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90-101564 MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 � � Ja ►5�oy PERMIT NO. 90-1767M OWNER'S NAME STAN JENKINS JOB ADDRESS 32110 13 AVE SW CONTAACTOR PACIFIC GAS HTNG/AIR ADDRESS 2702 A 112 AVE E TACOMA CONT.PHONE 536-7997 CONT. REG. NO. PACIFGHI.ZOME 7�91 OWNER'S PHONE 661-1986 OWNER'S ADDRESS SAMR 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 MECHANICAL TAX ACCOUNT NO. OZO4S1-OS�IO LEGAL DESCRIPTION NA ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 1�-�H�9 O BUILDING INFORMATION ZONE NA OCCUPANCY NA TYPE OF CONSTRUCTION MECHICAL BLDG.S�. FT. NA SET BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA PLUMBING N0. N0. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING�_FT. �QQ BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) i SHUWERS URINALS FORCED AIR FURNACE 1Q_.QO AIR HANOLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�IOT WATER HTR. �D MISC. RETURNED SIM:S MISC. CONVERSION BURNER BASIC FEE �QQ DISHWASHERS TOTP.L FIXTURES NnNF. UNIT HEATER TOTAL MECHANICAL �$�Q AMOUNT NONE VALUATION �(�NF. GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE �S2��Q TOTAL 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.6.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE $38_50 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 INFORMATI N FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE OWNER OR AGENT DATE 1� �� Permit # ��.-� �` ��`� RFc��V _ f E[� CITY OF FEDERAL WAY cr�yN�v � 81gg BUILDING PERMIT APPLICATION 8��p�� — Please Print— BOX 1 TENANT N E: S"�N �E�k�N S OWNER � ad�(1 e SITE LOCATION S rh OWNER'S ADDRESS 3a\ln \��C�,uQ S W CITY � .l �4 u PHONE (p(�I - � �� DESCRIBE JOB C�S��'(101,(1? -�-W.q�BR�'C�}'TE�- THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 'F CY� -��\h -� 11e. CONTRACTOR'S REG. # �}�'-1�G�Vlf1� Card MUST be presented CONTRACTOR'S ADDRESS � � CITY �-�C_�l(Y\.�2- PHONE �J" 3�D��I a� EXPIRATION DATE - — OR— I HAVE READ CHAPTER 18.27.010 RELAT TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS UING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXIS ING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER � I - 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 ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ �� N0. WATERCLOSETS GAS PIPING, FEET 3S F�'� $ 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 COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ RAINS $ 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 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: � DATE: � � � a� ANP-008 3/90 MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G PE RM IT 941-1555 PERMIT NO. OWNER'S NAME JOB ADDFiESS CONTRACTOR ADORESS 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 cONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUM8ING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER FIECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�,iOT WATER HTR. MISC. SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECI'OR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE �LUMBING FEE INSPECTION RECORD iCHANICAL FEE TOTAL BLDG. FEES Water Line �It 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 NIECHANICAL 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 REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE � O -n o O o � o cn D z D � D C � � m � m � m � m W '}2�i o ' p j Q' ' D m Z C) �, � I z ' �' �i � � \ � � � �� D � O � C � O \ n m � i c � � O -D D W Z � O W � � �S � � Z � Z ' � � i I � � , j I I ; ' ; 0 o z c� � o 0 � D � � � D � m � � rn m -i y � � Q � p Z r O z � m I C , O � � � 1 �1 � � I � '��, '� ' �'�, C I I I j z I O W � W D .�►- � � I � O Z � ' i I � D � ' j ' r o I i ' ' r I j I � � � i p � O � � '0 D D D m D C m � m = m � 1 W � D � Z � z O � � � i D �I� � � O � � � � Z 1l :� � �I � I � f� m ' — ' O co � m � w � � D � j r � � � i� � ��. /o//b(P CITY OF FEDERAL WAY Fede al Way\,NWA 98003 B U I L D I N G P E R M I T BUILDING INS 661 4I140 F�ERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR ADDRESS CONT.PHONE CONT.REG.NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTfiIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT _ VALUATION PERMIT FEE � ��' �� '��*� PLAN CHECK FEE ��.� � �I°��" � `S�''�F;R �"'�1a.S.�'P�`^�`*er€er� PLUMBING FEE '� �� ` �CR�e�EE� -�� S� MECHANICAL FEE PART P/C FEE S ��Q 1 r ,-. -..: s I}a.�.e� �iFPR�V��,t = �.L� i�J` SEPA REVIEW '•"�S �j�'PT iAFPRQ'�AL = TUiVj C(: PUBLIC WORKS g•�`dCi Ll{�'F1�PC?T3'T`.S`r� �°`+�i�. S.B.C.C.FEE �'FP.V:�L�£1S iI1�A.C�a ..��w�ap:. e.,� e .._,,. �. FIRE FEE DATE: �Z.T� �E C�3�RIF(�'�'.�';]� `-,r .- _. OTHER FEES AMOUNT: j +�..rG� �,t.�,�.•E-n:* t�at+s."�x�.�+.r. AMOUNT DUE RECEIPT: 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. � OY�/NER OR AGENT DATE � ' fl T o O o 'o o cn N � D m , � � z � � D c -� -� � ' m � m � m � m \ V , o � p oo � D v V �� z ��" � (Q u�i 1 -i c� � � r � � i 0 � I�. � '! D t \ i � O �t O �.0 C ��`j � r I l+ n \�' m ,.(� S � TI I I�' C � � Z I� � f c � { W � W W Z Z � � � �I`v � � �JV � I� �� e� W � j � ' � '� � �, I � � � � .� a o o Z c� g o 0 ^ n D (/� D D � T � m c � � m -i D � m O �� v � � � I,� p � m � O J �' \ �� O O I� � a � � a � �; ' � `� � � � � ; � Z �' �- � b � �, � �� ' o � z � �`7, � I ,�° � �, `� I�`�D ] p I" r 4 j � I �, � ! � ' I o � o � o � -�i D � m � C � Im � m m � W y> W Z I Z O ' � ,� p i\�� G7 '� D '; i � O �� Z � C i � I�. � � Z m � T '� � �N � � ti m o ' ° W � '� z W � � � � � r . � � ' ( � _ ? I I � , , � � � '