93-101675CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 28615 25TH PL S
PARCEL NO.: 552900-0200
PROJECT DESCRIPTION: MECH ONLY
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GARDEN PARK II-LAKECREST TERR
28621 - 25TH PL S
FEDERAL WAY WA 98003
4715 588-7653
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HWT.... : 0
CONV BURNER: 0
C29......... 0
GIP' DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
Water Line OK
FANS........... 0
HOOD........... 0
DUCT WORK.....: 1
WOOD STOVES...: 0
FURN>100K..... : 0
MISC........... 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
*OWNER IS CONTRACTOR*
*nuuFR*
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP...... 0
15-30 HP....: 0
30-50 HP..... 0
5+ HP........ 0
FUEL TANKS ---------
ABOVEGROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
Mechanical Inspection Notes:
GAS PIPING OK Date By
LENDER
93-l0) &-25'
PERMIT NO.: BLD93-0731
ISSUED: 07/06/93
I BY: JJ
FEES:
MEC PRMT ISSUANCE... S 20.00
MEC APPLIANCE FEES.* $ 6.50
TOTAL FEES IS 26.50
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 DATE - y
bld mech 07/01/92
STRUCTURE
Existing Use
Proposed Use
Permit includes:
Building
❑ Plumbing
J Mechanical
❑
Other
Type of Work: ❑
Residential
❑ New
❑ Remodel
❑ Number of Units
❑
Deck
❑
Commercial
❑ 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 ❑ On -Site Septic System Availability
❑
Project Valuation
9
Zoning
Lot Size
Existing Bldg Valuation
S.
LENDER
Name
Address
City
State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City
State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City
State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Lavatories I
Washing Machine
Drains
Total Fixture Count
MECHANICAL UNIT COUNT::::
Fuel Type (electric/other)
Gas Dryer
Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping
Range
Air Handling > = 10,000 CFM
30-50 Tons
Furn <10OK BTUs
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel flanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBO'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 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 Inv Ligation and d se 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 clai lees of the reli ce of the City, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this
application. f�
Owner/Agent:. _ Date: '(�
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