96-103442 9(0 /03 L(I'
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i i II cif r E-DERAL WAY PERMIT NO: MIEC96 ti21
4 {r1.30 r i rS t Way Soul h ' ' C r.4$ #. P C: rt.tot I r 11,11 i': 11' ir,.,',/ ,,,,.
1-1`‘ : ,T 1H
c de I al Way, WA 980011Httcliti 1C:::1Ciro(FilIertr-!rlejC(.. Hon 1.;citm--.1-..,- c.,e.,1 .'il ,',0
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,e--,1 4000
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HUIVt 1/42,(...;:31220 PAC Li 1(. HWY k; Unit - 1->
HO.. -, 092104 -9110
PP() IF ( T DESCRIPTION:OVA( - INSTALLING 40' GAS PIPE. Ajt4.,1 44
i .--,..-,........,..--. CONTRACTOR .--..,,-..-----... - --- , LLTIOU?
I CEDER PARTIAL DWI IAD OWNER IS CONTRACTOR 1
i
1 31220 PACIFIC HWY 5, 112 i
I FEDERAL WAY WA '1803 I
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I 9461417 1 I
- ....
Y OF MEM Y. .
an
C°111ACTelEY ".x '''" '''''''''''''m-7. 774-'''''''''' I FEES:
---------;"- r ° 2 ' 4' lig SALES TAX felt P"jECIS WIT8111 il Cil - ......„...,....--.,:.........„-....„.........,..,„...1
PROJECT VALUATION 100 -0 -.- ' ,7-- ,.-.:4 , ,, erki
1 FUEL TYR .. ? I
.-.;''---'' 0 4. • - - -- -.._ '
Mt( PRA) ISSUANCE... $ ,O.
1 00 1
1
ES 'GAS HOODFANS ' - ' ., '',4-rs,,i,,,F-of ,.,r,,,,o- - , _ 1,,,„, , ,,, tt / 22.00
II GnAjp,StiflooPItNt.::: 040 ft :'''''-11 . ,...,,,,,,,„ 1;St'i....g- , : „„glit . .!, ,,, . 1
. .
. _ . 1
1 GAS NWT • 0 WOMtw
CONV BURNER: 0 • M01'11•.,7-411.,;".'.,.\,,•,, ''',-,'.'%,tit 5+',.4.5x1I4,,,'.,.p••,-0,'.
BOO 0 tI --
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,.-
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..,1- ‘.‘5.
I GAS DRYER..: 0 O*11.1". ',StViTt4tti' - '•-- '0, '- I 1
AIR NANWAH , ,,,,... 1 1.
I RANGE • 0 ...-10,00tIff1; /I 'T.',.,-,, ,i1OVE,t.itolniNtio.. ou I i
1 GAS LOGS...: 0 , 10.000 flit' 0 '' '‘',UNDER‘ROU •. i TOTAL FEES $ 42.00 I
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-i;o:s'4the'v*a't'e"r—s44P1Ts;-s"t'e'A'C'ont'ai:-a-P;e's's;;7e.'R-e'd;C'tion-;;:iC;—or Check valve? () Yes () Ho (It '(es" then tater expansion tank is required on Hot Water lank) I
Inspection Record Waler line Af NectiAnii Inspection Notes: I
I
GAS PIPING CAT_A\CA(R p , ,
, i
.-,. -trotr,c,..n.znr:..,,,,
PEONJIS EXPIRE 100 NAYS ATILR ISSUANtAD GROIN i OF ISSUANCE.
"IttlIftt "PI" "1 ft" All' 'I my 1100,41aNis vilL a mil
I CERTIFY ENE INTORMATION FORNISN1D PYl :TIE MI: W0EIR : IS
1:"10:t:1121:01 MY TROMIIDGE ANI, DIE APPIITA1111 CITY Of FLICK ‘ - rle9
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OWNER OR Aatil \ r----•--- ' /-
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4 - ,Ar
7 '2,s- -
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FIELD COPY
kJTY OF FEDERAL WAY PERMIT NO: MEC96-0215
33530 First Way South �'r,;�f ";.'K'..,. ,�it'"'hi '''I.,,i.:M;�„.el i.,,,., I r '
: .�'g, .31: ,.I,,. ISSUED: 09/25/96
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: JTH
661-4000 EXPIRES: 09/19/97
ADDRESS: 31220 PACIFIC HWY S Unit: 12
NO. : 092104-9110
PROJECT DESCRIPTION:HVAC - INSTALLING 40' GAS PIPE.
7- OWNER ••--_- -.-__- - CONTRACTOR _ __.. _��---� - - - LENDER
CEDER PARTIAL DENTL LAB 1 OWNER IS CONTRACTOR
31220 PACIFIC HWY S, #12 4 1
FEDERAL WAY WA 98031
946-1417 1
1
in CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
PROJECT VALUATION 100 1 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS 1 MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 40 ft HOOD • 0 0-3 HP 0 i Mechanical Permit* $ 22.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 1
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP 0 i
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 1
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
k
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1 TOTAL FEES $ 42.00
_ .._.... -. .-_..-_--_z......__-._.-• ..--.....___.. •. __ A ..-.._.-•- .. - _..__--.'_•_---.--- .__-
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank)
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Inspection Record Water Line OK _.. Mechanical Inspection Notes: ._ I
)
GAS PIPING OK Date _.._ By
6_-- ---- - _..:__..._.______-__.-.___.-__. =__. _._ ----------------____.
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS MILL BE MET.
C
OWNER OR AGENT . � -.. -1J
DATE
FILE COPY
City of Federal Way N
CITY OF t" '""-^ 33530 First Way South
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Federal Way, WA 98003 /_ lJ/� / ,
``\\ ' �JJ (206)661-4000 MEC �W - �l
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APPLICATION FOR MECHANICAL PERMIT
PARCEL It ")4 1 bu /1(a SEP 2 4 199F i
Single Family ❑ Multi-Family ❑ Commercial
GUY OF DEPT.r+
SITE LOCATION:
C. -.- n Owner: -- f
e-i-S, /"
1JIA Phone: 9 4-i--6 ° ' -1 '
•\,/,.
Address/City/State/Zip: 2 Z CT' .c ::# jtrr1L Av 17. kJ,q, 22r';,e) _
Nature of work: .--7:12-- --1'2 4L . Project Valuation: $
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: 7i9( 1 ' � � C � Oily, A,/�/sc,.-7/
Address/City/St/Zip: -7. , n % �! .. 't: �'_ s —Z y/..-- "Jd/ t)l ✓ . 7e„t�''�,;.
Contact Person: Phone: Fax:
State L & I Contractor Registration #: Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping ,1CY Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log Unit Heater Underground
Ox., �( �440K BTU's 7.,4.,..",4',' Fans Boiler BTU/H Miscellaneous
1' Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's
Wood Stoves
A/C
TONS
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 Federay 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.
xOwner/Agent: -a — �� Date: / '.`�� l�