92-102117 (2)p-10;1 117..
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2490
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/01/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 32411 PACIFIC HWY S
PARCEL NO.: 150050-0150
PROJECT DESCRIPTION: HVAC INSTALL (2) 7 1/2 AIR COOLING UNITS, GAS PIPING. & GAS PACKS
OWNER CONTRACTOR LENDER
LARKSPUR CENTER INVESTORS SEATTLE MECHANICAL INC.
408 JACKSON P.O. BOx 19252
SAN FRANCISCO CA 94111 SEATTLE WA 98109
206-292-6037 939-9495
SEATTKII090S
FUEL TYPES -:GAS
FARS.......... :
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.:
70 ft
HOOD..........:
0
0-3 HP......: 0
NEC PRMT ISSUANCE... S 20.00
FURNi100K..:
0
DUCT WORK — — :
0
3-15 HP.....: 2
MEC APPLIANCE FEES.* S 48.00
GAS HWT....:
0
HOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER:
0
FURN>100K..... :
0
30-50 HP....: 0
86Q........ :
0
MISC..........:
2
5+ HP.......: 0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE........
0
-10,000 CFM:
0
ABOVE GROUND: 0
GAS LUGS...:
0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES $ 68.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
S PIPING OK
Date By
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 ",:-1 �� ram— DATE 1�t
bld mech 07/01/92
F mit # &Z)`��
92-[oz1+7
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: _' {� iJ ( [,-)
0 W N E R r ''� �_���r�11 ::r, _/JUEC :-ef IS SITE LOCATION 1 MC, J4 + 1 y pf
OWNER'SADDRESS .�A; l-f2A ctsC9TY I c y I I PHONE '�o&-" `31w 43-7
DESCRIBE JOB ME L-AC-C P-00 J 0 P P4CWA -6_4, c J + -rH 09c,1c�A- Ep, i->t'C� 61F -g - H C-A-r-
THE PROPERTY IS OWNED BY: SINGLEIMARRIED PARTNERSHIP CORPORATION L---
BOX 2 CONTRACTOR'S NAMES T ; Lt G14A Q I �_ L- -V G . CONTRACTOR'S REG. # in -I $
Card MUST be presented
CONTFiACTOR'S ADDRESS CJ I G- S 5t,s.' CITY �C1 f-' ��_ PHONE q-19- 9 y 9:5
EXPIRATION DATE 93
-
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 PRDOF OF REGISTRATION.
BOX 3 CONTACT PERSON _ - f �r c'0v/2_S PHONIE" -9 #
BOX 4 SEWER DISTRICT - ►unrro ni07DIP7
rrnI Ln vro 1 nu I --
BOX 5 ESTIMATED PROJECT COST I `"r U U U EXISTING BUILDING VALUATION
13OX 5 PROPERTY TAX ACCOUNT NUMBER- / 'S U
LEGAL DESCRIPTION (D
(if necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST- FLOOR�J 2ND FLOOR -- - 1- -- -
3RD - FLOOR�J BASEMENT_ 1 - DECK— _ 1 GARAGE_ - - 1 - -
BOX 8 ( } SINGLE FAMILY ( ) NEW CONSTRUCTION
{..) MULTIFAMILY (NO. OF UNITS = ] C>q EXISTING STRUCTURE _.
{ ) CDMMERCIALIINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
NO. WATERCLOSETS
` -- - BATHTUBS
SHDWERS
LAVATORIES -
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKER
__ DRAINS
OTHER
TOTAL FIXTURES
MECHANICAI APPLIANCES — BASIC FEE $ - -
GAS PIPING, FEET _ '74. .$.
ND. ��URNACE, ELEC. GA5 $
GAS HOT WATER HEATER
S
$
CONVERSION BURNER - - .
-. -- $-- ._ _
BOILER, SIZE BTU
$
----- AIR HANDLING UNITS
-� $--
- --- � HEAT PUMPS, SIZE
_ UNIT HEATERS ,
$
COOLING UNITS, SIZE
COMMERCIAL HOOD
_ $-
OTHER. &AS �C.►zS
$
TOTAL MECHANICAL FEE
$
1 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 DF 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 rT-O THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENTDATE:
AHP-006 SIGp