92-100571 MECHANICAL PERMIT 9) /005-2/
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 92-589 M OWNER'S NAME KENNEDY/JENKS JOB ADDRESS 530 S 336 ST
CONTRACTOR MACDONALD MILLER ADDRESS 7707 DETROIT SW SEATTLE CONT. PHONE 767-7995
CONT. REG. NO. MACDOMS147MN OWNER'S PHONE 927-8688 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 SEE BELOW
TAX ACCOUNT NO. 926500-0385 LEGAL DESCRIPTION
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE /- .-:? C z -'
DATE OF APPLICATION 4/13/92
BUILDING INFORMATION
ONE _ OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT.
SET BACKS: FRONT II"
SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. -BO10ER FAN 4.50
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT 6.50 NUMBER
LAVATORIES DRINKING FOUNTAINS GAS1-10T WATER HTR. MISC DUCTWK 6.50
SINKS MISC. CONVERSION BURNER _ BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 37.50 AMOUNT NONE
VALUATION $NONE
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
IllCHANICAL FEE $37.50
TAL 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 $37.50 Account No. 010-000-322-10-004 Total Fee $ 37.50 Receipt No. 6 - / g/
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: j
OWNER OR AGENT .- A _✓ - / '/ --L DATE 4-20' 92_
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY B I L DI IV G P E R �I I T 941-1555
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 ) MUL I. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 5P LEGAL DESCRIPTION
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
•NE 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 pOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION �
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WIL SRJFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION C. c, 1
CHANICAL FEE
OTAL BLDG. FEES Water Line OK Mechanical Inspect •n 111°Iii
PART P/C FEE /4'6
SEPA REVIEW GAS PIPING OK _ Date By ,
WATER SERVICE Op
CS
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE Account No. 010-000-322-10-004 Total Fee gi• 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
`rmit # °I 2- -ciQ rr—�
NeD CITY OF FEDERAL WAY
fyAPR 13 4.
1992 BUILDING PERMIT APPLICATION
aUtagp`�Q L WAy —Please Print—
BOX 1 TENANT NAME: 'KEL)L'E !)i` /TE1..r'ILS
OWNER k',SL'taL__D`r' /_Tst )k zj SITE LOCATION
OWNER'S ADDRESS S j(') >[`_'UrH 3Sic-?'` CITY ECDr="-P L_ i,A(L4rT PHONE 9Z1-6)(„¢;e
DESCRIBE JOB .- MCI)it=`( X t S'f1 N6t t---t I/4-C , A-4-ou rue-at 2 076:v I Pti-Z�K I-i-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION ,��
BOX 2 CONTRACTOR'S NAME NAL-R:4%14 LA) 1-1 14_1_C- _ ' v_v IF CONTRACTOR'S REG. # ',4 1)::-1S IH-tmk,
Card MUST be presented
CONTRACTOR'S ADDRESS 7 1 6 7 1.)E I I2'I t vi CITY /-i>i}i t Lt PHONE -7 L I- 7 c({(S--
EXPIRATION DATE
- OR -
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND 4-3
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON J c i lei 1- A tit te=a-t-'1. PHONE 7' j1 1(1 e(
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST4Z-Z--16 00' EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER `1 Z_ oC --C c-}_-_, _
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: Existing roposed) 1ST FLOOR II,3Z`( / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (>4 EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 111-�Z-9 SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES - BASIC FEE$ 2_0 '
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 1 AIR COOLING UNITS, SIZE I . -5-Tc-)0=' $ (' •S 0
DRINKING FOUNTAINS COMMERCIAL HOOD $
UMPS, SPRINKLER VACUUM BREAKERS OTHER ritkc-t tAlei - $7 ,..5-C.%DRAINS f EXl t. �s }` rcet $ 1(I 5_ v
OTHER $
/ TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ 3 .0
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, UP THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: )'\
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. @ _
BUILDI SQ. FT. @ _
BUI ING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE 3t-5—C'
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING