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90-100637 MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERALWAY BUILDING PERMIT 941-1555 9� -�� a�3 � PEFMIT NO. 90-887M OWNER'S NAME MERIT-YOITNG JOB ADDRESS 35202 13 PL SW CONTRACTOR RC HOMES ADDRESS 3116 173 PL SW LYNNWOOD CONT. PHONE 747-�1964 CONT. REG. NO. RCHOMZO7DB 1�91 OR OWNER'S PHONE 451-8052 OWNER'S ADDRESS PO =B 40464 BF.T.T.F. TF. TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBIIC AOD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER r�ca�NzcAr. ONT.Y TAX ACCOUNT NO. NA LEGAL DESCRIPTION LOT H 9 M�RONA 1K�A�OWS ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION �.J� 7.�90 BUILDING INFORMATION E NA OCCUPANCY NA TYPE OF CONSTRUCTION MF.(_AANT(_AT. nNT.Y BLDG. SO. FT. DjA BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT jQA 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 i o nn AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. �II RETUFiNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL �Q.Q AMOUNT �Qpj�'i, VALUATION NONE GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD CHANICAL FEE ��2-n n �L BLDG. FEES Water Line �It Mechanical Inspection Notes: T PIC FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES NIECHANICAL PERMIT AMOUNT DUE $32.00 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 REQU�REMENTS WILL BE MET: OWNER OR AGENT " / � --J DATE �' ���'/��(� ,it # �� ' ��7 � CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print— ��_��� �- ��(g�.JS BOX 1 TENANT NAME: ��.'�i -C - p�,�,.� b i OWNER I'� � -r � " vn; SITE LOCATIOJV Z- ��° �-= c�►,-� OWNER'S ADDRESS CITY -�.- � ' PHONE DESCRIBE JOB +�`'� • �� �' t"V2'ti�'�� r'— I�'(..:.- Ga , .J THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION'< BOX 2 CONTRACTOR'S NAME �- CONTRACTOR'S REG. # ���--�C��'''���;� l�fi� I Card MUST be presente� CONTRACTOR'S ADDRESS ����� ��"�3�Z�� �� 5�,� CITY �--yr�►��� „�� L�J� PHONE �"'��`C��1��_ EXPIRATION DATE �f —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 ( (� �t•-S MR i� � L'� �.�- PHONE � Z-� � BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 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 ( ) COMMERCIAUINDUSTRIAL 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�.CC�c���t� $ SHOWERS R $ 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 $ _rSUMPS, SPRINKLER VACUUM BREAKERS OTHER $ 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 WHICF�PERMITlkPPLICATION 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 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: �/�Z( � 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:fXEMPT 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 ASSIGNED ADDRESS: RECEIV ED �UN � 2 � PARTIAL PLAN CHECK FEE RECEIVED G�.�pF FEDERAL WAY Amount Date Receipt# BUILDWG�EPT� 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 CONTRACTOR AODRESS CONT. PHONE CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS TYPE JOB: NEW AESIDENCE 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 iNE 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 HOT WATER HTR. MISC. RETURNED SINKS MISC. CONVEFiSION 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 TAL BLDG. FEES Water Line OIt 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 P'1ECHANICAL 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. 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