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90-100418 MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDER'ALWAY BUILDING PERMIT 941-1555 � 05�s 9�- /oay/$ PERMIT NO. 9O-S7S M OWNER'S NAMEFIRESIDE HOMES JOB ADDRESS 35321 13TH PL SW CONTRACTORDAVE BOLTE CONSTRUCTION qDDRESSP•�• BOX 751 PUYALLUP WA CONT. PHON�3S-O942 CONT. REG. f�AVEBCIIODU OWNER�s PHor�52-6311 OWNER'S ADDRES�71O2 31ST S RENT 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 LOT �S MADRONA MEADOWS ISSUED BYJOANNE JOHNSON DATE OF�SSUE DATE OF APPLICATION 5-10-90 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 E�EC. HOT WATER HEATER GAS PIPING�_FT. �� BOILER FiECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE 1 Q�_ AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. �Q_ MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE ZIl..Q� DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL3$.�Q- 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 �f2 �fl TAL BLDG. FEES Water Line OFt 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 �R_ �n Account No. 010-000-322-10-004 Total Fee $ 38.50 Receipt No. 7�S S O ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF, WORK IS STARTED. RESIDENTIAL AND GFiADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATI FUR ISHED:B 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 C�� DATE , J ��I tlllt # •'�J�� CITY OF FEDERAL WAY ��`��' . �,q y ��,�. BUILDING PERMIT APPLICATIONC, � Dg —Please Print— /� @U��Cp -,., �� BOX 1 TENANT NAME: �� pT �� OWNER -�—[/,'_�iY�t- c�r�'7 C5 SITE LOCATION 3 S�3:�Z. J3r' t�1� �. lf%. OWNER'S ADDRESS � -0 CITY �/,�T PHONE c , C-a3� 1 DESCRIBE JOB P ot e= �- THE PROPERTY IS OWNED BY: SINGLE/MAR D P RTNERSHIP CORPORATION /'�� BOX 2 CONTRACTOR'S NAME �� C�G=� �/IS?' CONTRACTOR'S REG. # �� J Card MUST be presented CONTRACTOR'S ADDRESS YP �� `X 7� I CITY �v-rG3 I ( vc,4 PHONE �`�� DCI�/ EXPIRATION DATE " S-�i — 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 (� C_ PHONE BOX 4 SEWER DISTRICT ��'""� WATER DISTRICT =�� BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION -'�- BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION �.�� 3 S /�'I cc r�U�l�r �' �11t,d� (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) MECHANIC APP IANCES— BASIC FEE N0. WATERCLOSETS GAS PIPING, FEET �-- �— $ � BATHTUBS NO.�—FURNACE, ELEC. GAS� $ SHOWERS I GAS HOT WATER HEATER $ LA'JATORIES 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 $ ER $ 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 DEFEN OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED AGAINST THE CITY F DERAL , BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEE , UPO TH URACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: �� 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: EXfMPT 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 .�z�. ;. 4�� G ''�``� �'�� ASSIGNED ADDRESS: �� '��y`�:'��> -._, `` �� ':�:y�'7� ' � �_:'g ��¢f �� PARTIAL PLAN CHECK FEE RECEIVED �'y$ M��,�,,��;� Amount Date Receipt# ;� BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE ACCEPTEO 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 05�5 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 GRADIN(�i OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. S0. 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. 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 `r� l�I� TOTAL BLDG. FEES Water Line OK �—�G ��echanical Inspection Notes: ^�/ �CT�� PART P/C FEE r� G r p SEPA REVIEW GAS PIPING OK l'I��-I Date"/�I - !O By y(2 WATER SERVICE WATER MAIN CHG. /� L ��^'��' 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 YEAA 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 c% O � � O � � �7 � � Z -�i � � C � � m D m � m g m � � ', O i 0D ' D � z n m j '/ T II z 'I L� i (�n �� O I, � � O I D � � O ' O � o IQ n � � � ! O � W � � D W z 'W O < � � -< � z : z � i � c� ; � � I I i I � � ' � ' i 0 o Z c� g o 0 C) D � D D D � � m C � � m � m � D � � i � Z r O � G� m � c z I � ' � O ' � T I O ' C ! I I o W � � � � � o Z � � � ! I D cn ' r O I I � � ( I i I I 0 S` O � � 'O r -� A -� n � C m � m = m � W � p � Z i z ' D (7 � � � � p I r i � ' D I I Z I � ; O ' � � I Z ' -ri � � � T � ', m � � � W � 'W z W � � D { � r � I � ' I � 1 I