99-103732CITY OF FEDERAL WAY
33530 Fit'st Way South
Fede r,tj Way, WA 98003
253-68f-4000
ADDRESS:30333 PAC'IFIC HWY
NO.: 042104-9040
PROJECT DE4 CRI PT TON: MECHANICAL
ONVER==_.:= .. wwnw=
MEN SORRY'S
30333 PACIFIC HWY S
FEDERAL WAY NA 98003
206-999-9652 253-839-.3344
t"C:Ct1V4HX4CV4L sig C(ANXT"
M cz., c h a n i (-.- a I Ins, )ection Requc:5-tr,53, 661-41.40
- VCR! AND DIFFUSERS
------------- ----
PROJECT VALUATION
5300 7
FUEL TYPES.:?
?
FANS..........;
GAS PIPING.:
0 ft
000D.. — *.
0
FURNA00t..:
0
IX1rT "IT
GAS HWT .... :
0
W014
CORY P)RHER:
0
0
BN ........ :
0
RISC ..........
0
GAS DRYLR..:
0
AIR HANIOLING }UPAS
RANGE......:
0
<10,ouo 01:
0
GAS LOGS,_:
0
) 10,000 CFM:
0
CONTRACTOR .....$:
XOLLMAR
..... XOLLMAR SHEET MrAL INC
1030 ELLIOTT AVL W
SEATTLE WA 98119
206-283-2330
3-15 low,
X
15 U 10
310-50 TON—: 0
504 0
FUEL TANKS_,; I.
AKVI GROUND: 0
I)RDIRGROUND. : 0
LENDER
PR(ING SALES TAX FOR ft0JECTS 01ININ INE CITY Of FEKRAI. NAY. TAX RAI[ = 8.25 SO
Ict`L,^_4J
PERMIT NO: MEC99-0326
ISSUED: 09/28/99
BY: FC2
rypTprS: 03/25/00
qtj - 103'13?
FEES:
TOTAL FEES
EE $ 125.25
i. ..... ......... . ;..=.z ...... ...... ...... W... O M-a .. ..
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If 'Yes" then eater expansion tank is required on Hot Water 40)
Inspection Record: Mechanical Rough -in Date Gas Piping Date
MECHANICAL FINAL 6A:: P L. Date ja=a�ff
KKNITS MIRt 130 DAYS AMR ISSUANCE IF NO VORK IS STARTED.
I CERTIFY IN, 1910KNA11011 RUISNE) BY N[ IS IRK AD CORRECT TO TK KST Of NY KNOKEDGI AND THE AMICABLE MY Of FLIXIIAL WAY REQUIRENtRIS VILL K hit.
OWNER OP AGENT
DATE
FIELD COPY
P
CITY OF FEDERAL WAY
331530 F i rs t Way South
�,;,n 9",",,,: ii , � "'I . ,. "T,
Federal Way, WA 98003 Mechanical InsP)ection Requests '2521-661-4140
253-661-4000
ADDRESS:301333 PACIFIC FIWY S
NO.: 042104-9040
PROJECT DESCRIPTION:MECHANICAL - VENT AND DIFFUSERS
OWNER=__________________________________________________= CONTRACTOR=___=____________________________.____:__::===7= LENDER
NEW SONNY'S KOLLMAR SHEET MTAL INC
30333 PACIFIC HWY S ( 1030 ELLIOTT AVE W
FEDERAL WAY WA 98003 I SEATTLE WA 98119
i
206-999-9652 253-839-3344 206-283-2330
KOLLMI*24108
I
PERMIT NO: MEC99-0326
ISSUED: 09/28/99
BY: FC2
EXPIRES: 03/2.5/00
M CONTRACTORS, PLEASE USE LOCATION CODE 1732 9F -PW REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 Us
Inspection Record: Mechanical Rough -in ---------------- Date Gas Piping ---------------- Date __
MECHANICAL FINAL Date
125.25
125.25
on Hot Water Tank)
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO RORK IS STARTED.
I CERTIFY THE INFORMATION FURNIS D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
/i
OWNER OR AGENT-------- ------------------------ ----------------------- D A T E _=_ Z �'- (
FILE COPY
PROJECT VALUATION
5300
FEES:
FUEL TYPES.:? ?
FANS..........:
1
MECH PERMIT ,FEE
GAS PIPING.: 0 ft
HOOD.— ......;
0
3-3 TON--:
3
FURN<100K..: 0
DUCT WORK.....:
n
3-15 TCN....:
0
GAS HWT.... : 0
WOOD STOVES...:
0
15-30 '?11N:..:
CONV BURNER: 0
FURN>lOOK.....:
0
30-50TO i...:
0
BBQ......... 0
MISC..........:
0
50+ TUN......
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
--------RANGE......:
RANGE ...... 0
<:10,000 CFM:
0
ABOVE GROUND:
0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.:
0
TOTAL FEES
Does the water supply
system contain a
Pressure
Reduction Device
or Check
valve? () Yes ( ) No (If "Yes" then water expansion tank is required
Inspection Record: Mechanical Rough -in ---------------- Date Gas Piping ---------------- Date __
MECHANICAL FINAL Date
125.25
125.25
on Hot Water Tank)
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO RORK IS STARTED.
I CERTIFY THE INFORMATION FURNIS D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
/i
OWNER OR AGENT-------- ------------------------ ----------------------- D A T E _=_ Z �'- (
FILE COPY
MY OF G ` BUILDINGDrvMoN
33530 First Way South
Federal Way, WA 98003
(253) 6614000
SF,p Fax (253) 6614129
APPI-Iq&P, ON POR MECHANICAL PERMIT
MEC'?—
PARCEL
52 �
PARCEL #
SITE LOCATION
Single Family ❑ Multi -Family ❑ Commercial ❑
Tenant/Owner ��'� -'fi /-/-5-Phone
2 fr-
Address/City/State/Zip 3 O 3 3 l P4 C (€ C (� �i y ��O' P/� �j �- (.e
Nature of Work L (/C Ky / '� S Project Valuation: $
APPLICANT
Name
Address/City/St/Zip t L C
Contact Person
MECHANICAL CONTRACTOR
Phone
Company Name
Fax
Address/City/St/Zip h �✓ � ,�? r n
Contact Person 000 Phone2-66 _ Z � � _ 2— 3 7 C/ Fax
?
��✓' ( Lf a 3
State L & I Contractor Registration # Exp. Date " Z
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Drver
Air Handling
<= 10 000cfin
Fuel Tanks:
Length of as piping
Range
Air Handling
> = 10 000cfin
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler
BTU/H
I Other
Conv Bumer
Duct Work
A/C
TONS
Other
DISCLAIMER I certify, under penalty of perjury, that the information famished by me is true and coned to the best of my knowledge and further that 1 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 (mduding 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.
er/Agent Date
()�
Revsm 8/26/97