93-100273CITY O�- FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 1916 S SEATAC MALL
PARCEL NO.: 762240-0010
PROJECT DESCRIPTION: HVAC
OWNER
B DALTON BOOKSELLER
1916 S SEATAC MALL
FEDERAL WAY WA 98003
212-633-3584 LOLL 839-5338
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
LENDER
l I Ct
PERMIT NO.: BLD93-0107
ISSUED: 02/02/93
BY: FLF
FUEL TYPES.:GAS ?
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.....:
1
3-15 HP.....:
1
MEC APPLIANCE FEES.* $ 23.00
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 $ 43.00
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
bld mech 07/01/92
DATE
SET BACKS AND FOOTINGS
DATE _........—._... ... —....—BY
O.K TO POUR FOUNDATION WALLS
DATE _....—_.. ___BY
PLUMBING GROUNDWORK
DATE — — — -- ... BY
PLUMBING ROUGH IN
DATE _...... .. ... ... BY .....
WATER LINE O.K. _ _ _._.__..... .—......
GAS PIPING O.K.-_—— _—.....—.—____
MECHANICAL INSPECTION
DATE
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
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BOX 1 TENANT NAME: Y:
`rmit# �,(023
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
OWNER j "e, 1 I SITE LOCATION 1 12 j �-
OWNER'S ADDRESS CITY Ce PHONE
DESCRIBE JOB " i
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSH P CORPORATION
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S REG. #
nn `` Card MUST be preseri
CONTRACTOR'S ADDRESS % ®� k-, ,5 �t PJ 661! Si�ITY It �l W v .r k'1 PHONE S
EXPIRATION DATE 1 3 - 4t
-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 PHONE -:3
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST-FJ'3,1) 00 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER %a r -C e ( /(., Z Z +(J - V cf Z-)
LEGAL DESCRIPTION S TQ C _
(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
1101 G]
PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
--ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
_OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES - BASIC FEE $
GAS PIPING, FEET $
N0. FURNACE, ELEC. GAS $
GAS HOT WATER HEATER $
CONVERSION BURNER $
BOILER, SIZE BTU $
AIR HANDLING UNITS $
HEAT PUMPS, SIZE $
UNIT HEATERS$
AIR COOLING UNITS, SIZE I ? �z Tvv7 $
COMMER AL HOOD $
OTHER (AP�r, ex is f� $
. >` J $
$
$
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 ASTOANY 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 EMPLOYE�UPON THE ACC~ Q(r,4HE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
ANP -008 3/90
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 1916 S SEATAC MALL
PARCEL NO.: 762240-0010
PROJECT DESCRIPTION: HVAC
OWNER
B DALTON BOOKSELLER
1916 S SEATAC MALL
FEDERAL WAY WA 98003
212-633-3584 LOCL 839-5338
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HUT....: 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
Water Line OK
,'S PIPING 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
CERTIFY THAT THE INFORMA
MECHANICALPERMIT PERMIT NO.: BLD93-0107
BUILDING INSPECTION - 661-4140 ISSUED: 02/02/93
BY: FLF
CONTRACTOR
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP...... 1
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
LENDER
FEES:
MEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* $ 23.00
TOTAL FEES $ 43.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWN" 3 OR AGENT %L�/ �/ �'�,�1�i`� DATE
Id meth 07/01/92