94-102466 - 9y.�ba4��
33530oFi rst�EWay Sout h � E C H A N I CA � P E R �1/l I T PERISSUED: 01/05/95�2
Federal Way, WA 98003 Building Inspection Requests 661-414,Q BY: FC
661-4000 EXPIRES: 07/04/95
ADDRESS:33637 WEYERHAEUSER WAY S
NO. : 614260-3025
PROJECT DESCRIPTION:HVAC - AOQ (1') GAS PIPING, fURNACE 115,000 BTU, 6 AJC UNIT OF 2.5 TONS.
OIrNER CONTRACTOR LENDER
WEYERHAEUSER fORESTRY WACDONALD MILLER SERVICE INC.
33631 WEYERHAEUSER VIAY 1701 DETROIT AVE SYI
FEDERAL WAY WA SEATTLE WA 98106
161-1995
�InCD01tS 1 d1�iN
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/C0�IPRESSORS FEES:
GAS PIPING.: 1 ft H006..........: 0 0-3 NP......: i , ItEC PR�iT ISSUANCE... � 20.00
FURN<100K..: 0 DUCT YIORK.....: 0 3-13 HP.,...: 0 ��� ���� ` � � MEC APPtIANCE FEES,� � 23.00
GAS HwT....: 0 i100D 5TOVES.�..: 0 15-30 HP....: 0 �; �"` �� �"�` �'� � �� �" � PLAN CNECK DEPOSIT.s S 10.�5
CONV BURNER: 0 FURN>t00K....�: 1 3Q-50 HP....: 0 ���� �� _� �` ����� ���°� �
BBQ......... 0 MISC........... 0 5+ NP........ 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEI TANKS---------
RANGE......: 0 <_10,000 CFM: 0 A80VE GRGUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0- UNDERGROUND.: 0
TOTAL FEES = 53.15
Does the rrater supply system cantain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then rater ezpansion tank is required on Not Ylater Tank)
Inspection Record Ylater Line OK _ Ilechanical Inspection Nates: ____
GAS PIPING OK ___ Date By _ _ _ _______ __
PER�IITS fXPIRE 180 DAYS AFTER ISSU NCE If NO I�ORK IS STARTEQ. RESIDENTIAL RNQ GRADING PERIIITS EXPIRE ONf YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORI�ATION FUR IS D BY IdE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE ANQ THE APPLICABLE CITY Of FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER Q!? �u�li- - --- - _ _____ _ __ _ __-------- ,�AT� -�_. � _q�
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�rmit # �_�%�--� c�l.�_ 11� J�'
CITY OF FEDERAL WAY .°.�
BUILDING PERMIT APPLICATION .
—Please Print—
BOX 1 TENANT NAME: 1�.,1�..Y��- t-�(��.�-���� �=�'�.�=��i��
OWNER l�-1�4'►=�2_-,--�wt�..'��32_ SITE LOCATION ��(c.5� I�l�.;�_ i�t�t+.�. ' .. ��_ v��4-�y `�,
OWNER'S ADDRESS '�4. '�`7 y���� L�N�-`x JZ v�►u; S,CITY 1=c=.��.r<�_ -tir�`; PHONE ��L�t-- LC'i'C�
DESCRIBE JOB i�.t��c i=w��7�'c•� Fv��=1c�� l. �k.� ��iL � iK-L 4 FlDI� ccc��t i�:�t�� <<'�� X N :.��t
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME M+;wc.�rti..►7 �'i��.�-�Z �.L=iZv�c.�:;. C,,r•� CONTRACTOR'S REG. #►-t+��,i�-�_`-,�{-`7rtX�
Card MUST be presented
CONTRACTOR'S ADDRESS `I`t�� �r�I�`I i t�1�C- �U-� CITY ���-� PHONE ~I1��1- �`�i�{`�`
EXPIRATION DATE `f-I-`�S
— 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 �t�r-'t-��....} 1„��t-tw�� PHONE 16��7-- 1`�#`(��
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST ` �=>C ` EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER C�-(L� Z�l;% �� 3L;�--`_-�
LEGAL DESCRIPTION !�T5 � - if� �LI� �� ►.�•�-r� I�.,,k��- �[����T�ut`� �t c-=��� r �i ��: r., � c<< r��� ,L
iNl�i r� ��c-�2 T i ut�.-"� C��=- J4f�µ1 i� l� �i�2._i�i � v�l..L.L;:�:`� ir�l7.iV-?4�[.��
(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 = ) (�EXISTING STRUCTURE
�) COMMERCIAUINDUSTRIAL TOT L AREA OF PROPERTY SQ FT
�
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
N0. WATERCLOSETS GAS PIPING, FEET I ' �R.�=��*.��'cs-.�� $
BATHTUBS NO.�_FURNACE, ELEC. GAS �1���t�tr� $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
OISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS I AIR COOLING UNITS, SIZE �, G�� $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
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, U ON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: ' ��- . ��--�— DATE: 12 � � �I�
ANP-008 3/90