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90-100077 MECHANICAL PERMIT CITY OF g I L D I N BUILDING INSPECTION FEDERAL WAY u G P E R M I T 941-1555 �iD�laoo� PERMIT No. qQ-Q 1�� OwNER'S NAME_$EN�'-�MARK ANCAnRAGF. ,IOB ADDRESS 31 R 71 (�ATF.WAY �F.NTF.R RT.V'f) S CONTRACTOR PRRFCIRMANC'F ATN[� f� AC' ADDRESS � 3i 4 S 9E) ST $F.ATTT.F' CONT. PHONE 76�-3R99 CONT. REG. NO. pE�'QAAI rif1RT 1�9(1 OWNER'S PHONE�5 - OWNER'S ADDRESS �n�n ARRQTT Rn AT.ASTCA TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMEFiCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRAOING OTHER lYfFC$jfj]�ICAT. TAX ACCOUNT NO. �� LEGAL DESCRIPTION j�� ISSUED BY ��,�a�� DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION NE na OCCUPANCY NA TYPE OF CONSTRUCTION Hj� BLDG. SO. FT. N� �ET BACKS: FRONT NA SIDE NA REAR_Nj� STORIES jQA HEIGHT LIMIT NA ( PLUMBING N0. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER BATHTUB9, LAUNDRY DAAINS COMPRESSOR TANK(S) RECEIVED SHOWERS URINALS FORCED AIR FURNACE � AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. SINKS � MISC. CONVERSION BURNER BASIC FEE � RETURNED DISHWASHERS TOTAL FIXTURES NnN,$ UNIT HEATER TOTAL MECHANICAL -"""" AMOUNT NONE VALUATION r7pNg MECH=ADD (4) SUPPLY DIFFUSERS, (1) RETURN AIR, AND (1) $6.50 � plpl�� Q��T�T��ITp�FIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE 26.SO TAL BLDG. FEES Water Line �I� 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 NIECHANICAL PERMIT �f� ��. Q AMOUNT DUE $26_5� Account No. 010-000-322-10-004 Total Fee $ (�1 Receipt No. � 1 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 ME �WNER OR AGE DATE �/v`�1 �O � MECHANICAL PERMIT CITY OF B � � p BUILDING INSPECTION FEDERAL WAY u I N � 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 �F'/ �'->5�� 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. LEGAI DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION " ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. 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 BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) RECEIVED SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS TOTAL 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 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 VO�AY REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE C/ � ! II J : J Y c° Z c°, � °o ¢ I p � � w � U II � � � .. O W i� z � °- : o I o ' z � c ' � j � o ; � � a � I c� � Q ' ; z ''� z �� m �� m ' a _ � � � v � J � \ w a d � � O 15 � � � j, � �..� cn C� . � -i : I �i O J '. i. � . (!3 Q , I a � I I, � I Z ,� _ o _ a m I\`� m � z � � �� I \ O I Y Y u. � O O I Q Z w z a � � a � � � a a o F � cn � � o O o � ca7 Z o o ` _ �, � I '� I, ! � ; i � � ; � �, �! I c� - c� , z � � m m � m } m � ' Z � � � �� O � = I LL � �'l� � i ? cwn ' p\� Q � �� ! 0 .�, U Y � � �� w Y a, � _ c �, m �� o � ° , = ^: m W � W � w Q W � 1-- H' � F- Y F- Z H , W Q J Q Q Q cn o a o O o � o . � CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION —Please Print— �� _ � � � ` ' Uf'� � BOX 1 OWNER . .;�. -ekC� '''iq''T,,�tws�dOB LOCATION � • ' � - >..1 ' vG° ~• yc OWNER'S ADDRESS�4�� 19"��'Z%f' C� f�C�jCf} CITY "� ' PHO EQ�kc�k»,a�� %�� DESCRIBEJOB „ .`�"/ % '.�C�'a'. - : t� r4 •. C •'`f . �� THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP COR RATION BOX 2 CONTRACTOR'S NAME r C /u " CONTRACTOR'S REG. # r'��f�F/�,t`YA /S`Lr(��T� Card MUST be presen�e CONTRACTOR'S ADDRESS l7�� ,�7�% �Ib �S�_CITY �'T.�C� PHONE ��- .7G`!'1 EXPIRATION DATE /�jT — 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 � ��T,�i�1� PHONE ��a��;��'`l 1 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST Cf hD EXISTING BUILDING VALUATION K BOX 6 PROPERTY TAX ACCOUNT NUMBER f�� " - -c�'cv� " .� LEGAL DESCRIPTION ��5�{!t-��-��j��l>l � (If necessary, please submit a separate page with the legal description.) 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$ u�� aG 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 C� StL � � �, b•.�� 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 PER- FORM THE WORK FO ERMIT APPLICATION IS MADE. OWNER/AGENT�---- DATE: �� ( �� ANP-006 2/90 �� - C��,�''�l � .:�r.°:,: ......,..,_s� ....... .- .=.r . .. ..a...�- t. ..;, x... � .. *�'�".r� �"'.,"7Y;'7 'u'�i;F , , '��'C �.5 ., " ..,�-�`.; ..'W� ..'.�, ' ,.;.` :::':, ',��` .k+i:diPa'j� v �e. . �1�.�:: �`..:✓!'.'.. 1 , .��.. ....._...-__.,_.__. ,_.. _....._ �,,.$ _._ .� . M,;��_ ^�� i � ' OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIZE 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. ROOF 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 EBUILDING PERMIT N0. PLAN CHECK FEE REC'D RECEIPT N0. PERMIT FEE PLAN CHECK FEE ------- PLUMBING FEE ------- MECH. FEE TOTAL FEES SBCC SURCHARGE ENERGY SURCHARGE AMOUNT DUE BUILDING DEPARTMENT APPROVAL ----------------------------- DATE REMARKS: ASSIGNED ADDRESS: 5��-- �` � S�` RECEIVED MAR 1 5 1990 ITY OF FEDERAL WAY BUILDING DEPT. RECEIVED ACCEPTED FOR FILING