93-10166493-/01&4/
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 28625 25TH PL S
PARCEL NO.: 552900-0200
PROJECT DESCRIPTION: MECH ONLY
OWNER
GARDEN PARK II-LAKECREST TERR
28621 - 25TH PL S
FEDERAL WAY WA 98003
-4715 588-7653
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K..t 0
GAS HWT.... : 0
CONV BURNER: 0
BBQ........ . 0
GAS DRYER..: 0
R"'+GE...... . 0
GAS LOGS...: 0
Water Line OK
GAS PIPING OK
FANS........... 0
HOOD........... 0
DUCT WORK.....: 1
WOOD STOVES...: 0
FURN>100K.....: 0
MISC........... 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
*OWNER IS CONTRACTOR*
*OWNER*
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP...... 0
15-30 HP..... 0
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVEGROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
Mechanical Inspection Notes:
Date By
LENDER
PERMIT NO.: BLD93-0732
ISSUED: 07/06/93
BY: JJ
FEES:
MEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* S 6.50
TOTAL FEES IS 26.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATIO 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 J DATE
bid mech 07/01/92 -
City of Federal Way
APPL,,.RATION FOR BUILDING P"AMIT
PLEASE PRINT
SITE LOCATION
Tenant (if known)
Build' owner Name
0
hi -
City (A (y
Nature of Work r „
APPLICANT
Address '� D&, 2
State W
) 5i OF R��+
BUILDING CONTRACTOR
Company Name
Address
City
Contact Person
Contractor's # (card must be presented)
ARCHITECT
Name
Address
City
Contact Person
LEGAL DESCRIPTION
APPLICAT/ON #: I3 -0 el -? " 6)
" 1
Lot # i�
Address p_O_ a CA
q o 30 -Mco
Zip 9 9
N t] ►) (-:1 op— r"-w
Assessor's Tax #
A I
Phone S —
State Zip
Phone Fax
Expiration Date Verified ❑ Yes ❑ No
State Zip
Phone Fax
Please Com lete Reverse Side
CDO192 (R— 4 a;
e�iauriy uses
Proposed Use
JIiCUI.,l U1C�
Permit includes:
Type of Work:
❑ Building ❑ Plumbing
❑ Residential -1 New ❑ Remodel
Cl Commercial ❑ Addition ❑ Garage
Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft
Area Basement sq it Decks sq ft Garage sq ft
Water Availability ❑ Sewer Availability ❑ On -Site Septic System Availability ❑
Zoning Lot Size
LENDER
Name
❑ Mechanical
❑
Other
❑ Number of Units
❑
Deck
❑ Shed
❑
Other
Existing Floor Area
sq ft
Proposed Total Area
sq ft
Project Valuation
$
Existing Bfdg Valuation
$
Address
City
State Z;p
?MECHANICAL CONTRACTOR
Contractor Name
Address
City
State Zip
Contact Phone
Fax
License #
Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name
Address
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
Lavatories Washing Machine Drains
Total Fixture Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other)
Gas Dryer
Air Handling < = 1(
Length of Gas Piping
Range
Air Handling > = 1(
Furn <100K BTUs
Gas Log
Unit Heater
Furn > 100 BTUs
Fans
Miscellaneous
Gas Hwt 1
Hood
Boilers
Conv Burner
Duct Work
0-3 Tons
BBO s
Wood Stoves
3-15 Tons
1,000 CFM
,000 CFM
15-30 Tons
30-50 Tons
50 + Tons
Fuel flanks
Above Ground
Underground
Total Unit Count
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the beat of my knowledge and further that I am authorized by the owner
of the above premises to perform the worn 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 inve ligation end d eT se 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 clai ises t of the relic ce of the City, including its officers and employees, upon the accuracy of the information supplied to the City es a part of this
application. r
1
Owner/Agent:�61 — —
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 28625 25TH PL S
PARCEL NO.: 552900-0200
PROJECT DESCRIPTION: MECH ONLY
OWNER
GARDEN PARK II-LAKECREST TERR
28621 - 25TH PL S
FEDERAL WAY WA 98003
941-4715 588-7653
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HWT.... : 0
CONV BURNER: 0
BBO........ . 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
Water Line OK
FANS........... 0
HOOD..........: 0
DUCT WORK.....: 1
WOOD STOVES...: 0
FURN>100K..... : 0
MISC..........: 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
IS PIPING OK
I CERTIFY THAT THE INFORMA
OWNER OR AGENT
bid mech 07/01/92
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
*OWNER IS CONTRACTOR*
*OWNER*
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP...... 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVEGROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
Mechanical Inspection Notes:
Date BY
LENDER
PERMIT NO.: BLD93-0732
ISSUED: 07/06/93
BY: JJ
FEES:
MEC PRMT ISSUANCE... S 20.00
MEC APPLIANCE FEES.* S 6.50
TOTAL FEES
$ 26.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. 1 v-
FURNISHED "E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPZI ABLE CITYF L WAY RUIREM.4N
i
r DATE
1
1 � �
MET.
SET BACKS AND FOOTINGS
DATE _ BY
PLUMBING ROUGH IN
DATE.- __ By
O.K. TO ENCLOSE FRAMING
DATE By
FINAL O.K. TO OCCUPY
DATE BY
O.K TO POUR FOUNDATION WALLS
DATE By
WATER LINE O.K.
GAS PIPING O.K.
INSULATION
DATE By
DCD
PSD
PLUMBING GROUNDWORK
- -- DATE - ---- BY
- MECHANICAL INSPECTION
DATE By
WALL BOARD AND FIRE WALL
DATE BY
FD