98-100269 91?-)6 0,,)6,
CITY OF FEDERAL WAY „,,,. PERMIT NO: MEC98-0021
3350 F1+rst Way South Poi "�.�4..,. II II w"iL�; . " llll ,1�1""PE�:;,.I''11. �"4uu.,.pp.. „pp 2
L. 'I II A it ISSUED. 02/1 /98
Federal Way, WA 98003 Mechanical Inspection Requests 253- 661--4140 BY: FC2
253-661-4000 EXPIRES: 08/10/98
ADDRESS : 3'3329 9TH AVE S
NO. : 926501--0045
PROJECT DESCRIPTION:hvac
r= OWNER z CONTRACTOR ----- -- ----_ -- --= LENDER
OXFORD INTERNATIONAL I PUGET SOUND REFRIGERATION
33320 9TH AVE S PO BOX 27073
FEDERAL WAY WA 98003 t LAKE CITY STATION
SEATTLE WA 98125-1473
425/644-1157 206/367-2500
PUGETSR169CB
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 12439 s FEES:
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS MECH PLAN CHECK FEE $ 36.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 144.00
FURN<100K..: 0 DUCT WORK • 1 3-15 TON • 0 MEC PRMT ISSUANCE... $ 20.00
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
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 200.00
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) 3
Inspection Record: Mechanical Rough-in Date Sas Piping Date _,___-______ 1
MECHANICAL FINAL Date
•
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF MO WORK IS STARTED.
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 WILL BE MET.
OWNER OR AGENTl ia..'" _ DATE 2 — /02 -960
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1 SETBACKS & FOOTINGS
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2 •FOUNDATION WALl S
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4 SLAB INSULATION
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6 tlNDE$IPLOOR::FRAMING >< `>:-:::::<::>:<:
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7 SHEAR
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8 PLUMBING ROUGH-IN
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10 MECHANICAL ROUGH-IN
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11 FRAMING>
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16 PLANNING
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17 PUBLIC>WQRKS<:FINAL:::>:>: ::<:::>:::>:::>: *.::::
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18 FIRE
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19 BUILDING:FINAL
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CD0193(Rev 4/97)
01/26/98 MON 16:30 FAX 2536614129 CITY OF FEDERAL WAY fj 002
•
F BUILDING DIVISION
```` � �_ 33530 First Way South
Nn v JAN 2 7 1998 Federal Way,WA 98003
(253)661-4000
vHY Fax(253)661-4129
tiUlLOliVG DEPT
APPLICATION FOR MECHANICAL PERMIT
MEC
O/ — ; c
PARCEL # Single Family❑ Multi-Family 0 Commercial?
73(.4)6, 4,c,Yti! # Si-71i -0151
SITE LOCATION n —�//
Tenant/Owner Y�Yom!/ l�� i�/� l7 U.-1 �-- (--/0,---)t_
Phone
Address/City/State/Zip "3"3-5 Z-9 `k�� t'
S , r y.-�(AC(-- t,✓k`(
Nature of Work l i4-7\-)1-1. -- //^A(11}✓7G44,I17
Project Valuation: $ 1 / ,i-f 301 • c
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone Fax
S AC ' ,
MECHANICAL CONTRACTOR
Company Name L)&1&� 7o)MQ X, / -t 6e-164-110/ -1 r ,-LL-.
Address/City/St/Zip �- 1= l33 t� i, • �. -,7_7____1(._13.3
/0''_i /
Contact Person t,i S
1 1� Phone 2_06 3‘,---) -2-SOU F _ZUb '3g CZ;5'4,
State L&i Contractor Registration# FU& 1 (7 16-'
(Card must be presented) Exp.Date
1211 ifo
MECHANICAL UNIT COUNT
Fuel Type(gas/other) Y Gas Dryer , Air Handling<=10,0001 frn Fuel Tanks:
Length of gas piping Range Air Handling>=10,000cfin Above Ground
Fum<IOOK BTU's Gas Log . Unit Heater Underground
Fum>100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work / A/C TONS - Other.
_v..,BAO's Wood Stoves TONS r _ nin ary
DISCLAIMER I certify,under penalty of perjury,that the information furnished by me is true and correct to the bat 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.
/ r
Owner/Agent ( / `1. (- `
Date !!! ' e'
/41-6;10.0'f K 1:,J�t -s;', I
Mc.cu.Ary
Revium g/26!97