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92-100886 MECHANICAL PERMIT / 1"' /�D g�� CITY OF B I L D I N P BUILDING INSPECTION FEDERAL WAY U G E R M I T 66�-4140 PERMITNO. 92-O91�I M OWNER'SNAME JAN HARRIS SITEADDRESS 2231 S. Z91ST STREET CONTRACTOR NORTAWEST WATER HEAT�Ess 8201 DURANGO ST SW TACOMA CONT.PHONE 984-6404 coNr.Rec.No. NORTHWH103R2 EXP. 12�92 OWNER'SPHONE 893-2261 OWNER'SADDRESS 2231 S. Z91ST STREET FEDERAL WAY TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEW PUBLIC PUBLICAOD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER TAXACCOUNTNO. 42227O-OZ�.O LEGALDESCRIPTION 'SSUEO BY .TnANNF. T�HNSON DATE OF ISSUE � � DATE OF APPLICATION 6-15-92 BUILDING INFORMATION ZONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES PLUMBING N0. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS 1 O.O O RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWEFS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. SINK� MISC. BBQ BASIC FEE Z O.O O RETURNED DIS�'iWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 3O.OO AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE LUMBING FEE INSPECTION RECORD MECHANICAL FEE 3 O_O O TOTAL 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 L�9ECHANICAL PERMIT AMOUNT DUE 30_00 Total Fee $ 30.00 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 ORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WI B MET: � - 2.2-�Z OWNER OR AGEN DATE � , J;:�� 6 `-�G� MECHANICAL PERMIT CITY OF g U I L D I N PE R M I BUILDING INSPECTION FEDERAL WAY G T 661-4140 � � PERMITNO. i��'"��e�is �l OWNER'SNAME ��'" �`��v¢ti�`� SITEADDRESS �"'�"r� $ ry�1 �f� S�`��:�'r� .. . ... ..�,a , CONTRACTOR �#C�RT�AE�iFi ''."': . �'�'. �'i:a.+".�ADL1FiESS �✓�Z n��'_.`+3.« � ,'•... n.�.; ,�.�,.,�,,,.,� . . �'��if: `''"`' �`�� CONT.PHONE �� '� ` i x r,.� ..., (�'4 �.. ..` .Z._� ^'a,. - 'S � .^.m [^„�'sYT � ":'� ��::S«� 1 CONT.REG.NO. `�`�`�fi�`��`�-'�z•• EXP. �-"��'"' OWNER'S PHONE �' ��'�``'`'� OWNER'S ADDRESS " �' .�—" - " `._ . r .""-��.�" ``'aY TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. � -•�-� ��"�^L-��^` LEGAL DESCRIPTION ISSUED BY *��`�F+ �Q��'a��4'+ DATE OF ISSUE ' DATE OF APPLICATION ��Z��'� BUILDING INFORMATION ONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES PLUMBING N0. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATEFI CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE �"�� DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS MISC. BBQ BASIC FEE ��3� RETURNED DISHWASHERS TOTAL FIXTURES DRYER 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 iCHANICAL FEE ��`�� TAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK�-��r lNr��/ lo� Date 1��5-�2, By ltij�/ WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE '' •`'"� 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: - q q"`� OWNER OR AGENT DATE �`� N� M� � �� i J I J Y m Z m � m o I � W � U I � ' � � j W Z � � �' p �� I Z � Q � I I � i � I Q � � U Q z � Q I m ! m � w U � � � w Q � � � � � O i I I � � J � I I I o � � I � I a Z : 0 � m I m Q � I ; i z � O I Y y� i LL 0 � 2 '.. W z '��. O I, z z � j a -� a � O W a � ~ � F- cn � H 0 0 0 � � Z o 0 � � , � ' � I ; i � � ' i �i � I � v � � Z z > r � r Y F= m m Q m a m O i ? ! ¢ O ! = I �'' I , w U �, rT.' O i � ' � � i Q I � I o I O �i � ' � (� Y I C7 W I Y U Z i �" , d ao � � � I m w � w � w Q w H ~ � ~ Y ~ 2 ~ w a � a a Q cn o a o O o � o � �/ Permit # / � J 7 i'' � �� ''�� CITY OF FEDERAL WAY J�� 5 t9gz BUILDING PERMIT APPLICATION �'r�f{�'Jy% }=�� —Please Print— ��.��"�'_ BOX 1 TENANT NAME: OWNER SITE LOCATI �-3� �, 5;r OWNER'SADDRESS ' S. � �� . CIT l - l� PHONE�3� -�31�-1 DESCRIBE JOB `" �a 1 ' r� THE PROPERTY IS OWNED BY: SINGLE/MARRIED � PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME �`�`ntw�-C'�C �,�l��t,��-�+�' ��t a.�i.�r CONTRACTOR'S REG. #,NO�U=�ID�� Card MUST be presented CONTRACTOR'S ADDRESS [��-O( � L�a-v-uu�,t: S� ��^�CITY PHONE C�-I—�.e�-1�� EXPIRATION DATE �.�aa�I �1�- — 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 - L dt� 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 (including rough-ins) MECHA�VI�CQL APPLIANCES— BASIC FEE$ N0. WATERCLOSETS GAS PIPr NG, FEET S)J�C.t �tl�"�� $ BATHTUBS N0. 1 FURNACE, ELEC. GAS� $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ SINKS BOILER, SIZE BTU $ I 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 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 INFORNlATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. � 4 OWNER/AGEN : DATE: C�� L� �•� Z- . ANP-008 3/90