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92-100680 MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G PE RM IT 941-1555 `�'�— o o ro PERMIT NO. 92-0717 M OWNER'S NAME ROSS JOB ADDRESS 278OH ZOTH PL S CONTRACTOR ENVIRONMENTAL DESIGN ��SS 25328 SE 200TH MAPI,E VALLEY CONT. PHONE 432-4247 CONT. REG. NO. ENVIRO O9HK1 OWNER'S PHONE 529-0619 OWNER'S ADDRESS 27808 20TH PL S FEDERAL WAY 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. 757562-�320 LEGAL DESCRIPTION � 'SSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION Jr-7-92 BUILDING INFORMATION ZONE OCCUPANCV TYPE OF CONSTRUCTION BLDG. S�. 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 2O FT. �Q BOILER BATHTUBS LAUNDRY DRAINS COMPRESSOR COO_K_TO�,NK(S) �_Sn 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 �n_n n DISHWASHERS TOTA.L FIXTURES UNIT HEATER TOTAL MECHANICAL 2_R_ �n 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 28_SO TOTAL BLDG. FEES Water Line OIt Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE �� I f��^�^ OTHER FEES MECHANICAL PERMIT � �� r� AMOUNT DUE 28.50 Account No. 010-000-322-10-004 Total Fee $ Zg,50 Receipt No. ALL PERMITS EXPI 180 DAYS FTER ISSUANCE IF NO WORK I STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT HE INFORMA ION FURNI E BY E IS R AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY � REQUIREMENT WILL BE MET� -`'�,...,� ' __..... . ` ,� � P � � OWNER OR AGE " _ DATE �� � ^ REGEIVED BY P� lit # g-� - 7 �7 �l COMMUNI?Y DEVEL01'M�N?DEPARTMENT CITY OF FEDERAL WAY MAY ? 1992 BUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: OWNER SITE LOCATION , '�f" OWNER'S ADDRESS � � CITY �G[J PHONE � DESCRIBE JOB G� �� �v i�/� � THE PROPERTY IS OWNED BY: SINGLE/MARRIED v' PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME �/�II.�//PO/�/f'I�/�/%A-L F�/C>/tf ��ONTRACTOR'S REG. #L'����•�',�/�%��/ Card MUST be presented CONTRACTOR'S ADDRESS ��.Z� `'Z('��(��� CITY /J'I L� PHONE '5��.3:Z "�.Z� 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 G L PHONE ��:Z - S�.Z 5�7 � BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER `��i '^J - �1�r>' ,7_— ���S.�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 / 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) MECHA ICAL APPLIANCES— BASIC FEE$ �� - `"� 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 COMMERC AL H�OgD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER �'�t? �.t4-� $ �,S L 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 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 E TY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND E LOYEE , UPON THE ACC A OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. �___ , � �'�" ' �� OWNER/AGENT: DATE: � ANP-008 3/90 MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY B U I LD I IV G PER �111 IT 941-1555 PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MUITI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCFIPTION ISSUED BY DATE OF ISSUE DATE OF APPUCATION BUILDING INFORMATION 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�iOT WATER HTR. MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTP.L 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 PIC FEE /�. 9� SEPA REVIEW GAS PIPING OK `v Date � v y � 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 WAY REQUtREMENTS WILL BE MET: OWNER OR AGENT DATE i � i ' ' � J J 1 m Z m, ?`,. m O ! � ' W ' � W � I � Z i � �'� � � � � i Z O z G � C� �a j � I U ' d Z i Z ' m m Q �2 W � � J F ~ w a a o � o � o � � i � � I, i '; , J ' j j o Q I a � I j � Z o �: � m � ; m Q � � I � O i Y O � I � I W c7 Z z p j a -� z a �- Q a Q o F � cn � � o 0 0 � � Z o 0 I, ; i ! I I � �� � I � ' `�' � i Z : � m m � m } m O I Z 2 � � � � � S ( ti i� U\�, I C7 w U �� � � Q � � ( � I �-\\� Y � C7 I w I Y 1_\ Q m ' o ' � ���. m w � w �' w Q w � H � H Y H H w a � a Q z Q cn o a o 0 0 � o