93-102256 • • ,
STRUCTURE Existing Use Retail outlet Proposed Use Same
Permit includes: F.SII Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: El Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
rCommercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability 0 On-Site Septic System Availability ❑ Project Valuation SZr[}(a
Zoning Lot Size Existing Bldg Valuation S f
LENDER
Name
N/A Address
City
State Zip
MECHANICAL;:CONTRACTOR
Contractor Name Address
N/A
City
State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLITAIBING CONTRACTOR
Contractor Name Address
N/A
City
State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes 0 No
PLUMBING FIXTURE COUNT
Water Closets N/A Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECIIANICAL^UNIT COUNT
.'
Fuel Type (electric/other) N/A Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
-.Length of Gas Piping Range Air Handling > 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers
Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3 15 Tons Total Unit Count
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge end further that I am authorized by the o..^e
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,expels.'s
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 V,54.
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 t1
application.
owner/Agent: Jiserlrt -tib-- DateJune 15 , 1994
:
93'JT )a s-ki
CITY OF FEDERAL WAY MECHANICAL P ERM I T PERMIT NO:
09/09/9372
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/08/94
ADDRESS:2110 S 314TH ST
NO. : 092104-9053
PROJECT DESCRIPTION:HVAC - RELOCATION OF DUCT WORK
OWNER — CONTRACTOR — LENDER
JENNY CRAIG WEIGHT LOSS CENTER ELECTROMATIC SALES SERVICE INC
2110 S 314TH ST 800 MERCER ST
FEDERAL NAY NA 98003 SEATTLE NA 98109
11111 624-3370
ELECTIX233NE
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD - 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK - 1 3-15 HP - 0 MEC APPLIANCE FEES.* $ 6.50
GAS HNT • 0 MOOD STOVES...: 0 15-30 HP • 0 r
CONY BURNER: 0 FURN>100K • 0 30-50 HP . 0 = .,a„ X' ql4A, -41iTld,.
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 $ 26.50
Illitpection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
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 UR SED BY ME IS E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF ERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ___�_ _ " � DATE 727 ��
FILE COPY
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+C;TY OF FEDERAL Way WAY MEC I CAL PEI V1I T ,,Er
33530ISSUED: 09/09/` 3 '2
First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/08/94
ADDRESS:2110 S 314TH ST
NO. : 092104-9053
PROJECT DESCRIPTION:HVAC - RELOCATION OF DUCE WORK
- ._ CONTRACTOR --,=====.- =----- _._ _ .,. LENDER :..- ..�. _
JENNY CRAIG WEIGHT LOSS CENTER ELECTROMATIC SALES SERVICE INC
110 S 314TH ST 800 NERCER ST
DERAL NAY NA 98003 SEATTLE WA 98109
4-5370
. __.. _.a._.._.. -__ _. �. .� .e...,..===-= - �__. =r- _ _..�_.__- __ _._ _ ,..
tUEI TYPES.:GAS FANS. ,.: 0 BO l RSA00144,5044 FEES:
GAS PIPING.: 0 ft ROOD, : 0 MEC PINT ISSUANCE... $ 20.00
FURN<100K._: 0 DUCT //4-1—*"* l 5 .. `� . 0 k , $1 k , FFES.$ $ 6.50
GAS NWT � 0 30` P.. .: C-- ,�. X' * �.,
CONY BURNER: 0 FURN> .. 4B,, 30-50 HP.. v _ y _ 4;
..,0,
BBQ • 0 N „ t `; P.... 4.V*,,,,,\Iu
GAS DRYER..: 0 AIR i ,,y ' °`
RANGE 0 <-10� 0 .,, 1. ","
GAS LOGS0 > 10, KG' . I.. 0 ,44.�
TOTAL FEES $ 26.50
_ .__ _ _
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IT NO WORK IS STARTED. RESIDENTIAL AND GRADIN PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY TNAI THE INFORMATION UR SED BY NE IS E AND CORRECT TO THE BEST Of NY KNOWLEDGE AND THE APPLICABLE C TY OF RURAL NAY REQUIREMENTS WILL BE NET.
OWNER OR AUNT DATEI;
I" .`�V��� iii
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RECEIVED • limit # (3l D q' - 09.72.
SEP 02 1993 CITY OF FEDERAL WAY
CITY
'YBUILDING OFFEDERAL BUILDING PERMIT APPLICATION
- Please Print-
BOX 1 TENANT NAME: Ten✓1/' 6rgr`qll4
OWNER 775// 2ro,#ti4,'e.S / SITE LOCATION ;, e 5 d 1/Y24/4 .-s-i.
OWNER'S ADDRESS CITY ,PHONE 5-75-- $SO
}2-
DESCRIBE JOB e-/o ca ' ex I S*in ala c or-t- yt-�'MSJrq// /mow 7/1/4/Yes
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION . oe-/-}el
BOX 2 CONTRACTOR'S NAME l ec1-n en a Jk SQ/es q--.7c'1`V e `ce CONTRACTOR'S REG. # E/eci//A-,:g334VE
Card MUST be presented
CONTRACTOR'S ADDRESS 809 ./JlP�Pi- 57 CITY Se4,17/4- PHONE ~.-
EXPIRATION DATE SIS-/AMP 9j/
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTVONTRAC.TORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON .,.*tse/1C-/G,7C�/ PHONE C...2 /-3j'7°
BOX 4 SEWER DISTRICT f WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST .1 5700, 00 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 6:)i77--(0'" 9*S-3 •
LEGAL DESCRIPTION B/dp `j 3 - O 8,)y
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (,,) EXISTING STRUCTURE
('s;,) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY _ SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
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 S
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE S
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS _- —e_■= = ..�
- DRAINS -774. .- -..-.-. P-'0421 S
OTHER _ $
TOTAL FIXTURES -- D Lp_ w Ce._/� $
TOTAL MECHANICAL FEE 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 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: _ • / L/�: DATE: G 9_
- - A'P-3C8 3 9C