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92-101054MECHANICAL PERMIT CITY OF FEDERAL WAY BUILDING PERMIT q �' to /05y BUILDING INSPECTION 661-4140 92-1129 M JACK IN THE BOX 31122 PACIFIC HWY S PERMIT NO. OWNER'S NAME SITE ADDRESS EVERGREEN REFRIGERATIA� EST�TC 727 S. KENYON ST SEATTLE CONT.PHONE763-1744 CONTRACTOR EVERGI O D7 10/92 P O BOX 783 SAN DIEGO CA CONT. REG. NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. REPLACE ONE HVAC ROOF TOP UNIT NEW MULTI -FAMILY UNITS )MULTI. ADD. SIGN GRADING OTHER 78560-0186 SALONO HEIGHTS ADD LOT 37, 38 W 125 FT OF 37 AND TAX ACCOUNT NO. LEGAL DESCRIPTION A 125 FT OF S HALF OF 38TH. ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 7-22-92 BUILDING INFORMATION ZONE SET BACKS: FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER KfiW5 TN HVAC RETURNED SINKS MISC. BBQ BASIC FEE 20-0.0_ DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 2_>S Q_ AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPEC'T'OR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD ECHANICAL FEE 26.50 TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. Cj S.B.C.C. FEE OT -FEES MECHANICAL PERMIT AMOUNT DUE 26.50 Total Fee $ 26.50 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 RECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: ""! r ��"- OWNER OR AGENT DATE N � �it got 22 1992 CITY OF FEDERAL WAY 011:0BUILDING PERMIT APPLICATION 0, — Please Print — BOX 1 TENANT NAME: .TAA K IM TNa OWNER ;JACK /N -i-HL 19vX SITE LOCATION PAC r hiL H vQ1 S OWNER'S ADDRESS P.D. r3trx :M3 CITY S1r. PHONE DESCRIBE JOB _R L el Aca DAi-E t4 L/AC r�_)66 F=- 10 0&; i i THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CL/�C h;L&A& 1eaE/2I Cn =� 7t C&J /'h;C CONTRACTOR'S REG. # L �� i �7�,t Card MUST be presente CONTRACTOR'S ADDRESS 72-7 S K€�"YoA1 f5 T CITY S� ( TL E PHONE _T63 7�f EXPIRATION DATE jc _ 2-1 - y2- —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.Ic'HA W D C(=- PHONE M-3 J 74 4 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 011f.l LEGAL DESCRIPTION S w - DQ3 GcJ a 2- _ (If necessary, please submit separate page Ath thEPlegal 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 (NO. OF UNITS = ) (v) 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 $ 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, �/A5 &-K&K $ 4, o DRAINS $ OTHER $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ '24.SG 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: a DATE: -7- ;0 2-, ANP -008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW TEE LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT' FIRE DEPARTMENT APPROVAL REMARKS: DA 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: Y � RECEIVED ASSIGNED ADDRESS: <e ' - V --k PA TIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # M. 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 BUILDING DEPARTMENT APPROVAL � DATE '2-[.l "To I ACCEPTED FOR FILING MECHANICAL PERMIT CITY OF FEDERAL WAY BUILDING PERMIT BUILDING INSPECTION 661-4140 92-1129 P JACK IN THE BOO-.* 31= a . PACIFIC PERMIT NO. SITE ADDRESS EvmGF=Tqa 5• :" ; ,, T' 7 est u 763-1744 CONTRACTOR CONTPHOND R� e-7722-71 ` CONT. REG. NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIA AD I DU T I AD NEW PUBLIC PUBLIC ADD. � TOP NEW MULTI -FAMILY TS ) MULTI. ADD. SIGN GRADING HE r TX AIJNT NO. 5 IJLrr�4' f LEGAL DESCRIPTION " 10 f Al" # Ai LOT, 38 07 125 FT OF 37 NNID �G�O ISSUED BY DATE OF ISSUE DATE OF APPLICATION 7-22-91 BUILDING INFORMATION NE SET BACKS: FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISE- 6, = :V4 0. r, RETURNED SINKS MISC. k" BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL % AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. r1?,F'FIDAVIT WILL NOT SUFFICE. " PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD 26.50 CHANICAL FEE :TAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE GAS PIPING OK Date By �j, SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE 26.50 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 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: /� f OWNER OR AGENT'"`' "' DATE SET BACKS AND FOOTINGS DATE __ ___ . ... ... BY O.KTO POUR FOUNDATION WALLS DATE ....... . . . ..... . . .....BY PLUMBING GROUNDWORK DATE BY PLUMBING ROUGH IN DATE - _ -....,BY WATER LINE O.K. __._ . .... . .. GAS PIPING O.K.-......---....._-...... MECHANICAL INSPECTION O.K. TO ENCLOSE FRAMING DATE ______BY . ..... ... . INSULATION DATE BY . .. .... WALL BOARD AND FIRE WALL DATE - BY -, . . . ..... .. . . . .. ... ..... FINAL O.K. TO OCCUPY DATE BY DCD PSD FD