92-101530CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 33600 6TH AVE
PARCEL NO.: 926480-0205
PROJECT DESCRIPTION: DUCTWORK
BUILDING PERMIT
BUILDING INSPECTION - 661-4140
S
REVISION
9a,�,j 5;0
PERMIT NO.: BLD92-2179
ISSUED: 09/22/92
BY: MH
OWNER CONTRACTOR LENDER
AXIOM MANAGEMENT ELECTROMATIC
1605 116TH AVE NE 215 800 MERCER ST
qEVUE WA 98004 SEATTLE WA
44-4180 624-3370
ELECTI*233NE
BLD?:? MEC?:X PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN.........:? FEES:
TYPE OF WORK:? USE:? 1ST.: 0: O:Sf STORIES........: 0 REQUIRED PARKING..: 0 SPRINKLERS?......:? MEC PRMT ISSUANCE... $ 20.00
CENSUS CATEGORY.....:? 2ND.: 0: O:Sf HEIGHT.....: 0.00 ft
OCCUPANCY GROUP---------- HAZARD CLASS...:? MEC APPLIANCE FEES.* 6.50
3RD.: 0: O:Sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 gpm
OTHR: 0: O:Sf EXIST..$: 0 FRONT.........: 0.00 ft
TYPE OF CONSTRUCTION----- BSMT: 0: O:Sf PROP ... $: 0 SIDE..........: 0.00 ft WATER SERVICE..:?
DECK: 0: O:Sf REAR..........: O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD------------ GAR.: 0: O:Sf RECEIVED.:09/16/92
0: 0: 0: 0: TOTL: 0: O:Sf IMPERV SURFACE: 0 Sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES S 26.50
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK.....: 1 3-15 HP.....: 0 SHOWERS ............: 0 SUMPS..........: 0
GAS HWT.... : 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 SINKS ..............: 0 DRAINS.........: 0
BBQ ........ : 0 MISC..........: 0 5¢ HP.......: 0 DISH WASHERS.......: 0 LAWN SPRINKLERS: 0
DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
E......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS... : 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
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.
OWNER OR AGENT
DATE
bld_prmt 07/31/92
,di
SET BACKS AND FOOTINGS
DATE . .. ... .. _.......BY
OX TO POUR FOUNDATION WALLS
DATE . .... . ... . .... -_BY � . .... ...
PLUMBING GROUNDWORK
DATE ___ - -_BY
PLUMBING ROUGH IN
DATE ..____.__...._-.....BY
WATER LINE O.K.
GAS PIPING O.K. . . .... .... . ...... .
'NSPEPTION
MECHANICAL
DATE BY
1�ez
-r
O.K. TO ENCLOSE FRAMING
DATE -___ __ BY
INSULATION
DATE - -.__-___,BY . ......
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE _BY
DCD
PSD
I'D
0
Per106 # �1-5Z-.ID 9.2- :_);7/ 7j
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1
TENANT NAME:
OWNER SITE LOCATION
rM, Ss
OWNER'S ADDRESS-----/-'/'' r'�_ /-4- . /✓L CITY
PHONE 'L -
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP
CORPORATION
BOX 2
CONTRACTOR'S NAME -/c'c 7r-0rng CONTRACTOR'S REG. # A/F
Card MUST be presented
CONTRACTOR'S ADDRESS CITY
PHONE C�2
EXPIRATION DATE
—OR—
t
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS
AND SPECIALTY
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
CONTRACTORS AND,`
BOX 3
CONTACT PERSON
PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5
ESTIMATED PROJECT COST' EXISTING BUILDING VALUATION
BOX 6
PROPERTY TAX ACCOUNT NUMBER
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
(x) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY
SQ FT
E
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 $
N0. FURNACE, ELEC. GAS $
GAS HOT WATER HEATER $
CONVERSION BURNER $
BOILER, SIZE 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 FURTHERTHAT 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: -ice-�% DATE:
ANP -008 3/90