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91-100107 MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 �,�so�a7 PERMIT NO. 91-OI OOM OWNER'S NAME ROBERT BICHSEL �BIX�S TAV) JOB ADDRESS 31216 PACIFIC HWY S CONTRACTOR �ERIE S COMM REF/HTG ADDRESS 2534 TACOMA AVE S TACOMA CONT. PHONE 627-4417 CONT. REG. NO. �ERICRZZ�IM6 6/91 OWNER'S PHONE 941-9270 OWNER�s nooRess -3}�}6- 31044 2� A� $ TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBIIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER MECH ONLY TAX ACCOUNT NO. 092104-911 O LEGAL DESCRIPTION NA ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE ` � � DATE OF APPLICATION 1��L91 BUILDING INFORMATION __NE NA OCCUPANCY NA TYPE OF CONSTRUCTION MECH ONLY BLDG. S�.FT. NA SET BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING��_FT. �Q� BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�10T WATER HTR. MISQJNIT HTR �..�0-0 RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE 7f1 nn DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL ��_ nQ AMOUNT �(��F VALUATION NONE GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD :CHANICAL FEE �� n n .JTAL 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 NIECHANICAL PERMIT f AMOUNT DUE $31.00 Account No. 010-000-322-10-004 Total Fee $ 31.00 Receipt No. I� e� 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 'AT FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL T: - + �'� ��' // OWNER OR AGEN ' � DATE � D � OD O � � D m � Z -� � —i C -� —� ' m D m � m � m W O p I co y C) , �('� � I Z i � I U�i VJ � � i r � � ➢ �!` ' � I O I O I� � C� m � C I Ti I O � � ' � ' IW � W � W Z � O Z Z � � ; � I � � i �` ' I � � ; � � ' 0 o Z c� g o 0 C) D � D D D � � � m � � � m —i � m Q D � � � r '� � Z I Z �' m � � 0 0 ; � � ! � � ( o � , . � � � � I o W � W D � � o , � z -� � � D � i r � � � I I � I 0 � O � � v m � m = m � � W � y � z z ' � ' n ' � � D �J� � ' D r 'Y! O � �� z � ` c , o � .e� z � m ; � 0 T � � � . ;CD � �W O IW � � -� D -� -G r i �� i � ' ' � , �� I REI,^E'IV�Cj mit # � (-� � 1 �`�1�-� JAN 22 �gg� CITY OF FEbERAL WAY �su�oiN�p�p wAY BUILDING PERMIT APPLICATION —Please Print— BOX 1 TENANT NAME: ,� OWNER � '� �- � ��N. t �-- SITE LOC TION - � �l� C ff4� S OWNER'S ADDRESS • � 2��h C.l.��i_ � -� � CITY�+�cf(�en� c�ap� PHON �'{�1 � y� 70 DESCRIBE JOB � v� ` � 1.�� THE PROPERTY IS OWNED BY: SINGLE/MA RI � PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME I " � � � T CONTRACTOR'S REG. #��kl C� I Z7 ly!(Q Card MUST be presented CONTRACTOR'S ADDRESS � C O W1 !�(/— S CITY�T�/ C�ly1 q PHONE �i�L "1 -441 � 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 PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER C�'�/��/O�` �� ' L' 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$ z-�' • � C- N0. WATERCLOSETS GAS PIPING, FEET .5L`� � $ �� - C� 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 $ ` G e URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ TOTAL FIXTURES $ T_, 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 CLAI M(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 INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. ��, , �� ; �_ �. OWNER/AGENT: ..�6<:,�,��.'�'�':�l` ._ ��.�'��i DATE: � -1 �— � % i% ANP-008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) � ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT �t PLANNING DEPARTMENT APPROVAL �.:-: �.�� •'"` � '�' � REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: � PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: ; TYPE OF JOB: NEW RESIDENC�" 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: S e- � � � � ' � - PARTIAL PLAN CHECK FEE RECEIVED ' Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY �� DATE I— � �"I � � � ACCEPTED FOR FILING : 1 _ � / ( _ � �� 3 7 v ---- _ � ___ __ � � � U � �-� L��-��,� � , � j � � ^ � �� 'U S�L`� S �r� 13y � - � ^ � '', � �� I � � � 3�, �-t._.� 7��►� , � � ti / � � ti� � � � � � ��2 � �c r 2�� ° ; ° � � l , � a w � �-� �- �3 S �' w� �� ° �� —�"_' `----- � ��._-� ----- - -__ ___ � C; -- , f ` o ��_ S �---�— — ---- - -�_ � � � -- j� � c� � (�-e �� i � - I t7-rt r-.� "� � � ` '�O: i 7 �n,J � �'t t -i � � "" I I _1� �� ^ / ,..�f1 , `y,.�- ClTlf �9F FEf?�ERAL 11� i =�-�' �R �� B1�tL�fA�Ll�P��T�l�T !, �,,�.�'.-.�� , =� � � � �2� � .�> m PERMIT b:-,,,,=,m � I ¢�-��'� �� K D�� 7 � � °°'°� n � (� 9 c�,>< �_ O � C I �� ,�, ,� L� � � �"--_^'_F-. ��/j- ��7 L�`-�i�� "��/J U� j �Q� � � � �, � !/ _ ' -_-'_'___..'____-.-_._._- .__ . �, .�-_.. - -- � ��4 !'� � �� ..�.�-� , � �` �. ca - —�----�--� � � � _ �- �� C� � � � � �`l C- �� c �. 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