96-100038OF FEDERAL WAY
PERMIT NO : PgrC ; 5-0001
30 First Way South E �1-i uu,w�#,, MIT'
ISSUED: 01 / 16 /96
oral Way, WA 98003 Building Inspection Requests 661-41.40 BY: FC2
-4000 EXPIRES: 01/09 /9 7
TRESS:32703 PACIFIC fIWY S �Jf�.JFritOX
: 038090-0040
)JECT :DESCRIPTION -MECHANICAL - COMBO UNIT (1)(0-3T), (3)(3-15T), (1) AIR HAND 10,000CFM
INNER -== _. -�=- ==-_---:--===--=---==::=--_:---_---:-=---
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CONTRACTOR =_-== -_ �--__---___._ ..___._ _.___ .._______ _
LENDER --'
12y 'SlPIZZA
G 6 M MECHANICAL CONTRACTORS^
32703 PACIFIC HWY S
4 PO BOX 6147
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FEDERAL WAY WA 98003
WENT WA 99064
839-1056
630-1932
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CONTRACTORS, PLEASE USE
LOCATION CODE 1732 VNEN REPORTING SALES TAX
FOR PROJECTS NITNIN THE CITY OF FEDERAL VAY. TAX RATE
= 8.25 SO
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PROJECT VALUATION
19000
FEES:
1
FUEL TYPES.:GAS ?
FANS..........: 0
DOT LERS/COMPRESSORS
Mechanical Permit'
$ 198.00 1
GAS PIPING.: 200 ft
HOOD..........: 0
0-3 HP......: 1
MEC PRhT ISSUANCE...
$ 20.00
FURMOOK- .: 0
DUCT WORK.....: 1
3-15 HP.....: 3
MICR PLAN CHECK FEE
$ 50.50
GAS fi#I....: 0
WOOD STOVES...: 0
15-30 HP....; 0
CONY BURNER: 0
FURWOOK.....: 0
30-50 HR—.: 0
BB4......... 0
MISC..........: 0
5i HP........ 0
GAS DRYER,.: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0
<:10,000 CFM: 0
ABOVE GROUND: 0
�
GAS LOGS...: 0
s 101000 CF14: 1
UNDERGROUND.: 0
TOTAL FEES
$ 268.50 �
------ _..__—--- ---- __ � �_ _- -_- - - - - - -
Does MtheYwater supply ^system containa Pressure Reduction Device or Check valve? () Yes () No (IT "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK ---------- Mechanical Inspection Notes:
GAS PIPING OK ---------- Date ------ BY
EMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS 5 TED. RESIDENTIAL AND GRADING PERMITS EXPIRE ORE YEAR AFTER DATE OF ISSUANCE.
.rtlli" IRE. Ilkfp I0 Vt ill?" BY KE I5 TRUE A C RRECT TO THE BEST Of HY KNOBLEDGE ADD THE APPLICABLE CITY F FED AL MAY RE4tIIREMERTS PILL BE MET.
DOTE
City of Federal Way
ccq� D D/
CITY OF � 33530 First Way South RECEIVED
Federal Way, WA 98003 q (0 - f 00tD3-6
(206)661-4000 JAN
APPLICATION FOR MECHANICAL PERMIETY OP FEDEfIAL. WAY
� C� BUILDING DEPT.
PARCEL A:LJ r ` Single Family D Multi -Family 0 Commercial
SITE LOCATION:
1
(odAL i ►6fu i EtcPly -7� c
TenantlOwner:. s�-, Phone: �' 2
AddresslCity/StatelZip: 1I0 �� � / ` ,/6, Z i 'F7121
Nature of workAlk 14_ !f - L ` Project Valuation: $ ce
APPLICANT`
Name:.—� 1� /t7C C 144,4, C 11 A C-cyA�, rj
Address/City/St/Zip-
C,,. A,X i cd 4 gin &I-
;,0IL/ I AL__ tA—
MECHANICAL CONTRACTOR:
Company Name: 149
Ad d re s s IC itylS tlZi p :
c- 1 l3,) Fax•
Contact Person: Phone: I� Fax: /
State L & I Contractor Registration #: n_ ltl 1 *Z5 } f Exp. Date: 1 {�
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Typa (gas/other)
Gas Egypir
Air Handling C = I0,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling 7 = 10.000cfm
Above Ground
Furn [ 100K BTU's
Gas Log
Unit Heater
Underground
Furn > 10OK BTU's
Fans
Bailer BTUIH
Miscellaneous
Gas Hwt
Hood
Boiler BTUIH
Other
Conv Burner
duct Work
A/C TOILS
Other
13RO,§
1 Wood Stoves
A/C TONS
.'
015CLAIM ER: I certify under penalty of perjury that the information furnished by me is true and correct to the bet of my knowledge and further that I am authorized by the owner of the above
premises to perform the work for which permit applicatlon Is made. I further agree to save harmless the City of Federal Way as to any claim Gnduding costa, expanses and attorneys' fees
incurred in investigatlon and defense of such claim;, which may be made by any person, including the undersluned, and filed agunst the City of Federay Way but only where such claim arises
out of the reliance of the Ci[y Jnc[udir'.tfti s afri car and empY�Pon�the accuracy of the information supplied to the City as a part of this application.
Lam_
Qw rlAgent: Date: