92-102018CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 28855 MILITARY RD S
PARCEL NO.: 042104®9037
PROJECT DESCRIPTION: HVAC ® REPLACE ROOFTOP A/C UNIT W/ NEW ROOFTOP A/C UNIT
OWNERCONTRACTOR LENDER
1ST INTERSTATE BANK MACDONALD MILLER
P.O. BOX 160 7717 DETROIT SW
M/S 526 SEATTLE WA 98106
SEATTLE WA 98112
292-3569
FUEL TYPES.:? ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
Water Line OK
GAS PIPING OK
763-3400
MACDON24859
PERMIT NO.: BLD92®2439
ISSUED: 11/19/92
BY: FLF
FANS..........: 0 BOILERS/COMPRESSORS FEES:
HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... $ 20.00
DUCT WORK.....: 0 3-15 HP.....: 1 MEC APPLIANCE FEES.* $ 16.50
WOOD STOVES...: 0 15-30 HP....: 0
FURN>100K..... : 0 30-50 HP....: 0
MISC..........: 0 5+ HP.......: 0
AIR HANDLING UNITS FUEL TANKS ---------
<=10,000 CFM: 0 ABOVE GROUND: 0
> 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 36.50
INSPECTION RECORD
Mechanical Inspection Notes:
Date By Is
ALL PERMITS EXPIRE 160 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
bld mech 07/01/92
DATE // —1 L - eO
c I
ov 13 1992
offy Op. lei-riB L WAY
�ILDWG DEPT
BOX 1 TENANT NAME: A_"�r
u
PIPit # 4 z - a q,3,7
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
OWNER %Sz _
`;, 14zilg kTrz 1A X SITE LOCATION ZR,1b-q Mtt_tTAP-4 CLl? S •
OWNER'S ADDRESS R V a '51-C., CITY SlZA r`fLC- , 1611 PHONE 2-92-- 315(4
DESCRIBE JOB Tt;,k) AL. il_� 1,j r,,-): � � � t-'ry •�
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #, :m(1 1471AAI
Card MUST be presented
CONTRACTOR'S ADDRESS P*_F9+T Stn! CITYSChcrU,7L PHONE
EXPIRATION DATE 4-1 -cl I
—
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 t,1AV40 VJ it.t. PHONE .1k7- q1S
BOX 4 SEWER DISTRICT WATER DISTRICT
PROPERTY TAX ACCOUNT NUM
LEGAL DESCRIPTION 0
(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
() COMMERCIAL/INDUSTRIAL
TOTAL 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 HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
$
OTHER
$
TOTAL FIXTURES
$
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 EMPLQYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: , z tn, 'i- Wj_k-ei4 DATE: l I —1 7S -- 9 7Z—
ANP-008 3/90
I
C.TY OF FEDERAL WAY MECHANICAL P
:,3530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 28855 MILITARY RD S
PARCEL NO.: 042104-9037
PROJECT DESCRIPTION: HVAC ® REPLACE ROOFTOP A/C UNIT W/ NEW ROOFTOP A/C UNIT
OWNER CONTRACTOR LENDER
1ST INTERSTATE BANK MACDONALD MILLER
P.O. BOX 160 7717 DETROIT SW
M/S 526 SEATTLE WA 98106
SEATTLE WA 98112
292-3569 763-3400
MACDON24859
PERMIT NO.: BLD92-2439
ISSUED: 11/19/92
BY: FLF
FUEL TYPES.:?
?
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.....:
0
3-15 HP.....: 1
MEC APPLIANCE FEES.* $
16.50
GAS HWT.... :
0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER:
0
FURN>100K.....:
0
30-50 HP....: 0
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 $
36.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
wPIPING OK
Date /)--)/-V By
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
1 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
-)Id_mech 07/01/92
_ U