98-103375 yg-/ 63},?:5—
CITY O F FEDERAL WAY UU �. u p p .,,p.,. „, , b .,.p,,. .,,, ,,. PERMIT NO: M EC98—0187
33530 First Way South 11�,�II 9.;,;,.tl:...•. HA ri Ii .,L tf:..,,...1!!-) L P ER, ii .,ll.,. ifISSUED: 09/02/98
Federal Way, WA 98003 Mechanical Inspection Requests 253-..661..-4140 BY: FC
253-661-4000 EXPIRES: 02/28/99
ADDRESS: 34800 21ST AVE SW
N0. : 542350....0630
PROJECT DESCRIPTION:HVAC - ADDING (2) FURNACE 100,000 BTU, DUCTING, AIR conditioning unit (1 3ton and 1 4ton). THIS PERMIT IS TO FINAL MEC95-0200
= OWNER CONTRACTOR -- -- I- LENDER --- - j
NORTHWEST CHURCH EVERGREEN REFRIGERATION INC 1
34800 - 21ST AVE SW 127.5 KENYON
P.O. BOX 23085 (98093) EATTLE WA 98108 � I
FEDERAL WAY WA 98023
952-3500 763-1744
EVERGI*201D7
__-•- __-.._____.___ .--a..-..___...._..___._...-
__= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 XXX
---- ._ -- ._ _.... ________ . . -. -
PROJECT VALUATION 0 FEES:
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 100.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0
BBQ • 0 MISC • 0 50+ TON • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS j
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 100.00
. 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)
Inspection Record: Mechanical Rough-in Date Gas Piping Date•
MECHANICAL FINAL Date __________
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMAT ISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT t e;�j - _.. DATE Cj] / EiE,
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CITY OF G BUILDING DIVISION
•
Ei7133530 First Way South
\)\> � Irl ECC. A 98003
y V` `u Federal Way,53)V 61 000
Fax(253)661-4129
SEP 0 ? 199r
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business Liceg6 umber:
MEC98 -blB:3-
PARCEL # ZTS G— Single Family 0 Multi-Family 0 Commercial•
SITE LOCATION
S
k) w C—
Tenant/Owner \t✓ c 95 -s - 35 Phone Uv
Address/City/State/Zip - L' - 0 M 2,1 Sr Av i S w
Nature of Work t NST1\V l-. -V \"'0Project Valuation: $ U o
Pt-'f1 S {e (1)(.6,�
APPLICANT
Name
Address/City/St/Zip
r
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name E V?('�IL?n l��( \�4rv-�(u. .-d
Address/City/St/Zip -7.=:--7S 'r`' . •,,^� .\Q w� c.-I Ov
Contact Person \ 1\ct LLA\7 Phone ._zv(.) 7(;-i-47,-0 Fax (Ci).') --1( `'Z =11/4
State L&I Contractor Registration# E V t- 1(..(:, r 7_C.l 0, Exp.Date 7)3/i/c1
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type(gas/other) Gas Dryer _ Air Handling<=10,000cfin ? Fuel Tanks:
Length of gas piping Range Air Handling>=10,000cfin Above Ground
Fum<100K BTU's Gas Log Unit Heater Underground
Furn>100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work '— A/C TONS Other
:>:"??[f;.;»z»> ;> i'i>i:aoiii''i`i:::iii i
BBQ's Wood Stoves A/C TONS Tof tT Itit Atrit
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.
Owner/Agent ' Date 9/z/�b
ktec App !'''�
Revhs®7/29/98 l--"U 4 .j