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91-100379 MECHANICAL PERMIT 9)-��a�379 C:T Y='OF BUILDING INSPECTION �EDERAL WAY BU I LD I NG PERM IT 941-1555 35425 16TH AVENIIE S 91-338 M R & W TRUCRING PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR F &HEATIN DDRESS TACOMA AVE S TACOMA WA CONT. PHONE 627-4417 CONT. REG. NO. OWNER'S PHONE - 633 pWNER'S ADGRESS 35425 162'H �l� $ TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY �UN�IT2S��)9MOU��ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY JOANNE JOFINSON DATE OF ISSUE - DATE OF APPLICATION 3-26-91 BUILDING INFORMATION NE 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. BOILER BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) RECEIVED SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�iOT WATER HTR. MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE �O�O.O DISHWASHERS TOTP.L FIXTURES UNIT HEATER �9 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 CHANICAL FEE 2 9.O O TAL BLDG. FEES Water Line DIt Mechanical Inspection Notes: PART PIC FEE SEPA REVIEW GAS PIPING OK Date By WATEFi SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE 29.00 Account No. 010-000-322-10-004 Total Fee $ 29.pp Receipt No. oLc'j 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: ^WNER OR AGENT �b��i�'1��GT�I� .,�Q�p DATE �-�- I� 1� I�/ �rmit # • CITY OF FEDERAL WAY � ' BUILDING PERMIT APPLICATION —Please Print— BOX 1 TENANT NAME: �{ (� 7�,(,CC(G� �J OWNER �N�bf2.��IJ 7�(C(�/ G SdC .� GSITE LOCATION � b _ S'• OWNER'S ADDRESS �3 Ca c p�K �c= CITY �E��e-a� LO�g��� pHONE �75F � �1v3 d�_ DESCRIBE JOB �o./JL4�C��u� �� L(RJI� /��T�2 THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME t��/ S C�Oh1lI7 /t�' O �N� CONTRACTOR'S REG. #�FEkC12 /L7 n7 �, Card MUST be presented CONTRACTOR'S ADDRESS e�S3� �TRC�►?�/9 f3�'E: SO CITY �T�COM A (�J/$' PHONE �0��' �-�/ J'7 EXPIRATION DATE 6///�/ Q/ — OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER_ ��J'� �O�{ - �477 LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / _ DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ '2-�� ��� 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 $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ �-.Y-�G 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 TH�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 CITY OF ERAL WAd�, BUT ONL 1NHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUD�NG ITS OFFICERS AND EMPLO ES, U N THE AC,C ACY OF E INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLIGATION,, �,; .� � OWNER/AGENT: �'� �' 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. AD�Y/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT ;' NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMPj� OTHER OCCUPANCY YPE OF CONSTRUCTION STORES BUILDING S . FT. @ _ BUILDI SQ. FT. @ _ BUIL G SQ. FT. @ _ BUftDING 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 � �v TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE — ` c'� Q � 3 ASSIGNED ADDRESS: -��-� � � � . W E" � °=' �W (jJ N �pz PARTIAL PLAN CHECK FEE RECEIVED � Q �S Amount Date Receipt# LL � �o=D � BUILDING DEPARTMENT APPROVAL RECEI� BY � DATE � — L� — ( � ACCEPTED FOR FILING