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92-100057MECHANICAL PERMIT CITY OF FEDERAL WAY BUILDING INSPECTION BUILDING PERMIT 9; - J00057 PERMIT NO. 92-0006M OWNER'S NAME TACO BELL JOB ADDRESS 31646 PACTFIC HWY CONTRACTOR EVERGREEN REFRIG ADDRESS 727 S KENYON ST SEATTLE CONT PHONE 763-1744 CONT.REG.NO. EVERGI*201D7 (10/92) OWNER'SPHONE 415-358-2170 OWNER'S ADDRESS 1650 BOREL PLACE #101 SAN MATED 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 (2) GAS PACKAGE, 3 & 4 TON 092104-9292 TAX ACCOUNT NO. LEGAL DESCRIPTION U ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 1/3/92 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 RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS POT WATER HTR. MISC.BELOW SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 33.00 AMOUNT NONE VALUATION $NONE (2) GAS PACKAGE, 3 & 4 TONS @ $ 6.5 0 EACH = 13.00 GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. ERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE $33. 00 TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART PIC FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE $33.00 Account No. 010-000-322-10-004 Total Fee $ 33.00 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 INFORMATION FURNISHED BY ME IS TRUE A CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE D Z '"OLVIiO 14 ! 3 1992 LI NyDWmir CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: p OWNER a FsLL p SITE LOCATION OWNER'S ADDRESS /,(Zsp- &nez JOL 4YI01 CITY PHON DESCRIBE JOB G sw/ THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME LG CONTRACTOR'S REG. # 6�4�1 D � Card MlfST be pressnteAl CONTRACTOR'S ADDRESSCITY / d�Qf PHONE -1S+� �, EXPIRATION DATE —OR— I HAVE READ CHAPTER 18.27.010 RELATING TO EFi NITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON PHONE Zg(l 1%4fo BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST %- EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER — 5>2, '�'Z _ 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-1— GARAGES BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) (+,�'COMMERCIAUINDUSTRIAL ( ) EXISTING STRUCTURE TOTAL AREA OF PROPERTY ._ _ SO FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ 2-0, 00 N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO. 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 SIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS BOTHER 7&rs 13, C DRAINS C=_. �}tf $ OTHER $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ aI .y d 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 ASTO 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 TIF INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. DATE: ANP-008 3/90 MECHANICAL PERMIT CITY OF FEDERAL WAY ILDIN PERMIT PERMIT NO. OWNER'S NAME CONTRACTOR ADDRESS CONTT, REG. NO. OWNER'S PHONE TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION JOB ADDRESS OWNER'S ADDRESS COMMERCIAL ADD. INDUSTRIAL ADD. BUILDING INSPECTION 941-1555 CONT.PHONE NEW PUBLIC PUBLIC ADD. 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 RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS POT WATER HTR. MISC. - -. _ - RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE 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 " UMBING FEE INSPECTION RECORD - _CHANICAL FEE TOTAL BLDG. FEES Water Line OK Mechanical Inspection Note PART P/C FEE GAS PIPING OK Date SEPA REVIEW "I WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE MECHANICAL PERMIT OTHER FEES AMOUNT DUE Account No. 010-000-322-10-004 ota Fee $ Receipt No ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING' i A -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