92-101458 9) - la 1958
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2139
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/09/92
Federal Way, WA 98003 BY: MH
661-4000
SITE ADDRESS: 33131 1ST AVE SW 41.5-0(0 ,.
PARCEL NO.: 182104-9053
PROJECT DESCRIPTION:
OWNER - CONTRACTOR -- LENDER
PROMETHEUS MGT GROUP
lb 0
FUEL TYPES.:GAS 7 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 HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>10OK • 0 30-50 HP • 0
BBC, • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 1 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
4111-er Line OK c-(0--4Z OM./ Mechanical Inspection Notes: /.) yc 2 A€c 7- 70 r3 Trvs - b ,
GAS PIPING OK /ie.' ,I' Date By c/it/ o410/ ,/vwc p ,d11%
. 'Al
1 • ,—
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STA -'.
0(../ '-
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF - i) I AY RJrQENTS WILL BE MET.
OWNER OR AGENT -- 41.,,t/fib/ DATE ? / 92i
bld mech 07/01/92
rw Permit # 6. a 9c2 -�//3j'
SEP if 1992 CITY OF FEDERAL WAY
Ol YO L&L Al..`os�. .`:Y BUILDING PERMIT APPLICATION
,at
�r� nvci err - Please Print—
BOX 1 TENANT NAME:
OWNER 1'j)r Al Metf S /"1 CT GAQ/-9 SITE LOCATION 3'3 )3/ 1 r4 S/J 1806
OWNER'S ADDRESS _ CITY PHONE
DESCRIBE JOB //c..5"7-4A-z-- 1,34S#/fiQ y- �D/QYt-4 7ltc.•1,d;"'G ,4- t,IF•v'r 'e
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME /1'A/l/i dc2iclw,r.e CONTRACTOR'S REG. # /°/� cZ %
Q Card MUS be presented
CONTRACTOR'S ADDRESS -' ,CSC) 6/"'/7 CITY f1----N ( till
EXPIRATION DATE / 3/ 3 ireCtIHONE 63o` /�3�
— 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 /1-7/4/V/t" #0,1,t4`/Y PHONE - ' /C- 3 2
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER / I('Z- / t, y try f-3
LEGAL DESCRIPTION 7-74 c pit:: ,J
(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 I 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 APPLIANCES= BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $- -
v • 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 /,,,,M,Bit- l/' jti� $
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 AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE:
S • ANP-00e 3,90