92-101607 9) - to / Cob7
CITY OF FEDERAL WAY M EC HAN I CAL PERMIT PERMIT NO.: BLD92-2221
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/01/92
Federal Way, WA 98003 BY: RM
661-4000
SITE ADDRESS: 31002 14TH AVE S
PARCEL NO.: 082104-9065
PROJECT DESCRIPTION: HVAC
OWNER —[-
CONTRACTOR — LENDER
JAMES BROWN LANG MECHANICAL INC
912 INDUSTRY DR
TUKWILA WA 98188
575-6707 I
LANGSMI157B5
ilkTYPES.: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 • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 6.50
GAS NWT • 1 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
Water Line OK Mechanical Inspection Notes:
GAS PIPING OK=-�5 -44A,% v ' Date / '3 -`-/z_ By g ,,-
111111
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.
( /,-;,&--4V — / -- ?,2
OWNER OR AGENT G! DATE /
bld_mech 07/01/92
(rN4U
1A,
2 el
el • Ire # (2) 9 2 — .2 /
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print— 2 - 2 Z 0/
BOX 1 TENANT NAME: W n»c t LLy o-.-
OWNER --�(LitA•LLJ t SITE LOCATION _ 3/cp i�l /V S .
OWNER'S ADDRESS ;3I CC,; - N A-4 S * 10-700CITYF 'DON1
'DONE 11-i.
I-b1 fo
DESCRIBE JOB A.A. MR_ i ti - V t.Y l -cx {--(7 1`�7` t STV
THE PROPERTY IS OWNED BY: SINGLE/MARRIED V PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 1-41.-4\010 C Off- cQ4C-- CONTRACTOR'S REG. # f O S/1/1.1 i7 3
Cac)MUST be presented
CONTRACTOR'S ADDRESS Ci &ACLU.`="4"v c. ‘i>51 • CITY IL' ? - -' ' (41-- PHONE 57S 1.57C-1
EXPIRATION DATE t .)" 1'1
— 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 L't i PHONE Sic;-"C4,-76 7
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST ��M 'VU EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER ros c)I DL{ -clCct`7 4 K- OS I c'' 1 - 90 Rg
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 / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = _) ( ) EXISTING STRUCTURE
(COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL PLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS I 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 COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
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 ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY ASf A PART OF THIS APPLICATION.
OWNER/AGENT: Jc'�'(, DATE: /I
ANP-008 3/90