95-101224 9�--�a�aa4
CI7Y OF FEDERAL WAY PERMIT N0: BLD95-0434
3353Q Fi rst Way South � ���'"�1�f''�� ��'i�. ������ IS5UED: Q6/13/95 a
Fede ral Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 12/10/95 �
,
ADDRESS:1816 S SEATAC MALL Unit: 1804 �
;
NO. : 762240-p010
PROJECT DESCRIPTION.MECHANICAL - ADD (1) AIR COOLIN6 UHIT (5-TON} �
= OWHER =_���_��_--___ �_�--_-- fONTRACTOR =�-==-��a=Q-==�� LENDER �=�mmmssseema�a�as'assasaaa�astseamsasaaans �
NORTHERN REfIECTIONS MCKIHSTRY CORP y
1816 S. SEATAC MALL �A-14 5005 3RD AVE S '
fEDERAI NAY NA 98003 PO B4X 24567
SEATTLE NA 98124 ;
762-3311 624-2T11 �
MCKIN�$372N0 �
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� COITRACTORS, �IEASE USE L9CATION CODE 1732 MNEN REPORTIIIC SALfS TAX fdl PROJECTS YITNIN TI� CITY OF FEBERAL YAY. TAX RATE = 8.25 � 9
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FUEI TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS fEES: y
6AS PIPIN6.: 0 ft HOOD..........: 0 0-3 NP......: 0 _ PLAN CHECK fEE = 9.13 �
FURN<100K..: 0 DUCT iiORK.....: 0 3-15 HP.....: 1 ' � �_� fi �:a ���� MEC PRMT ISSUANCE... S 20.00 �
6AS ITYT....: 0 MOOD STOVES...: 0 15-30 HP....: 0 °� R � � �� MEC APPLIANCE FEES.t S 16.50 �
� .._,�_ , .� -�� �. ���. �
CONV BURMER: 0 FURN>100K.....: 0 30-50 HP....: 0 ` ` s
BBQ........: 0 MISC..........: 0 5+ NP.......: 0 �
6AS DRYER..: 0 AIR NANDLIN6 UMITS fUEI TANKS--------- _,
RAN6E......: 0 <-10,000 CfM: 0 ABOVE 6ROUND: 0 ;�
6AS L06S...: 0 > 10,000 CFM: 0 UNDER6ROUIiD.: 0
TOTAL FEES = �►5.63 �
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Does t�e Water supply syste� contain a Pressure Reduction Device or Check valve? () Yes () Mo (If 'Yes' then r+ater expansion tank is required on Hot Nater Tank)
Inspection Aecord Nater line OK _� Mechanical Inspection Notes: ____ �__
GAS PIPIN6 OK __� Date By ______ � _______ M______ �� �
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PERNITS EXPIRE 180 DAYS AFTER ISSiIANCE IF NO YORC IS STARTE9. RESIBEMTIAL ANB 61tA�IM6 PERMITS p(PIRE ONE YEAR AFTEA DATE OF ISSUANCE.
I CERTIFY TNE INFORMATION NISI�D BY ME IS TRUE ANB CORRECT TO THE BEST OF MY �NOUlED6E fYID TI� APPLICAII.E CITY OF FEHEAAL YAY AEQUIREMENTS YILL HE MET.
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�OMNER OR A6ENT � /� �� _______________ DATE "
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FILE COPY
' iY OF �EDERHI. WF�Y � F��RMZT Nt): $LD95--(�434
:3;3`��G Fi rst Way 5auth ��+�..�f"'������� r ���� � ISSUED. 06/13/y5
� F�d�r�l Way, WA 4800� Buildinq Inspecta.on Requests 661-41.40 BY: FC
�6�.-�000 �x�x��s: �.�/�.o/9s
AU1�RE5S:18:�.6 5 SEqTAC MAI.L Unit: 1804
N0. : 7��24t]-001C�
PROJECT DESCf�IPTIC�N.MECHANICAI - ADD (1) AIR COOLIN6 UNIT (5-T011)
• OMNER ..,�.R...,�.e.,...4..�...�.�.......�a....�Q� CONTRHCTOR .m�.......�...�.....�....�.......�...�.. tEMDER �.�..�...�,.=�..F�s..��.............«�...�v..
� �ar�GTWERH REFLECTIONS � MCKINSTRY COAP
". SFAIA� MAII tA-�Z 5005 3RD AYE S
� ` PO BQX 24567
SEATTLE MA 98124
762-3311 624-1711
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ui CO�TRACIORS, PI.EASE USE [OCA�IOiI CBi� 1't�'1 Ntt�� �fPONTIN6 SALES TAX FOR NtWEtiS YITNIN T� CITY 9F FE� MAY. TAX RATE = 8.25 �
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FUEL TYPES.:? ? FANS..... ..... 0 ��IERS(Ct�t€�S�k*� f�ES:
6AS PIPIM6.: 0 ft NOOD .....: �s 0-3 I�. : � _ ����' - ���-� � � •a- ; - �"lAN ��t�tK�fEE f 9.13
fUkN<140K..: 0 DI1CT iN�t�..,..: fl �����3-I���HP.....: ��,, � � s � _ � � � �� �F � ME�M ��MT IS��UflNCE... Z 20.00
GAS ITYT....: 0 IiOb� SiOiIfS`�...: �fl���� ;15-�# NP....: � ti` �� �. ���,�s. � � � � � IfiEC ��PLIAiICE FEES � S 16.50
CQMV BUANER: 0 �fUAN>1�.».>..: „� �0-54 HP....: ������3 � � , ��,, r��� � �� _ � _
. ��� ,� � � P��:
BBQ........: 0 MIS£��.. �...: �` 5+ N�+. : �U ; �,
..,.. .
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6AS DRYER..: 0 AIR 'I�AIIDlI1� i�li��5 F�{El �At1�� ----_�._
RAN6E....... D <-10,�0 CfM: A A�YE�AUND: 0
6AS 106S...: 0 > l0,tlt� iFM: 4 �-�JNDEa6k0UND.: 0
� TOTAt FEES � 45.63
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Does the Mater supply syste� contain a Pressure Reductfon Device or Check valve? () Yes �) No (If "Yes" then uater expansion tank is required on Hot Nater Tank)
Inspection Record Mater line OK _______._, Mechanical Inspection Motes: ________ � '
.�:-- _______w_.____..___._..___
�
6A6 PIPIN6 OK �___,�___ Date �,. By __�_ ___ ________
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�tl1ITS EXFIRE 180 6AYS AFTER ISSIMNtE If NQ MOR� 1S STARTED. RfSIDEfiTIAL A1� 6kA�IN6 PERqITS Ef[PIRE OME rEAR Ai'1ER 9ATE AF ISSUpNCE.
I CERTIFY T� IMfBRlIATION FtIRNISI�D �1' !� IS TRUE AND CEIRREtT TO TI� DEST Of NY LMOI�EI�EE Alt� TI� I�ICABIE tITY AF fE�ERAI NAY REplIREMENTS YIII. iE 1�T.
,
. OiiNER OR A6ENT�:y_--_..�_��_____._________._ . _________.__._____,..._____ DATE
� FIELD COPY
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION `�`��`� � � ����
—Please Print— ��TY OF FEDERAL WAY
f-tIJILDING DEPT.
BOX 1 TENANT NAME: �� � — f�(,�G'7'�C S
OWNER 55� � SITE LOCATION I�f L, �u?N 5^F.d-7"M�c /71acL �Ac�floo`�7
OWNER'S ADDRESS i9�� �GTitc �,4-7/lc /I9ALC CITY ic.i PHONE ��g �ol S�
DESCRIBEJOB R�PU�� RUGF7� ��.c1, u✓�z�� nlE�s -<<U�
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME /'Y)��'Z��l57fLY �, CONTRACTOR'S REG. #/Ilc-K�lJ��37o?ND
Card MUST be presented
CONTRACTOR'S ADDRESS �'���D� �4'��7 CITY S��TI� PHONE 7G��'� 3i I
EXPIRATION DATE � `� � �15'�
— 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 l�7'� — r�/� �. PHONE ���" 77�c�
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST � ��D• 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) iST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) �EXISTING STRUCTURE
�COMMERCIAUINDUSTRIAL TO�RL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
N0. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS N0. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER NEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS �_AIR COOLING UNITS, SIZE� $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTALFIXTURES $
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.
\ ` U/ rW _ ��
OWNER/AGENT: C �' DATE:
ANP-008 3/90