91-100495 MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY B U I L D I N G P E R M I T 941-1555
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PERMIT NO. 91-454 M OWNER'S NAME $�RI�$ MANAGEMENT JOB ADDRESS 34900 ENCHANTF.I� PRWY S
CONTRACTOR J & F INDUSTRIES ADDRESS 2200 SE MAILWELL PORTLAND, OREGON CONT. PHONE �n�-659-8121
CONT. REG. NO. JFINDIZIOM7 6/91 OWNER'S PHONE 503-641-6338 OWNER'S ADDRESS 13635 NW ('_nRNF.T.T. Rn vnRTT��liTD, nR
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTFIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER __�E�_BELOW
TAX ACCOUNT NO. 2�-926O-OS7O LEGAL DESCRIPTION NA
ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 4�16�91
BUILDING INFO MATION
LONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
ATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED
'�iTIfBS LAUNDRY DRAINS COMPRESSOR TANK(S)
. 'RS� URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LR i DRINKING FOUNTAINS GAS rIOT WATER HTF. �2� MISC. FANS 9.O O
SINKS MISC. CONVERSION BURNER BASIC FEE 2�_ RETURNED
DISHWASHERS TOTAL FIXTURES NQN� rtifdl�M�fl�Efi HOODS(2) 13_0 0 TOTAL MECHANICAL ��Q AMOUNT NONE
VALUATION �2� VAPOR HOODS @ $6.5 0 EACH = 13.0 0 (1) MARE-UP AIR FAN @ $6.5
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
MECHANICAL FEE �F)�..S O
'OTAL BLDG. FEES Water Line �K 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 NIECHANICAL PERMIT
AMOUNT DUE $61.50 Account No. 010-000-322-10-004 Total Fee $ 61.50 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 ,�C�?--�•�-i ��:y'y1O�"-! ] DATE � -�.vt-' ��
���;E1V�D �rmit # � ( ' ��'� ��
APR 1 6 1991 CITY ,♦L WAY
CITYpFF�p�Hq�wAY BUILDING PER , APPLICATION
BUILDING DEPT. —P�ease Pr�nt—
BOX 1 TENANT NAME:
OWNER �NA�Is MAN^c{�►..ICNT GodP, SITE LOCATION ^ ��, - t - �.1 ��
OWNER'S AODRESS 13to35 �.1t�1 C1�RNELL RP_ CITY o D PHONE5o3�Cv41 -(03�
DESCRIBEJQB G�MMER.(.�t/�L R�TAuRANT" V�-� •�=-�«t�._ `
TNE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME �1 � F IN�STl�IGS CONTRACTOR'S REG. #223-DIJF INDI-21•OM7
Card MUST be p►esenied
CONTRACTOR'S ADORESS ���� MAI�--1-�lCU� DQTY Po K.TL�.N U, PHONE 503 -(v 59-P�121
EXPIRATION DATE l� - G'/ 1.��
—OR—
I HAVE REAO CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WNICH PROHI8ITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON �R� MI�A o� ED PETER�N PHONE`.�3'lv5�-gl2 I _
BOX 4 SEWER DISTRICT WATER DISTHICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(II necessary, please subm(t a separate page with lhe legal description.)
K.C. Plat Recording # �
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / '
3fl0 �LOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY (�() NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
(� COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ ?� '-'��
N0. WATERCLOSETS GAS PIPING, FEET s
DATHTUBS N0. FURNACE, ELEC. GAS a
SNOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER a
SINKS 801LER, SIZE � BTU S
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE �
LAUNDRY WASHER OUTLET UNIT IiEATERS a
URINALS AIR COOLING UNITS, SIZE a
DRINKING FOUNTAINS �COMMERCIAL HOOD T(PE I��;��� ��C,<�� `� � �� `����
SUMPS, SPRINKLER VACUUM BREAKERS 2 OTHER vi°�F'�� N��,�'1:.5G�-��y
ORAINS TYPE TL g �'�
OTHER ':.� `" � , ;,� �k� '��z�, E�, .� ;S G , �, i�
70TAL FIXTURES �:;, : . ,�. ,n �_: �- � r<< �.. ;�;; ,;�a � •�C%
�� TOTAL MECHANICA FEE � ..;,-r!���,
I CERTIFY UNOER PENALTY OF PERJURY THAT THE INFORMATION FURNISHEQ BY ME IS TRUE ANO CORRECT TO THE BEST OF MY KNOWL.EDGE
, AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM TNE 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 INV�STIGATION AND DEFENSE OF SUCN CLAIM),WHICH MAY 8E MAUE 8Y ANY PERSON,INCLUDING THE UNDERSIGNED,
� AND FILED AGAINST THE CITY OF FEDERAL WAY,8UT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICEflS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: �A Kr I�I iY� DATE: 3 �2�-�(I
� ��.�,.�
. ,{-_.-�,--- - ,. _ �_ _._ ..
OFFICE USE ONLY (PLE NU�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. D/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/A NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENAN MP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUIL G SQ. FT. @ _
B DING SQ. FT. @ _
UILDING 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 �' _ �
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE �
OTHER FEES
AMOUNT DUE � � ��%
ASSIGNED ADDRESS: S���- L ( -
RECEIVED _
APR 1 6 1991 PARTIAL PLAN CHECK FEE RECEIVED
G�7Y OF FEOEAAL WAY Amount Date Receipt#
BUILDINQ DEPT.
BUILDING DEPARTMENT APPROVAL
RECENED BY �-/ DATE � � `�✓� �
ACCEPTED FOR FILING
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY B U I L D I N G P E R M 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 ) MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION
IS,'iUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
__NE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. 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 7ANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS jiOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTRL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAV T N
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPE
CHANICAL FEE
.UTAL BLDG. FEES Water Line �K Mechanical Ins I'1 2S:
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
AMOUNTDUE _ ACCOUL1t NO. 010-000-322-10-004 Total Fee $ 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: P
U
OWNER OR AGENT DATE ��