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91-101335MECHANICAL PERMIT CITY OF FEDERAL WAY BUILDING PERMIT BUILDING INSPECTION 941-1555 PERMIT NO. 91-1286 M OWNER'S NAME LLOYD MCDONALD JOB ADDRESS 2830 SW 327TH STREET CONTRACTOR ABC -.AS INSTALLATIONS ADDRESS 9923 64TH AVE CT E PUYALLUP CONTT, PHONE 845-7482 CONT REG. NO. OWNER'S PHONE 838-4795 OWNER'S ADDRESS 2830 SW 327TH STREET F4EDERAL WA 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 CTHER TAX ACCOUNT NO- 24(ig-SO-0050 LEGAL DESCRIPTION ISSUED BY JOANNF TnHN-gON DATE OF ISSUE DATE OF APPLICATION 9-17-91 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. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS �iOT WATER HTR. 6 _ SO MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE 2 n _ n DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 9-6- AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE 'PLUMBING FEE INSPECTION RECORD 2 5 - 5 0 MECHANICAL FEE ITAL BLDG. FEES Water Line OK Mechanical Inspection Notes: ,-ART P/C FEE GAS PIPING OK Date By SEPA REVIEW WATER SERVICE WATER MAIN CHG. .B.C.C. FEE OTHER FEES MECHANICAL PERMIT 26.50 Account No. 010-000-322-10-004 Total Fee $ 26.50 Receipt No. AMOUNT DUE 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: �� F OWNER OR AGENT DATE MECHANICAL PERMIT CITY OF PERMIT FEDERAL WAY BUILDING BUILDING INSPECTION 941-1555 PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR ADDRESS CONT PHONE. CONTT, REG. NO. OWNER'S PHONE OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE BUILDING INFORMATION DATE OF APPLICATION ZONE 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 RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS YIOT WATER HTR. MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT PUBLIC ADD. VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTI ,=CHANICAL FEE TOTAL BLDG. FEES Water Line OK Mechanical Inspe N PART P/C FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE S OTHER FEES MECHANICAL PERMIT AMOUNT DUE 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 REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE RECEIVED Permit # � �Lo11 SEP 17 1991 CITY OF FEDERAL WAY Ony0FFEDERAr.BUILDING PERMIT APPLICATION BUIII.[?jlhiG DFPTwAr — Please Print — BOX 1 TENANT NAME: OWNER SITE LOCATION -' - &) -2 7 T OWNER'S ADDRES s CITE( PHONE ma's 8 5( 29 r DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLEMARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME'• --�' CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS `F CITY PHONE 8 � 5 9 91 -6 -2— 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 &Y _ 'r of ~`' BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER Q 0 �^ 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 / 3RD FLOOR / BASEMENT /. DECK /. BOX 8 ( ) SINGLE FAMILY ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) COMMERCIAL/INDUSTRIAL BOX 9 PLUMBING FIXTURES (including rough -ins) N0. WATERCLOSETS BATHTUBS SHOWERS LAVATORIES SINKS DISHWASHERS ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAI NS OTHER _ TOTAL FIXTURES ( ) NEW CONSTRUCTION ( .XEXISTING STRUCTURE TOTAL AREA OF PROPERTY 2ND FLOOR GARAGE MECHANICAL APPLIANCES — BASIC GAS PIPING, FEET 0 — N0. FURNACE, ELEC. GAS _GAS HOT WATER HEATER CONVERSION BURNER BOILER, SIZE BTU AIR HANDLING UNITS HEAT PUMPS, SIZE UNIT HEATERS AIR COOLING UNITS, SIZE COMMERCIAL HOOD OTHER TOTAL MECHANICAL FEE SO FT 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 INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT:DATE: 7 r F ANP-009 3/90