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90-100417 MECHANICAL PERMIT CITY �F BUILDING INSPECTION F�DERAL WAY B U I L D I N G P E R M I T 941-1555 c�57 90 '�abYl7 PERMIT NO. 90-574 M OWNER'S NAME FT�STDE SOMES JOB ADDRESS 35350 13TH PL SW CONTRACTOR i�AVR RnT.TF'. C'nNSTRTTC'TTnN ADDRESS P_(1_ R(1X 7 ri l PLjyjlyj,,T.iTU ��ly CONT. PHONE��-fl�Q,?_ CONT. REG. NQ�AV.ERC.11.ODU OWNER'S PHONE$.��+7-��1 1 OWNER'S ADDRESS��7 !1?3„� CT C �7J� TYPE JOB: NEW AESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INOUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIP7ION �� iur�nnnrac tSSUED BY �n�1pj� tjj��,��,j DATE OF ISSUE DATE OF APPLICATION �-��-on BUILDING INFORMATION NE 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 COMPAESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE 1�� AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT 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 PLUMBING FEE INSPECTION RECORD "�CHANICAL FEE AL BLDG. FEES � Water Line DIt Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE _�T�� Account No. 010-000-322-10-004 Total Fee $ 38.50 Receipt No. r]�5 S U ALL PERMITS EXPIRE 180 DAYS AFTER ISS E IF NO WORK IS STARTED. RESIDENTIAL AND GFiADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION F NISHE BY TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: \ OWNER OR AGENT DATE � � �/�� 1 mit # V �. �. • CITY OF FEDERAL WAY � �'l,� ��` �� .e ` , y `~� '°�..; BUILDING PERMIT APPLICATION o°Ffi,�� ` � —Please Print— �`�Q��„ ��Q `r�, �:r BOX 1 TENANT NAME: T ��' OWNER SITE LOCATION �` s: - OWNER'S ADDRESS/7��C�,-�. 3!5� S CITY �Z�'-�i� T' PHONE \�." DESCRIBE JOB �'��/ — �'i�t S �/_� THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME ��j--f�� _"i� ��.��7` CONTRACTOR'S REG. # �/��d� Card MUST be presente CONTRACTOR'S ADDRESS f�'<<� ,�X ~I� I CITY� �I c1T�PHONE 5 iS��`'��- 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� BOX 4 SEWER DISTRICT �r'-- WATER DISTRICT �— BOX 5 ESTIMATED PROJECT COST �� EXISTING BUIIDING VALUATION��--- BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION %c'�7- a �o e•i o � �� - C.�s.c>S (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # -�r 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 ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ � N0. WATERCLOSETS GAS PIPING, FEET 3J $ � � BATHTUBS N0. � FURNACE, ELEC. GAS �''� $ � ^ SHOWERS �GAS HOT WATER HEATER $ (� LA'✓ATORIES 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 $ D S $ THER $ 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(I NCLUDI NG 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 CIT F FEDER WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOY , ON ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: �� J �� ANP-008 3/90 OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL � REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY TYPE OF CONSTRUCTION STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE � �Y` 1 �:'� �'Z � '� � `? �"��.� �� 'i. ,?;;; ASSIGNED ADDRESS: :, �r Q� �y�C.),�9 ;,� '�,� , =�,�� ,/ �f� PARTIAL PLAN CHECK FEE RECEIVED � ,`�� Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE ACCEPTED FOR FILING MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOF 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 OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. ACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING NO. N0. 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 HOT 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 PLUMBING FEE INSPECTION RECORD MECHANICAL FEE �� J BLDG. FEES Water Line OK Mechanical IriSp2CtlOi1 Notes: r PIC FEE r �1 G q� SEPA REVIEW GAS PIPING OK "l'��'�V Date /�I -aBy �G"� 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 REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE