90-100656CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING PERMIT
BUILDING INSk ION
941-1555
PERMIT NO. 90-935M
OWNER'S NAME MCDONALDS JOB ADDRESS 2302 S 320 ST
CONTRACTOR UNIVERSAL
REFRIG_
ADDRESS _1502 PIKE ST NW 6 Ail ITIRN CONT. PHONE 839-2176
CONT REG, NO. UNIVERI*159RF
12190
O$DWNER'S PHONE 827-9700 OWNER'S ADDRESS SAME,
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 "MECHANICAL ONLY"
TAX ACCOUNT NO. NA
LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH
SNYDER
DATE OF ISSUE DATE OF APPLICATION 6119.190
BUILDING INFORMATION
__NA
OCCUPANCY_
NA TYPE OF CONSTRUCTION MECHANICAL ONLY BLDG. SO. FT NA
�ACKS: FRONT NA
SIDE NA REAR NA STORIES NA- HEIGHT LIMIT NA
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.
SINKS
MISC.
CONVERSION BURNER BASIC FEE 20-00
RETURNED
DISHWASHERS
TOTAL FIXTURES NSE-
UNIT HEATER TOTAL MECHANICAL 29 _ 00
AMOUNT
NONE.
ONE (1) 1 & 3 H.P. CONDENSING UNITS 9.00 EACH = 9.00
VALUATION NONE
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT
SUFFICE.
PERMIT FEES
PLAN CHECK FEE
PLUMBING FEF,
INSPECTION RECORD
MECHANICAL FEE $ 2 9
_ O O
BLDG. FEES
Water Line OK Mechanical Inspection Notes:
ISAL
T P/C FEE
SEPA REVIEW
GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
MECHANICAL PERMIT tv
AMOUNT DUE $,29-00
Account No. 010-000-322-10-004 Total Fee $ Receipt No.
z
i
ALL PERMITS EXPIRE 180'Y
i
AFTER ISAUA
E IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMA
ON FURN HE
BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MEQ:
f-.)®
OWNER OR AGENT
DATE `+C I -q0
REFQFF/V
SUN 1 �'p
crry a� 199p
'Permit #�
CITY SOF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER 41Y. C- 6!
SITE LOCATION Z3<-
OWNER'S ADDRESS=-- Q
CITY
PHONE. N /
DESCRIBE JOB ,•s a/ls%�.
Ce SCS z;,,.•.cr C -N.
�-t ,117 cu2
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PA TNERSHIP
CORPORATION k ."F.
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S REG. # A- iS r4F
Card MUST be prese
CONTRACTOR'S ADDRESS 1-2
J' L CITY r,
PHONE '3� -2i z L
EXPIRATION DATE
/TU—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 tr ec-.e'de..r
PHONE 63"3` " e i z tr,
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— J
GARAGE /
BOX 8 ( ) SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
(X) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES
— BASIC FEE $ 2-0 00
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
N0. 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 $ 1, E`
DRAINS
OTHER
$
$
TOTAL FIXTURES
$
TOTAL MECHANICAL FEE
$ i7q, 00
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 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 EMPLOYE UPON THE ACCO ACY OF THE INFORMATION SUPPLIED TO THECITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE: �t `7/ %rJ
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:
RECEIVED
J U N 19 1990
CIP(OF, FirQEIRAIY W
jMC D ED QEPT.
ASSIGNED ADDRESS:
(A_
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
Y BUILDING DEPARTMENT APPROVAL
BY DATE
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
ACCEPTED FOR FILING
MECHANICAL PERMIT
CITY OF FEDERAL WAY BUILDING PERMIT BUILDI94 IN SSECTION
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
ZONE
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.
CONVERSION BURNER BASIC FEE
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION
'43%Y'a { .il j i i0�.. .i ♦i • t �. �..L3�R.L:4«�a.� i.+�':.i .�� .:.v a. $," i 7._z,c8'4..».e -- ! r V
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
INSPECTION RECORD
MECHANICAL FEE
TOTAL BLDG. FEES
Water Line OK 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
MECHANICAL PERMIT
AMOUNT DUE
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
SET BACKS AND FOOTINGS
DATE . .... ..... .......... BY
OX TO POUR FOUNDATION WALLS
DATE .. ..... . ..... .. __.- BY . .... ..
PLUMBING GROUNDWORK
DATE . ... .... . . . ..... ... -, BY . . .... ....
PLUMBING ROUGH IN
DATE -_._.__..--.._BY
WATER LINE O.K. . . ..... . ...... . .
GAS PIPING O.K.-,..,. . . ... ... . .... ...
MECHANICAL INSPECTION
DATE . . ... ..... . . .... ....
O.K. TO ENCLOSE FRAMING
DATE __. . . .... _,BY
INSULATION
DATE BY . ...... . ..... .. .
WALL BOARD AND FIRE WALL
DATE BY . . . . .........
FINAL O.K. TOO CUPY
DATE BY . ... ....
DCD
PSD
FD