99-104180CITY OF FEDERAL WAY
:33500 First Way South
Federal Way, WA 93003
253--661--4000
Mechanical Inspection Requests 253-.661-4140
ADDRESS:33400 9TF3 AVE S Uriit: 200
NO.: 926501-0060
PROJECT DESCRIPTION: ZONING, DUCTING, DIFFUSERS, SERVER ROOM, AC UNIT
OWNER
MEDICAL MANAGEMENT INC, NW
33400 9TH AVE S SUITE 200
FEDERAL WAY WA 98003
CONTRACTOR
UNIVERSAL REFRIGERATION INC.
PO BOX 614
AUBURN WA 98071-0614
1::l61- I O�q (S/0
PERMIT NO: MEC99-0373
ISSUED: 11/10/99
BY: FLF
EXPIRES: 05/07/00
LENDER
253-939-5501
Uy�E
*** CONTRACTORS, PLEASE 1JSE LOCATICN CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY
-----------------
r r �-
PROJE,.T VRLUAT.ON
32500
FUEL TYPES. :GAS
GAS FANS., :
0
GAS PIPING.:
20
ft HOOD...,. :.
0
FURN<100K..:
1
Y."'T t?ngY
n
GAS HWT....:
0
WOOD STOVES:._:`
CONY BURNER:
0
FURN>1OOK.....:
3
BBQ.........
0
MISC..........
0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<:10,000 CFM:
0
GAS LOGS...:
0
> 10,000 CFM:
0
BOILE'?SfCnMoRf§�ORS
0
3 ' S rnFi i
15-20 2
30-�O ,; ...: 3
50t Tbh..... 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
TAX RATE : 8.25 ***
FEES
1l PAN,IECK FEE $ 118.14
ME'
k"A FEE $ 472.55
f
TOTAL FEES
$ 590.69
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
MECHANICAL FINAL Date
Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF,410 WORK 11 STARTED.
I CERTIFY THE INFORMATI N RNISHEDBY TRUE AID C RECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT --- ----�-------- DATE
----_--------------------------------
FILE COPY
AL r
•r
crrr ofG
tN>
FRO OCT 2 61999
CITY OF FLL, ,AL vv„r
BUILDING DEPT.
APPLICATION FOR MECHANICAL PERMIT
PARCEL # 14--L 64 — � Single Family ❑
SITE LOCATION
Tenant/Owner —
Address/City/State/Zip 3�J y�� `1�41ve,
Nature of Work Z k 5
4101 ltv-
MEC
Multi -Family ❑
Phone
BUILDING D; rmoN
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
-&37,3
Commercial
Valuation:
..�
APPLICANT
Name See— Z;,elffw
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip IF >Ix
Contact Person e— ay,
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
11
7/ --D ism
Z 53 Z53�
Phone Fax 2X'a : 3,��
Exp. Date Z 6
Fuel T as/ then
Gas Dryer
Air Handlin
< = 10 000cfm
Fuel Tanks:
Length of as Piping
� Range
Air Handling
> = 10 OOOcfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Dud Work
A/C
TONS
Other
Wood Stoves
A If'
TONS
DISCLAIMER --.I certify, under penalty of perjury, that the information famished 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/
Mecit.Arr
C 11 Y OF FFriE:RA1- WAY �p T
33530 F i rs;t Way Soutti 1� EC UTA �1 L PERMIT
`"f-'�CC+c^^i��er<A1 Wa•�,yt(,, WA '8003 Mc.,(::r,ar►ic-al Inspectiofi Rir�quest:sr 253.--66:11-4140
253--661 .-4000
ADDRESS:33400 9TI1 AVE S Unit: *K"ZI0:1
NO.: 926501-0060
PRO-JECT DESCRIPTION: ZONING, DUCTING, DIFFUSERS, SERVER ROOM, AC UNIT
OWNER=r==.�=%040." .Mw .ma:Va
MEDICAL MANAGEMENT INC, ON
33400 9TH AVE S SUITE 600
FEDERAL NAY WA 98003
SO
CONTRACTOR ....:.-a--na—
UNIVERSAL REFRIGERATION INC.
PO Box 614
AURURH MA 98011.0614
253-939-5501
K 1132
PROJECT VALUATION 32500
FUEL TYPES.:6AS GAS FANS........"..: '�DonER ICOMP
LENDER
I, 1eyI80
9
PERMIT NO: MLL'4V -UJ /J
ISSUED: 11/10/99
BY: FL F
EXPIRES: 05/07/00
z x; r..a«ac a.sa;+xx•.� ...= :¢aaas::n....e:...:s.. •a... A ....Mvs
SALES TAX FOR PROJECTS NIININ THE CITY OF' ILDLRAL NAY. TAX NATE : 8.25 :ss
.•.1.m: aa:rcr.amsxez�•n=aemac_cnaae^.n:c_sxcaasn: xa•;aecaixrsxxm�::-a:sas•aeceace.....
aa.rc:s.r¢m:a�:.
GAS PIPINC.:
20 ft
HOOD.......
0
0-3RP1...
No (If "Yes' then water expansion tank is required on Not Nater lank)
R tN<100K...
1
Dri von r.
0
Piping „..�_..__..__
Date
GAS NWT.....
0
WQOD STOVE'' ..:
0
15-30,TOH....
0
(ORV BURNER:
0
FURN)100K.....:
0
30-56 TON...:
0
BN.........
0
#ilSl::..,.... .
0
504 MR.—.:
+s
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS .......
--
.RANGE......:
RANGE ......
0
<=10,000 (IM:
0
ABOVE GROUND:
0
GAS LOGS...:
0
) 10,000 CFM:
0
UNDERGROUND.:
0
FEES:
NECK FEE $ 118.14
°FEE S 412.55
TOTAL FEES $ 590.69
Does the nater supply
system contain a Pressure
Reduction Device
or Check valve?
( ) Yes ()
No (If "Yes' then water expansion tank is required on Not Nater lank)
Inspection Record:
Mechanical Pough-in _.__._..
Date
Gas
Piping „..�_..__..__
Date
MECHANICAL FINAL Date
1�'.':YTkP+liiY3l;iYa;xl•S:a:isaal�uamas?a.::casascrcax�inCaexY. R:dVusakea6rurYzrA. rn.::rax:U.x:Ya:•.rn3'a;xq:::as2"ixuBt:nt3xm:::aux:iEn:meGc+:¢x.m:xc..uLl�::aaau'.wUXd:a.:,:.azz•a?f.T::s.Pac�::a:2 nsaawsms:�:n9tTi�.stsaaaeSlcrm;:z:uma.zra a:umm:m::..¢x:mtysu'las!
` PUMITS EXPIRE 188 DAYS AFTER ISSUANCE IF,.XO NORR,I1 STARTED.
I CERTIIY THE INFWMITI Fl1RNISNED I!Y ot— Y5 TRUE A0 C CT 10 19E 1ST OF NY CNONLEDGE AND TNE. AMICABLE CITY OF FEKKAL WAY RLOUIRENNIS WILL DE MLT.
OWNER OR AGENT Y._:..L_ _ _.. P . _ . _ DATEf�.lj'�„ 11� q
FIELD COPY
Conditions of Approval - Permit no.: MEC99-0373
For: MEDICAL MANAGEMENT INC, NW
Page: 1
1) Per FWZC Sec. 22-960, Mechanical vents, penthouses, or equipment
that extend above the roofline must be surrounded by a solid
sight -obscuring screen that meets the following criteria:
a. The screen must be integrated into the architecture of the
building.
b. The screen must obscure the view of the appurtenances from
adjacent streets and properties.
1) This requirement may be exempted by the building inspector if
it can be verified that the unit is not observable from
surrounding areas.
condlist, 08/17/92