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91-100926 MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 o�� '��9�G PERMIT NO. 91-879 M OWNER'S NAME FRED SONNEFIELD JOB ADDRESS 35646 13TH AVE SW CONTRACTOR BASIC INSTALLATION ADDRESS 10719—A "A" STREET S. TAOMCA CONT. PHONE 535-1163 CONT. REG. NO. BASCOIO99DF OWNER'S PHONE 859-3878 OWNER'S ADDRESS 35646 132'H pl� $W FEDERAL WAY TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADO. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 7137HO—O37S LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 7-2-91 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 4Q FT. �Q BOILER RECEIVED t?ATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) S:�OWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS jiOT WATER HTR. �Q MISC. SIiVKS MISC. CONVERSION BURNER BASIC FEE �n_ n RETURNED DISHWASHERS TOTP.L FIXTURES UNIT HEATER TOTAL MECHANICAL �rj AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD HANICAL FEE 2 A_5 n AL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GA.S PIPING OK Date By WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE 28.50 Account No. 010-000-322-10-004 Total Fee $ 28,50 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 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 mit # �; l _ J �1�� ECElVED • ,�f�l, O Z � CITY OF FEDERAL WAY Q��y�Y BUILDING PERMIT APPLICATION �� — Please Print— BOX 1 TENANT NAME: OWNER � � SITE LOCATION �� ' OWNER'S ADDRESS CITY � � PHONE �9— ,��'` 7 �� DESCRIBE JOB L�J�TI��/ �{�� 1/ gi� j � . x`7�.��Jf"�.E'_ THE PROPERTY IS OWNED BY: SINGLE/MARRIED �-- PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME ��!`c:� %iV_r��}-///¢�o� CONTRACTOR'S REG. # i�c'_r,� /1��,/�� Card MUST be presented CONTRACTOR'S ADDRESS s'7� �� CITY �/�l'fJm�- PHONE 53��/!�� 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 �3S—l/G� �� 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 (�—}�3t1�GLE FAMILY O NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ N0. WATERCLOSETS GAS PIPING, FEET �� $ BATHTUBS N0. FURNACE, ELEC. GAS is� $ 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 $ URfNALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ DRAINS $ OTHER $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO T�i€�EST OF MY KNQWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHI��,p�(VI1T APP¢fCqT�N IS MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTO'RNEYS' FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUD:I�.TI��,�lNpERSIGNED, AND FILED AGR�INST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE ,THE CITY�, INCLUDING ITS OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART ��H�S APPLICATION:' . --— ,�._ _ — j _.'----� _,__ DATE: `� c.— OWNER/AGENj: �''�z �� -. �-�_ '� �' . ANP-OOB 3/90 OFFI,,� JSE ONLY (PLEASE Dii'NOT WRITE BELOW T NE) ,4`��-�'�{�-' �'_ ' � � ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT ar,;.� , PLANNING DEPARTMENT APPROVAL � � REMARKS: ';r�W.:1n:a , � ,. ��: 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 ASSIGNED ADDRESS: ��CE��1�� PARTIAL PLAN CHECK FEE RECEIVED JUL 0 2 1�� Amount Date Receipt# �y p� �EDEAAI.INAY BUILDING DEPARTMENT APPROVAL � ��p�� 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 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 ADO. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING 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�iOT WATER HTR. MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTP.L FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE UMBING FEE INSPECTION RECORD iCHANICAL FEE TOTAL BLDG. FEES Water Line �I{ Mechanical Inspection Notes: PART PIC FEE , / � SEPA REVIEW GAS PIPING OK !/ Date l�y 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 p T p Q O '� O � r � z � � D C -i -� m D m � m � m W . 0 O a° y A` `�'� � Z ;I � u�i \' `�;~�� j � D p Z C II � O cn o � ,`n m � : T ;�:.; c� �, _ 0 �� C � ( \ -D D Z O \ CO � � W � W W Z CJ, z ! � I��y � i � � � ��., i � ' � ( , , , � 0 o Z c� g o O C� D � D D D � � m c � � m -i m � D � � I � Z r O � G� m I C , . : p , � � O � � i O ( n� c .�� i � z � . �j � I D W `�.,i � -� 3� � ' ` ° . Z �'�,�� i i � � ' D Cn ��' "'r � � � � �+ � � �� ! � ��. � � � o g o � o � D D D m D ` m � m n m � r = 0� i, D � O z i z D ', {j � �I 37 I D '�. � .'� � ''�. r 'I � D I 0 I � O I T T il n � t7 � m O � � 00 � 'm z o� � { D � � r