93-101307 6/30 7
CITY OF FEDERAL WAY MECHANICAL PERMIT9 /
PERMIT NO.: BLD93 0572
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/27/93
Federal Way, WA 98003
BY: FC
661-4000
SITE ADDRESS: 2130 S 314TH ST
PARCEL NO.: 092104-9053
PROJECT DESCRIPTION: HVAC a DUCTS ONLY
OWNER[i
-- CONTRACTOR LENDER
PACIFIC LINEN - HILLSIDE PLAZA KASPAR MECHANICAL CONT LTD
2005 S 314TH ST 747 ST HELENS STE 409
FEDERAL WAY WA 98003411
TACOMA WA 98402
672-1094
KASPAMC0886C
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 • 0 MEC APPLIANCE FEES.* $ 6.50
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 $ 26.50
L
INSPECTION RECORD
Water Line OK Mechanical, Inspection Notes:
•S PIPING OK Date -/J -c) By A/
1 : .
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. ..`'
I CERTIFY THAT THE INFORMATI• FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL Y -• 7 ILL BE MET.
OWNER OR AGENT , (( _.------- DATE 2 7- �� ATE -s�=.g-�-'
bld_mech 07/01/92 D
• City of Federal Way •
v'v FIV" APPLICATION FOR BUILDING PERMIT
PLEASE PR/NT APPLICATION #:
SITE LOCATION Address l 3 j ji yCh
Tenant (if knowA / Lot # Assessor's Tax #
/4Cr��(
Building wner Name// Address
/' cc/'C i rr G'ti
City State Zip Phone
Nature of Work 2–/-7i l /"/ 7,4, C ), ,—C
APPLICANT
Name (F,M,L)
vi
Address / /
-77`7 1 /i9,f(
City GG)/Y1 Gy/ GL/it State U/!� Zip %f
Contact Pqrson Day Phone Other Phone Fax
h t 5 lr�Z '/v i C/ 77– VV61) 771 ' /‘70
BUILDING CONTRACTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
ARCHITECT
Name
Address
City
State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
C00492(Rev 4/93)
STRUCTURE listing Use • •ProPosed Use
Permit includes: -7 Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential 7 New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUNIBIN'GCONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: 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 employees, upon the accuracy of the information supplied to the City as a part of this
application. �� `
Owner/Agent: \�`` Date .J �� 2'c'5