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90-100339 MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 9� �b�33 9 PERMIT NO. 90-473M OWNER'S NAME BLUE RIBBON BUILDERS �OB ADDRESS 35339 13TH PL S.W. CONTRACTOR 1�Ajj�RQT.TF. CnNSTRTTCTI,�RESS P .� B(�$ 7S1 PUYAT-LUP CONT. PHONE �.,��-and? CONT. REG. NO. #LIAVEBCIlODU OWNER'S PHONE 857-��7 1 OWNER'S ADDRESS 277 (1?�1 C�T � ��+ TYPE JOB: NEW RESIDENCE ADDITION NEW INOUSTRIAL NEW COMMEFCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY aQj�pj��g�.j� DATE OF ISSUE �-?-O� 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 3� FT. 2'�� 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 �L�QD DISHWASHERS ` TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL �O 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 ,3.$.. S(1 TAL BLDG. FEES Water Line OK 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 NIECHANICAL PERMIT AMOUNT DUE 38_50 Account No. 010-000-322-10-004 Total Fee $ 38.50 Receipt No. ALL PERMITS EXPIRE 180 DAYS AFTER I ANCE IF N ORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATIO URNI ED E 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�� mit #�� CITY OF FEDERAL WAY BUILDING PERMIT.APPLICATION —Ple�se Print— BOX 1 TENANT NAME: OWNER e.. SITE LOCATION � � 1 �}` S w OWNER'S ADDRESS _ � CITY ��T PHONE �5 a � I ( DESCRIBE JOB ` v THE PROPERTY IS OWN BY: SINGLE/MARRIED PARTNER P CORPORATION BOX 2 CONTRACTOR'S NAME C-i� cYt`�'T CONTRACTOR'S REG. # ��BC I �OL�LJ� � Card MUST be presented� CONTRACTOR'S ADDRESS _T, L�x �T5 ) CITY � I �,P PHONE J 3� d�1 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 ��c F�c�l� PHONE `��b��—I Z-- ---• BOX 4 SEWER DISTRICT WATER DISTRICT i 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 # -�`60X 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 3C'� $ 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 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 EFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED AGAINST THE OF FED AL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS OFFICERS AND EMPLOY S, PON E ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: ��/�'—� ANP-008 3/90 MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 �`I�3 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 OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. �CKS: 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. RETURNEO 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 BLDG. FEES Water Line OK ��-�� Mechanical Inspection Notes: F P/C FEE sEPA Review GAS PIPING OK 5� S�<��' � 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 J o T o O � v G (n �' \ D Z D D � D m �� C � -i .S` -i C -i � m D m � m � m W � , , � � z n \ � � i T ' Z I � I T �tj � `, � -i ' n i 37 ��.. 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