03-102127City of Federal Way
Community Development Services Mechanical Permit #: 03 -102127 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: BOYS AND GIRLS CLUB
Project Address: 30815 8TH $ G Parcel Number: 082104 9058
Project Description: Install two exhasut grills and two supply air diffusers for remodelled bathrooms.
Owner
Applicant
Contractor
BOYS CLUBS OF SEATTLE
MCKINSTRY COMPANY
MCKINSTRY COMPANY
107 CHERRY ST
5005 3RD AVE S
5005 3RD AVE S
SEATTLE WA
SEATTLE WA 98124
SEATTLE WA 98124
98104-2223
(206)763-5399/486
Mechanical Valuation..........................................1500
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
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Air Handling Units 4
PERMIT EXPIRES November 23, 2003.
Permit issued on May 27, 2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way. ->
Owner or age G Date:
RECEIVE] VIA
4$kMAY 2 7 2003 CONSTRUCTION PERMIT APPLICATION
ciTv or PPLICATION NUMBER: - L O 2, Ll
Federal Way GITY OF FEDERAL WAY
APPLICATION NUMBER:.BUILDING DEPT. -
PPLICATION NUMBER: - -
**The following is required information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
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SITE ADDRESS: 30 0 15• &y.C . ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): _ Ole) A[ '/,2 A)E SE AI k)
d F A 13 0 ' 17 F C4pv ' 0 010 CZs s J1 16V / a 7
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/,-70 Pp
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGIINEERING ❑ FIRREE PREVENTION SYSTEM
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PROJECT DESCRIPTION (Provide detailed description): ( L L L (�(iZ� (-%-t H'1`t'Ll G l S
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PROJECT NAME:
PROJECT•• •
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME:
B� i•� DAYTIME ONE: -
C/�_ C s a 6 C
MAILING ADDRESS (STREET ADDRESS' QTY, STATE, ZIP):
3o 0t s- - 9 'rN X V6,
NAME: 1r
DAYTIMyE� PHONE: �
( -1&,) 7&;- - 331 I
p• •�*..c nnr)PK', (STREET ADDRES , CITY STATE, ZIP):
EVENING PHONE:
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: % 47` !,
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FAX NER:
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CONTRACTOR'S REGISTRATION NUMBER: ,/►
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EXPIRATION DATE:
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NAME:✓ 4-M'F ' I S �M • ' -(A'AC-7� (AYTIME PHONE: -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): (71 V EVENING PHONE:
❑ ARCHITECT - -❑ TENANT HER ( DESCRIBE):—(
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE:
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
FIRST
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) Misc. (ex. GR,-, ids
COMPRESSOR(S) FURNACE(S) —2 Q Z41?'W
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
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 the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
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 supplie to the city as a part of this application.
NAME/TITLE: DATE: 27
n
❑ APPLICANT ;CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cityoffederalway.com