93-101733CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 33301 1ST WY S Unit: C-115
PARCEL NO.: 926500-0230
PROJECT DESCRIPTION: DIFFUSERS AND R/A GRILLES FOR TENANT IMPROVEMENT
OWNER CONTRACTOR LENDER
VALLEY CITIES MENTAL HEALTH EVERGREEN REFRIGERATION INC
33301 - 1ST WAY S UNIT #0-115 727 S KENYON
FEDERAL WAY WA 98003 SEATTLE WA 98108
04.67-6500 763-1744
EVERGI*201D7
FUEL TYPES.:?
?
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<100K..:
0
DUCT WORK.....: 1
GAS HWT....:
0
WOOD STOVES...: 0
CONV BURNER:
0
FURN>10OK..... : 0
BBQ........:
0
MISC..........: 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<=10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
W-er Line OK
GAS PIPING OK
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP. .... 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
Mechanical Inspection Notes:
Date By
O13- I1oI 133
PERMIT NO.: BLD93-0758
ISSUED: 07/16/93
BY: FC
FEES:
PLAN CHECK DEPOSIT.* S 25.00
MEC APPLIANCE FEES.* S 0.50
MEC PRMT ISSUANCE... $ 1.00
TOTAL FEES S 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 �— I
bld mech 07/01/92
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER J
OWNER'S ADDRESS
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
SITE LOCATION
CITY
PARTNERSHIP
BOX 2 CONTRACTOR'S NAME Gi uA4YAe.,'1 l& Xaag IGS C--. CONTRACTOR'S REG. # -'V6e4f T *"1 1>7
Card MUST be presented
CONTRACTOR'S ADDRESS 7?i7 S k�,. &M st CITY cS e PHONE �� / 741
EXPIRATION DATE /0- 7,( -!%3
—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 A2 t Gt-1Ae-7 Lc -f_- 19wPHONE yL3. ` 1 %4 '/L
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 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) 1ST FLOOR------/— 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK______J_ GARAGE /
BOX 8 ( ) SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRUCTURE
( COMMERCIAUINDUSTRIAL
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
COMMER IAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER �I $
DRAINS
$
OTHER
$
TOTAL FIXTURES
$
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 OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON HE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: ��
DATE:. _ ( 12 ,_3
ANP4= 3/80
CITY OF FEDERAL WAY
MECHANICAL PERMIT
C13- !01 133
PERMIT NO.: BLD93-0758
33530 First Way South
BUILDING INSPECTION - 661-4140
ISSUED:
07/16/93
Federal Way, WA 98003
BY: FC
661-4000
SITE ADDRESS: 33301 1ST WY S Unit: 0-115
PARCEL NO.: 926500®0230
PROJECT DESCRIPTION: DIFFUSERS AND R/A GRILLES FOR TENANT IMPROVEMENT
OWNER CONTRACTOR LENDER
VALLEY CITIES MENTAL HEALTH EVERGREEN REFRIGERATION INC
33301 - 1ST WAY S UNIT #C-115 727 S KENYON
FEDERAL WAY WA 98003 SEATTLE WA 98108
-467-6500 763-1744
EVERGI*201D7
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 PLAN CHECK DEPOSIT.* $ 25.00
FURN<100K..: 0 DUCT WORK.....: 1 3-15 HP.....: 0 MEC APPLIANCE FEES.* $ 0.50
GAS HWT...... 0 WOOD STOVES...: 0 15-30 HP....: 0 MEC PRMT ISSUANCE... $ 1.00
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
M GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 26.50
INSPECTION RECORD t;
i
Water Line OK Mechanical Inspection Notes: 1
O"S PIPING OK Date By did a V
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��
bld mech 07/01/92
Am
SET BACKS AND FOOTINGS
DATE -_ -BY
A TO POUR FOUNDATION WALLS
DATE BY
PL WING GROUNDWORK
DATE . _ , - . -........--.....BY
PLUMBING ROUGH IN
DATE BY
WATER LINE O.K . . .... .. . . ..... . .
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE --BY
O.K. TO ENCLOSE FRAMING
DATE _ --- ,.,----,.BY
INSULATION
DATE .... . . .... ..... . .. .... BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE_
DCD
PSD
FD
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CERTIFICATE OF OCCLIPANCY#
�k CPI7 OF FEDERAL WAY
WEE
10110
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This Certificate issued pursuant to the requirements of Section 306 of the Unif mn Building Code certifying that at the time of
issuance this structure was in general comp, fiance with the various ordinances of thie City regulating 6uuilding construction or useREM
jr, for the foffowing: X
:":
= Occupancy Name: VALLEY CITIES MENTAL HEALTH
Use Cla,-,Slf IcaLion: HEALTH
Group B2— Type of Con shdion 5N U,,,c Zone or
Owner of Occupancy: VALLEY CITIES MENTAL HEALTH
Owner of Building : PREMIERE INCINCINC
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Addre<-,s: 33301 IST WY S UNIT: C-115
Perlllll NO: BLD93-0677 :":
(S, q. roOL38e 2250 Occcupant Load 23 M
Address: 33301 IST WY S UNIT: C-115 �TT�
Addrem: 1011 WESTERN AVE SEATTLE WA 98104
The priority focus in the review and inspection made 6y the City prior to issuance of this Certificate was on those matters which
=
experience has shown most severety affect the health and safetyof general public. Although the City has made as complete a
review andinspection as is reasonably possible (withinbudgetary time andpersonnef limitations), the City neither guarantees nor _li'
%mss, warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ��., X.
'■
on -finance or regulation of the City or the State of Washington affecting the construuction or use o said structure or the [and u on
f p
which itxig situa Such compliance is t�e responsibility of the owner and/or occupant of the premises. 0a
Buifding Offic
■ _
0 mile MJJMMJJM Milan
Date
Post in a Conspicuous Place
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