93-100718"'TY OF FEDERAL WAY MECHANICAL PERMIT
3:7530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
D
SITE ADDRESS: 33320 H AVE S
PARCEL NO.: 9265010040
PROJECT DESCRIPTION: HVAC — TO INCLUDE WORK NOT UNDER ORIGINAL APPLICATION #BLD92®2566
OWNER CONTRACTOR LENDER
NTA, INC. MARTIN AIR COND INC
33320 9TH AVE S 1ST FLOOR 2340 SW SPOKANE ST
FEDERAL WAY WA 98003 SEATTLE WA 98126
3 -2066 932-4048
MARTIAC08189
FUEL TYPES.:ELE
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
Water Line OK
WPIPING OK
93400-718
PERMIT NO.: BLD93-0329
ISSUED: 03/24/93
BY: FLF
FANS..........: 2 BOILERS/COMPRESSORS FEES:
HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... $ 20.00
DUCT WORK.....: 1 3-15 HP.....: 0 MEC APPLIANCE FEES.' $ 74.00
WOOD STOVES...: 0 15-30 HP....: 0
FURN>100K.....: 0 30-50 HP....: 0
MISC........... 9 5+ HP........ 0
AIR HANDLING UNITS FUEL TANKS ---------
-10,000 CFM: 0 ABOVE GROUND: 0
> 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 94.00
INSPECTION RECORD
Mechanical Inspection
Date By /� w
Notes-.
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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 Zj(�t,G(� �Y7� DATE
bld_mech 07/01/92
*ago.
• 0
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._
__
MECHANICAL INSPECTION
DATE BY
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
FD
61e ��> f/l%5�2G�4it i4tzp ��/
LDUJEtZ �coc�/Z ��5��
i�v5�c��t
3C' AllG c ���/
PLEASE PRINT
SITE
•• ••
APPLICATION FOR DEVELOPMENT PERMIT
APPLICATIMV #
TE LOCATION
Address -53-5a`)OL J
Tenant
Lot #Assessor's
Tax #
�?Z, >— Uv-r`o
BuildiOwner ame
/YU i 6,4-f SUS ,
Phone
.3
City
Stated '
ZiP��/
APPLICANT
Name (F,M,L"^ _ ' , / CO
Address � CJ
o CA
City g� State�A Zip S/Z�
Day Phone Other PhonfeT' Fa
�3 Z 40 4 3.Sr- �,o Z -o
BUILDPq, G CONTRACTOR'
Company Name
Address c
"
State / , /n
Address 3-0-,7-5
Contact Person
City 9C,4
State
Zip C f� /
7 2iS
Contact Person
n
Phone
`
Fax
Contractor's # (card must be presented)
Expiration Date
Verified
Other
O Yes ❑ No
ARCHITECT
Name
Address c
City �
State / , /n
Zip
Contact Person
Phone
Fax
STRUCTURE
Existing Use
Proposed Use
Permit includes:
❑ Building
❑ Plumbing
Mechanical
❑
Other
Type of Work: ❑
❑
Residential
Commercial
❑ New
Addition
❑ Remodel
❑ Garage
❑ Number of Units _
❑ Shed
❑
❑
Deck
Other
Enter 1st Floor
Area Basement
sq ft
sq ft
2nd Floor
Decks
sq ft 3rd Floor
sq ft Garage
sq ft
sq ft
Existing Floor Area
Proposed Total Area
sq ft
sq ft
Water Availability ❑
Sewer Approval ❑
Project Valuation
$
Please Complete Reverse Side
CD0492 IRev 2/9?'
LENDER •
L
Name T
Address
City
State
Zip
Contact
Phone
Fax
TAN CHANICAL CONTRACTOR
Contractor Name
,-) 41~L A-) 9 . A/ L --
Address
-3 L/6 o v 57
City
State
Zip
Contact
Phone
- OC( -
Fa
License # A n n
Expiration Date
Verified
Expiration Date
— _ 9
❑ Yes ❑ No
PL AIMING CONTRACTOR
Contractor Name
Sinks
Address
Lawn Sprinklers
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified
❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Gas Log
Lavatories
Washing Machine
Drains
Total Fixture Count
MECHA-NICAL UNIT COUNT
Fuel Type (electric/other)
Gas Dryer
Air Handling <
= 10,000 CFM
15-30 Tons
Length of Gas Piping
Range
Air Handling >
= 10,000 CFM
30-50 Tons
Furn <1OOK BTUs
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work P ��
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
Total Unit Count,
DISCLAIMER: 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 c arises out of the relian5"f 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: l'/�1`f(�t-�'C ��/--:3- 2
Date: