93-101686 g
CITY OF FEDERAL WAY
IVE HAN I AL PERMIT PERMIT NO.: BLD93-0739
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 07/12/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 181 S 333RD ST Unit: 200
PARCEL NO.: 92HH00-0250
PROJECT DESCRIPTION: HVAC - INSTALL NEW DIFFUSERS & DUCT WORK
OWNER — CONTRACTOR -- LENDER
BEHAVIORAL SCIENCES INST MC KINSTRY CO
181 S 333RD ST #200 2730 4TH AVE S
IIIDERAL WAY WA 98003 P 0 BOX 24567
SEATTLE WA 98124
1762-5900
4111 MCKIN372NO
FUEL TYPES.:GAS FANS • 1 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 PLAN CHECK DEPOSIT.* $ 30.00
FURN<100K..: 0 DUCT WORK • 1 3-15 HP • 0 MEC PRMT ISSUANCE... $ 20.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 MEC APPLIANCE FEES.* S 11.00
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 61.00
INSPECTION RECORD
ter Line OK Mechanical Inspection Notes:
IIIIAS PIPING OK Date By
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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 L-,j,'✓l7�/ _'"!yh �t/ DATE 7_i<—`�V�
btd mech 07/01/92
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93-0739
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 07/12/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 181 S 333RD ST Unit: 200
PARCEL NO.: 92HH00-0250
PROJECT DESCRIPTION: HVAC - INSTALL NEW DIFFUSERS & DUCT WORK
OWNER — CONTRACTOR -- LENDER
BEHAVIORAL SCIENCES INST MC KINSTRY CO
181 S 333RD ST #200 2730 4TH AVE S
FEDERAL WAY WA 98003 P 0 BOX 24567
SEATTLE WA 98124
762-5900
•
MCKIN372N0
FUEL TYPES.:GAS FANS • 1 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 PLAN CHECK DEPOSIT.* $ 30.00
FURN<100K..: 0 DUCT WORK ' • 1 3-15 HP • 0 MEC PRMT ISSUANCE... $ 20.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 MEC APPLIANCE FEES.* $ 11.00
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 61.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
IIIS PIPING OK Date 7/7,/f; By/
K,P•i# d°161(14P At
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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 ,,,/_ `Y4. � DATE 2-/ L 5?
i��Cl�
bld meth 07/01/92 `�J �1
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK •
DATE________ 8Y_ DATE _ _ _ _8Y _ _ DATE ____ ____ _oY
PLUMBING ROUGH IN WATER LINE O.K. -_- _- _ _ MECHANICAL INSPECTION
DATE __.__ _8YGAS PIPING 0.K. -- _-_--_--_�_ __ DATE _-_ _- _-___-BY ____________�_�
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE Bv __--_ DATE _ _ _sY _ __ DATE -_ __ __8v
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE _ _ BY
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• •
RECEIVED
• • ere # /960q3 -6-7-31' 'i
JUL 0 61993 CITY OF FEDERAL WAY
ABUILDING PERMIT APPLICATION
aTY OF FEDERAL RI -Please Print-
BOX 1 TENANT NAME: rrg9l1i.rof7 4/ 5G-.7--eces :i4(a?7 13(j'J( -#C'
OWNER i'c'ier __r C S Z"bZ SITE LOCATION /g/ - u 1 33, -4 `�lsY`)
OWNER'S ADDRESS • - —s r ` AO #--.0 CITY f-i4/C -o5.1. Luhyi PHONE
DESCRIBE JOB 49n' &u 1 SE25 A SSS7/4CC Aifty4lcy" 70 ''xzs-T..Zsto 2o5
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME I 1 cf<T4577 f' 6, i CONTRACTOR'S REG. #/71(-K�44k-f 3 7,2 A(0
Card MUST be presented
CONTRACTOR'S ADDRESS Po,AvX ,)(IS-,7 CITY 5477r PHONE 7lv,2-3 ili
EXPIRATION DATE q-1 - /3
—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 .7DU4 /7/07f ''5 —171 Z 3ZZ"' . PHONE 7/p,,''.?."-?// /36c
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST f 7 GO0 EXISTING BUILDING VALUATION z
BOX 6 PROPERTY TAX ACCOUNT NUMBER q‘P 1"4 Do — 0t)6-0
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 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
MULTIFAMILY(NO. OF UNITS = ) EXISTING STRUCTURE
.MULTIFAMILY
TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. 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 )C' OTHER J �(4F�S 4 QIeG r $
DRAINS / RR?}lit6eM tX, 1.4 ! $
OTHER $
TOTAL FIXTURES $
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
/M/41"s#11-
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OWNER/AGENT: fr—V1 i1 - // '� 6'‘ DATE: 7-,77"-?.-f)
ANP-008 3/90