98-102476 T y + ‘ 913 , /O J y7�
CITY OF FEDERAL WAY PERMIT NO: MEC98-0151
33530 First Way South f '�f L..4::.,".1.": - i 1i10'� .,, ,'M:f,�..et I_ ,:; 'f»� �''ll�,il'µ,�l.,. .. 'I"'„� ISSUED: 08/31/98
Federal Way, WA 98003 Mechanical Inspection Requests 253--661-4140 BY: FC2
253-661--4000 EXPIRES: 02/26/99
ADDRESS:1045 5 308TH ST
NO. : 082104-9042
PROJECT DESCRIPTION:UPGRADING EXISTING HVAC SYSTEM, SENDING IN ENGINEERING ASAP
INSTALLING L/V 2-ZONE FIRE ALARM EQUIPMENT
F. OWNERT CONTRACTOR ----- -.-. ---- -. LENDER-. T LENDER ._.-. _- - 1
LIFE CARE CENTER AIR SYSTEMS ENGINEERING INC. 1
1045 S 308TH ST 1 909 S 28TH ST
FEDERAL WAY WA 98003 1 TACOMA WA 98409
1
423-272-9585 I 572-9484 g
1 AIRSYE*229KN 1
__._ 1 ---. 1 _.
*1* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN IHE CITY OF FEDERAL WAY. TAX RATE = 8.25 *1*
--------------•- .. -- -_
_ - -----=---- ? --
� PROJECT VALUATION 120000 FEES:
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS MECH PLAN CHECK FEE $ 177.38
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 709.50
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0 MEC PRMT ISSUANCE... $ 20.00
GAS NWT • 0 WOOD STOVES...: 0 15-30 TON...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0
BBQ • 0 MISC..........• 0 50+ TON • 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 1 TOTAL FEES $ 906.88
-- • ----- .._ - --
Does
.-Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If "Yes” then water expansion tank is required on Hot Water Tank)
Inspection Record: Mechanical Rough-in Date Gas Piping Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY 1HE INFORMATION FURNISHED BY NE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT '7 C _-_ DATE - 31 - 48
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EVEWED U 1997 UBC Permit —o I.
(
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME: czET7F�L WAV COM ALVICE1•t-7 C U.N .VN
OWNER LIFE cm aNIk . 0? AI'ItV A SITE LOCATION ID AS 5 . "40 r T41
OWNER'S ADDRESS 2_6155 KtI1t-1 5T NkJ CITY C.LMfIN\ TN PHONE An L72 4 St 5
DESCRIBE JOB nwAVIEIE \-NAC livlf?A\1C�t 'M%kir
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION ✓
BOX 2 CONTRACTOR'S NAME Pt IK 5`i TEM') -1•Itilt.lEig.IIih CONTRACTOR'S REG. # R\ '51E "ZZa KN
Card MUST be presented
CONTRACTOR'S ADDRESS 9 D`k 5• 11) M CITY i A COMA PHONE 7-53 5 72 'ii% 4
EXPIRATION DATE 2.- 1- i 9
— 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 D1\1'& HIM M CLTO N PHONE 25-5 CI Z 14 i 4
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST f. 11-0 j UCC EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER O q DOA- t O4 hI OA
LEGAL DESCRIPTION I\T1III CHED
(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 ( VIEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (.,/1 EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
HOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SI KS BOILER, SIZE BTU $
DIS'WASHERS 4 AIR HANDLING UNITS $
ELE ' RIC HOT WATER HEATER A HEAT PUMPS, SIZE $
LAUNI•Y WASHER OUTLET UNIT HEATERS $
URINAL` AIR COOLING UNITS, SIZE $
DRINKING OUNTAINS COMMERCIAL HOOD $
SUMPS, SP' NKLER VACUUM BREAKERS iU OTHER E X111\J LiT FV1K5 $
DRAINS $
OTHER $
TOTAL FIXTURE $
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 EMPLOYE S, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO
THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: (1&-d/2J DATE: 7 v
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING