BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER ��00 -OC �(,/' 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 $ 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 $ 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 �WLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH'PERMf�PP��CATION IS MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(I NCLUDING COSTS,EXPENSES,AND ATTORNEYS' FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDEfRSIGNED, AND FILED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE C1TY, IN,CLUDI�IG ITS OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATI(�,I' �,,� � � . � � OWNER/AGENT: '�Ld2�L'� � ��'f.� DATE: �� " �� ANP-008 3/90 _ .: . . . . , _�. ;. ....� . . . .. ,, . . . . , . . OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY TYPE OF CONSTRUCTION STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE � � ASSIGNED ADDRESS: , � 3� � co �� PARTIAL PLAN CHECK FEE RECEIVED � � �� Amount Date Receipt# (�' 4�. �3 BUILDING DEPARTMENT APPROVAL m RECEI D BY DATE ACCEPTED FOR FILING