92-102210 CITY OF FEDERAL WAY IVI EC HAN I CAL PERMIT PERMIT NO.: BLD92-2547
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/28/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 33600 6TH AVE S
PARCEL NO.: 926480-0205
PROJECT DESCRIPTION: HVAC
— OWNER ,r- CONTRACTOR — LENDER
AXIOM MANAGEMENT ELECTROMATIC
1605 116TH AVE NE #215 800 MERCER ST
BELLEVUE WA 98005 SEATTLE WA
06-454-4180 624-3370
ELECTI*233NE
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
INSPECTION RECORD w,.,:
Water Line OK Mechanical Inspection NoteIllk /�
S PIPING OK Date By ' V
4i
pP
4 ,/
ALL PERMITS EXPIRE 180 DIW ER ANCtIF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOW4E6G AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT QAv DATE / /eL
iO /7
bid mech 07/01/92
• •• •rmi# h c) 7 � - 2 s ,/7
RECEIVED ,,,,
DLC 1 1 1992 CITY OF FEDERAL WAY
10TYOf. += RALM Y BUILDING PERMIT APPLICATION
8011.01149 DEPT —Please Print—
BOX 1 TENANT NAME:
f
- OWNER . 0 i.e ilii' i, Ce SITE LOCATION 3 600 ‘,74-17Air , S .
OWNER'S ADDRESS . OS - „� IMET / CITY Be//e va& PHONE V fV- V/gra
DESCRIBE JOB /Re a cq 4�, &X,Is- Jo se,--.c. V-- ¢-�,//e.S
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION )C
BOX 2 CONTRACTOR'S NAME E1PC74- 0y 'e. CONTRACTOR'S REG. # Eie[7'ti'k a33NE
Card MUST be presented
CONTRACTOR'S ADDRESS 'CO5 /Ilei Pr- 5-ACITYSiJ�
r ,e PHONE .aV — 3 3'>0
EXPIRATION DATE Wsf9-
— 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 SAa4/? C/pncy PHONE a,a 5/- 3' 3 70
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST O .OGD. 00 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 9 a6 - 5/go-- o o,S—
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # i •
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR I
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
BOA( 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ -2(- 'c'
NO.
2 -
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU S
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER �. $
DRAINS D� of ,= ' t�,z s ,
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 EMPLOYEES, UPON THE ACCU ACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE: /?---////9 ----._
- ANP-008 3,9C