92-101928 9�.�/a I 9� �
CITY OF FEDERAL WAY IVI EC HAN I CAL PERIVI I�' PERMIT NO.: BLD92-2386
;33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: il/23/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 1842 S SEATAC MALL
PARCEL NO.: 762240-0010
PROJECT DESCRIPTION: HVAC
OUNER CONTRACTOR LENDER
APPLEBEE'S NEIGHBORHOOD G&B F & S SHEET METAL
1842 S. SEATAC MALL 22815 NE 64TH ST
FEDERAL WAY WA 98003 REDMOND WA 98053
839-6156
fSSHEM*106LJ
FUEL TYPES.:ELE FANS..........: 3 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD..........: 3 0-3 HP......: 1 MEC PRMT ISSUANCE... S 20.00
FURN<700K..: 0 DUCT WORK.....: 0 3-15 HP.....: 3 MEC APPLIANCE FEES.* S 91.50
GAS HUT....: 0 HOOD STOVES...: 0 15-30 HP....: 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0
BBQ........: 0 MISC..........: 0 5+ HP.......: 0
GAS DRVER..: 0 AIR HANDL[NG UNITS FUEL TANKS---------
RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL fEES S 111.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notese sfri' �,�. ��zr�;?
GAS PIPING OK Date �7� By�
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ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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.
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CITY OF FEDERAL WAY �/v�v�
NOV 31992 BUILDING PERMIT APPLICATION /'�� , !
������M����� —Please Print— ��'
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BOX 1 TENANT NAME: � S /.��Z- ,.�. �,
OWNER SITE LOCATION �, .
OWNER'S ADDRESS CITY PHONE
DESCRIBE JOB �1C1�4 ''r" �..r�b'e't'-"'`�_'"'�-�^r t' - - - "" � '
rtr ivic-w� � r a
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP ` CORPORATION
BOX 2 CONTRACTOR'S NAME t- � S SI '' II/I'��L�Te,IJI_!G � CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
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 �' �� � PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST �D,.bbd � 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 (N0. OF UNITS = ) (�.j'EXISTING STRUCTURE
(✓'jCOMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
OX 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 '' �11R HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
AUNDRY WASHER OUTIET UNIT HEATERS �Tp,,�, � $
NALS �AIR COOLING UNITS, SIZE ` " $
ORI ING FOUNTAINS 3 COMMERCIAI. HOOD $
SUMP , SPRINKLER VACUUM BREAKERS �OTHER Ei .�. � S $
DRAINS t /tAG(<e. �A���" �41n $
OTHER $
TOTAL FIXT ES $
TOTAL MECHANICAL FEE $
I CERTIFY UNDER PENALTY OF PERJUR HAT 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 CITYOFFEDERAL WAYASTOANY 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: � ���M���'� � / /Z
� ANP-008 7�90