92-1010024
CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING PERMIT
Gl y — 10 1 0o D -
BUILDING INSPECTIUM
661-4140
PERMITNO. 92-1029 M OWNER'S NAME GENERAL NUTRITION CENTER SITEADDRESS 1714 SEATAC MALL S.
CONTRACTOR TRI TEMP INDUSTRIES ADDRESS 2017 8TH AVE SEATTLE CONT. PHONE 972-9332
CONT. REG. NO. TRITEI101J4 EXP. OWNER'S PHONE 839-6156 OWNER'SADDRESS 1928 S. SEATAC MALL FEDERAL WAY
TYPEJOB: NEW RESIDENCE ADDITION NE INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 092546-1942 LEGAL DESCRIPTION
SSUED BY JOANNE JOHNSON DATE OF ISSUE 2 DATE OF APPLICATION 7-10-92
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
WATFkP CLOSETS ELEC. HOT WATER HEATER
GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK 6_50
SH URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
.JWERS
LAVATORIES DRINKING FOUNTAINS
SINKS MISC.
CONVERSION BURNER MISC.
BBQ BASIC FEE 20-00
RETURNED
DISHWASHERS TOTAL FIXTURES
DRYER TOTAL MECHANICAL �� _ �n
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 2650
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.
S.B.C.C. FEE
OTHER FEES
MECHANICAL PERMIT
AMOUNT DUE 26--5-0—
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 CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT - �� DATE 7' /3 - J
MECHANICAL PERMIT
CITY OF
FEDERAL WAY BUILDING PERMIT
BUILDING INSPECTION
661-4140
92--1£ 29 n `=?� ?I� M- Y"TRITION CE?' ER 1714 SHATAC -ATj: S.
PERMIT NO. OWNER'S NAME SITE ADDRESS
a° 2017 F"`� 972-933T
CONTRACTOR ADDRESS CONT. PHONE
839-6156 1928 S. m ''`TL FRI)FRAL WAY
CONT. REG. NO._ EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (1�1�T�)jvllTl. ADD. SIGN GRADING OTHER
�j
TAX ACCOUNT NO. {{jJ9s
LEGAL DESCRIPTION
3 �5 7-10-92
ISSUED BY r DATE OF ISSUE DATE OF APPLICATION
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 MISC.
SINKS MISC.
BBQ BASIC FEE 20.00
RETURNED
DISHWASHERS TOTAL FIXTURES
DRYER TOTAL MECHANICAL 26.50
AMOUNT
VALUATION
GAS PIPING TES B Y INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
r,
PERMIT FEE
PLAN CHECK FEE
UMBING FEE
INSPE& RECORD
CHANICAL FEE 26.50
(�
TOTAL BLDG. FEES
Wate echanic �nspection Notes.
PART PIC FEE
SEPA REVIEW
PIPIN BY
WATER SERVICE
WATER MAIN CHG.
�
S.B.C.C. FEE
OTHER FEES
MEC PERMIT %" (1'� C�
�
AMOUNT DUE rye" '
otal Fee $ • 5f, Receipt No.
n
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
1 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
,d30tMIIAU Pere#
AVM, 1VH3- M_9 tO
2661 0 E 1111" CITY OF FEDERACWAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: 6-� W C-1
OWNER :74A'1aL I4-,�Lj_' `wNN, , • G" C SITE LOCATION i*7)4 5 -yw -tal c; !j,1"i_t_
OWNER'S ADDRESS 1'L;4A S'! s r I _ t A 4 L i CITY PHONE&39 -6 5:(-
DESCRIBEJOB Vk�zg iwe;r_&Zy-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ]Z1 =-i i�ih� 1 �(]��:` i ice; CONTRACTOR'S REG. #-TR.11 _t-ai )Of JT
Card MUST be presen
CONTRACTOR'S ADDRESS -�1 2' i'li . viE CITYa Z_— PHONE9'7.�
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 PHONEis 3 (3-\\
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT C04)_7 5L) ' — 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 FLOOO_7 / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
M
PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
N0. FURNACE, ELEC. GAS
$
GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
OTHER D
$
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 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 EN�ELOYEES, UPON THE ALLURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT'�i..� DATE:
ANP -008 3/90
OFFICE USE ONLY (PLEATS DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL
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:
ASSIGNED ADDRESS:
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL
BY DAT
DAT
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