The URL can be used to link to this page

92-100720 MECHANICAL PERMIT �a� ��b�a� CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 PERMIT NO. 9 2-0766 M OWNER'S NAME GINA SCHOBEN JOB ADDRESS 30835 20TH AVE S CONTRACTOR NORTHWEST WATER HEATERAo�Ress DURAN O T TACO CONT. PHONEg$4-(4O4 CONT. REG. NO. NORTHWHZO3R2 12/E�IaER'S PHONE 839-3270 OWNER'S ADDRESS 30835 20TH AVE 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. 7�536O-OOZO LEGAL DESCRIPTION ISSUED BY .TnANNF. TnANSnN DATE OF ISSUE DATE OF APPLICATION S-ZS-93 BUILDING INFORMATION NE OCCUPANCY 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�U_FT. �Q BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR /�O�L TANK(S) SHOWERS URINALS FORCED AIR FURNACE __5_._�_Q AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�10T WATER HTR�� PERM�T FEE 2 n_n n RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTP.L FIXTURES UNIT HEATER TOTAL MECHANICAL �R- r►(1 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 38.5O TAL BLDG. FEES Water Line �K Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE TOTAL �p� ' I� Q� r OTHER FEES - MECHANICAL PERMIT � AMOUNTDUE Account No. 010-000-322-10-004 Total Fee $ 38.50 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 KNOW�EDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL B T: OWNER OR AGENT DATE � �� r � 2 F��GE1��U - 1 51992 I mit # ��-�� '"' MAY �v o��E�.wa� �I�,p�Np pEPT: C ITY O F FE D E RA L WAY BUILDING PERMIT APPLICATION —Please Print— BOX 1 TENANT NAME: OWNER � ti � - ' n SITE LOCATION � ='` � �' �� . OWNER'S ADDR SS =' '�`� �� Z- - CITY:_ �i. U �c PHONE '�'�`� - ?�✓-1 l:� DESCRIBE JOB � � � � ' � � '' r" " THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAM � �.- ' ' CONTRACTOR'S REG. #NL7�jT� i"1.�.%}I 1U�� Card MUST be presented� .,.__.,._...�_ _ CONTRACTOR'S ADDRESS -7L � . -�L �� -•. �ITY � C:1 ��-v�'"�� PHONE �1 S'�`I' C.L'��f" EXPIRATION DATE 1 ,- 3 � 3- ' � — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFI IT NS 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 '1�5`� �� L.C�L -� �,Cy�'Ci LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) iST 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) MECHANICAL APPLIANCES — BASIC FEE$ 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 AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ TOTALFIXTURES $ 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 MAOE.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 AGRINST 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 F THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: �, DATE: � C � ANP-008 3/90 MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERALWAY BUILDING PERMIT 941-1555 �a-X�o ��c� 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 ) MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. S�. FT. SET BACKS: FRONT SIDE REAR STOFiIES 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 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 UMBING FEE INSPECTION RECORD _CHANICAL FEE TOTAL BLDG. FEES Water Line �K Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK ��---=Z C�� Date� �Y � WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNTDUE _ ACCOUC1t NO. 010-000-322-10-004 Total Fee $ Receipt No. ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WOHK 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 i,,,, il �I . � I � � I J >- r Q r Y m z m � m � '' o o j � ; � � o � v i � � p w z � a ' o � � z o ; Z c ' � � � a I � ! U ' Q Z I Z � m m ' Q � � U � J F w Q d 0 � � � � �I � 'I � i J I � 'i o J � � I � � i a z 0 i=- m 1 �� m Q z I � i I � ' I O �i Y Y i � : � � w Z C7 �� Z Z � �'�� a � a � ; � Q O Q a Q Z Q U O � S C7 0 � I � I � � I ' � ' I � ' c� � ' z ' z >- } � r r rl F= m m Q m � � O �i z � � .'��p O = I LL U�W w U o � � cn O � a ' Q � � i �;�jt' Y � W I Y �('��I Z 0 •� Q '. CO �.. � ', ' m W � W ~ W Q W �- F- � F- Y F' Z � uWj o a o O o u- o