92-102144 9�-l�a��y
CITY OF FEDERAL WAY M E C H A N I CA L P E R M I T PERMIT NO.: BLD92-2509 "
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/03/92
Federal Way, WA 98003 BY: JJ
661-4000 '
SITE ADDRESS: 1842 3 �EATAC MALL
PARCEL NO.: 762240-0010
PROJECT DESCRIPTION: COMPRE330RS FOR REFRIGERATIOI�T UNY'd'8 (3)
OWNER CONTRACTOR LENDER
APPLEBEE'S NEIGHBORHOOD G&B OBRIEN MECHANICAI INC
1842 S. SEATAC MALL P 0 BOX 476
FEOERAL 41AY WA 98003 BOTHELL WA 980414
839-6156 206-487-1350
OBRIEMID88DE
fUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS fEES:
GAS PIPING.: 0 ft HOOD..........: 0 0-3 FIP......: 3 MEC PRMT ISSUANCE... f 20.00
FURN<100K..: 0 DUCT WORK.....: 0 3-15 HP.....: 0 MEC APPLIANCE FEES.* E 27.00
GAS H61T....: 0 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 S 47.00
INSPECTIOI� ItECORD
Water Line OK Mechanical Inspec�ion Notes:
GAS PIPING OK Date 2� y �
1�_"�
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LL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISH �Y RUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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OWNER OR AGENT , `�- a DATE _/�- - � - �� ��
bld mech 07/01/92 —' /
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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE _........_-BY ___ _-_.._..-_ DATE ___- ___.._-_BY _____.__--.. DATE .___ __ -_ .BY __
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE__- BY GAS PIPING O.K.__ ____ ___.- -_ __ DATE __ -_. __BY ___... __ __
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WA�L
DATE __ -- _ ---__BY _ DATE ..- __-__BY __ _- _.___ _ DATE _ ____ _BY .___ __ _
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE__l���L.��3.BY _(� -
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QtC � 3 i992 CITY OF FEDERAL WAY
,Y �,.��������UILDING PERMIT APPLICATION
�Y����� — Please Print—
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BOX 1 TENANT NAME: � ��I
OWNER _ � �� SITE LOCATION � E � - - � �- ��"•�
OWNER'S ADDRESS " CITY _ PHONE � �f �3'�'>�'v
DESCRIBE JOB �l� � //' � n� �� �y - �.�- /k ,�; s
THE �RO�ERTY IS OWNED 6Y: SINGLE/MARRIED PARTNERSHIP � CORPORATION
BOX 2 CONTRACTOR'S NAME �� �, �- •-� ���'�- ���t� ���� I CONTRACTOR'S REG. #� ��"�-� ��`�����
Card MUST be presented 1
CONTRACTOR'S ADDRESS � �G� J�>�� �7� CITY /�>�l�-�� PHONE `��`,' - /.��n
EXPIRATION DATE ��-�- �
— 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 � I ���?5 - 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) iST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL • TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
N0. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS N0. FURNACE, ELEC. GAS $
SHOWERS 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, SlZE $
DRINKING FOUNTAINS �MMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS O�ER , $
DRAINS � �����` = � � . _� $
OTHER —��.n � � �� �''G $
TOTAL FIXTURES ��' � s ��� � $
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 ASTO ANY CLAIM(INCLUDI NG 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 11-T 0 ERE SUCH CLA�M ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLOYEE , �HE A RAC1f E INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
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OWNER/AGENT: - DATE: �� � --S � �"�
ANP-OOB 3/90