92-102083CITY OF FEDERAL WAY MECHANICAL P
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 29958 6TH AVE S
PARCEL NO.: 515200-0321
PROJECT DESCRIPTION: HVAC - GAS TO GAS REPLACEMENT OF POOL BOILER AND 2 HOT NATER HEATERS
OWNER
MARINE HILLS REC. ASSOC.
29958 - 6TH AVE S
FEDERAL WAY WA 98003
-6412
CONTRACTOR
LANG'S MECHANICAL INC
912 INDUSTRY DR
TUKWILA WA 98188
575-6707
LANGSMI157B5
LENDER
9.1-A a6g3
PERMIT NO.: BLD92-2473
ISSUED: 11/24/92
BY: FLF
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 HP......: 1
MEC PRMT ISSUANCE... $
10.00
FURN<100K..:
0
DUCT WORK.....:
0
3-15 HP.....: 0
MEC APPLIANCE FEES.* $
5.50
GAS HWT.... :
2
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 $
15.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
41S PIPING OK Date By
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THEIN FORMATIO FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE C EDERAL WAY REQ I1VS NV1L
OWNER OR AGENT �-� DATE
bld mech 07/01/92
SET BACKS AND FOOTINGS
DATE_ ___ __ BY
OX TO POUR FOUNDATION WALLS
DATE _______.._BY
PLUMBING GROUNDWORK
DATE
PLUMBING ROUGH IN
DATE _ __ _—__BY
WATERLINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE . ..... . .. . _13Y
O.K. TO ENCLOSE FRAMING
DATE —_
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE . . ....... ..
DCD
PSD
FD
/Lio
• 0
*CEIVED BY Permit # Z y7_3
DEVELOPMENT DEPARTMENT
Nov 2 0 1992 CITY OF FEDERAL WAY U,�1%
BUILDING PERMIT APPLICATION
— Please Print — Wor
�o ft 3
BOX 1 TENANT NAME: �, L,�� 1-411S �c ?i r Oz '2v j��
OWNER fhaV'I- iLe 1-4-4 11 <' —t SITE LOCATION ` SI
OWNER'S ADDRESS �nl� CJS Cr lam% CITY l 'V- PHONE
DESCRIBE JOB 0bASa0Le12*U"4j ` o •
THE PROPERTY I OWNE BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME tJU \-C"`�e -rte(CONTRACTOR'S REG. # L Gt✓t���i�:r r�; )F3;j
C d MUST be presented
CONTRACTOR'S ADDRES lli CITY PHONE—
EXPIRATION
- �r -L-� '� `}`
EXPIRATION DATE ' 6) - 119 -
ilfflm
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 r C, i PHONE 5- D 'j -A-4-20-7
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST �CeDC - t5P EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER �� i `� CLQ
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______J_ GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS EXISTING STRUCTURE
hC) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY _ _SQ FT
BOX 9
PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET _9-- I
$
N0. FURNACE, ELEC. GAS
$
GAS HOT WATER HEATER
$
CONVERSION BURNER
$
1 BOILER, SIZE I i'?—q' BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
OTHER
$
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:
ANP -008 3/90