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99-103412CITY OF FEDERAL WAY PERMI1 NU: MLc9V-U'-'89 33530 FJ t-st Way Soutti M C 1C #'I P4 f4 I C V4 L M C: r% M X T IS `33LILD: 09/02/99 Feder -al Way, WA 98003 Mechatil.cal, lni'.pt?cti.ofi Re-que5,ts '253-661-,41.40 BY: KI -C 253-661--4000 EXPIRES: 02/28/00 ADDRLSS:1530 S DASH POINT RD NO.: 052104--9157 PROJECT DESCRIPTION. RVAC -REPLACING ELECT WATER NEATER SACAJAWEA VETERINARY CLINIC OWNER........ ........ q_UMjA?jLjVA zr ..... SACAJAKA KALIN (ENTER ACTION WATER HEATERS ONLY INC 1530 t DASH POINT RD 12704 RE 124TH ST, SUITE 43 FEDERAL WAY WA 98003 XIRXLAND NA 98034 941.3900 441 WOO ........... . ........... . ....... M C6NF1ACIA_?,';, KIM IM LKATION CODE IM IRM 91 MtM SALES TAX FOR MJECTS VIIHIN INE CITY Of FINK NAY. PROJECT VALUATION 0 FUEL TYPIS.:ELI ILE f ARS_. 0 GAS PIPING.: 0 ft HOOD..11 FURM<100t..: 0 DUCT Of . 0 GAS HWI,...: I WOOD STOVES...; 0 CORY BURNER: 0 fUN4,1901....... V bBQ ....... : 0 MIS(........... 0 GAS DRYER..: 0 AIR. HARKING 0011, RANGE......: 0 10,000 (M 0 GAS LOGS...: 0 > 10,000 CM 0 i -I'S 10tV IS -30 30- 50 0 50+ ION... 0 FUEL fMS - ABOVE GROUND: 0 UNDER'OROUND. : 0 Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No TOTAL FEES TAX RATE : 8.25 M LE S 27.00 $ 27.00 '.= ...... A=--; 2@+Y= 1_�Ax..*=..=#=r= ...... U-41 (If "Yes" then water expansion tank is required an Not Water Tank) Inspection Record: mechanical Rough-ir, ---- Gas Piping ...... Date, MECHANICAL FINALVl/y - .1 1 - .-z ....= :•...... ... . .......... PERMITS EXPIRE 180 DAYS AFTER ISSIMI It NO 109 IS STARTED. I CERTIFY THE INIFOW]ION fURNBI10 Isi "t is CRUL AND CMECT 10 THE K-S'I Of NY 911001,1EDGE AND 19 AMICABLE CITY Of FEDERAL NAY REQUIRMNIS PILL K NET. OWNER OR AGENT . -f- tL.�_ DATE FIELD COPY CITY OF FEDERAL. WAY 23530 F i r -s t Way South R''°afl C. 1`1 M F'''1..1 K'':: V4 R,,...• r„"1' CC'-' i!''"4. V",f Ir”, Federal Way, WA 98003 P4echariical Inspection Requests 2.53-661-4140 253-661-4000 ADDRESS:1530 S DASH POINT RD NO.: 052104-91.51 PROJECT DESCRIPTION:HVAC - REPLACING ELECT WATER HEATER SACAJAWEA VETERINARY CLINIC OWNER_______________________ _______=________==___:_::__:= CONTRACTOR =_______ _______-= ____________=:____-___-_- LENDER SACAJAWEA HEALTH CENTER ACTION WATER HEATERS ONLY INC PERMIT N0: MEC99-0289 ]ISSUED: 09/02/99 BY: KI_.0 EXPIRES: 02/28/00 1530 S DASH POINT RD f 12704 NE 124TH ST, SUITE 43 FEDERAL WAY WA 98003 i KIRKLAND WA 98034 F 941.3900 425-820.8348 9 ;ii CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 PROJECT VALUATION 0 FEES FUEL TYPES.:ELE ELE FANS..........: 0 BCILERS/COMPRESS;RS " r'' PERMIT =EE $ 27.00 GAS PIPING.: 0 ft HOOD..........: 0 0-3 TON.....; O FURN<100K..: 0 DUCT WORK.....: 0,. 3-15 10....: 0 GAS HWT.... : 1 WOOD STOVES...: O 15-304TON...: 0 CONV BURNER: O FUR0 100K.....: 0 304ITON...; 0 BBQ......... 0 MISC........... 0 50t 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 $ 27.00 i Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes ( ) No (If "Yes" then water expansion tank is required on Not 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 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 AGENT (i ^PTEq.jz,-jq-9-. FILE COPY APPLICATION FOR BUILDING PERMIT ISE PRINT APPLICATION# BEM 335301 Federal V Fax Address S,- 166(_�A Tenant Of known) Lot # Assessor's Tax # Building Owner's Name �& Ce, a "i P PCS Address 07-. P, 1), Citv PeAv 471 t ije.."i State t-.Zin lfton,(,')i�) �'C//-.3900 ................... Nome (F,M,U 0 Address N y It 990-3 Ci ty Le'r k 16 hA State zip Contact Plar on lone Other Phone r # AZ6 Company Name Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified 0 Yes Q No LEGAL DESCRIPTION Contractor Name Address City State Zi Contact Phone Fax License * Expiration Date Verified ❑ Yes ❑ No Contractor City Contact License X tJ Address a_. - •7:r- Expiration Date 3'(o"C Verified kye• ❑ 1 Urinals Lawn Sprinklers Drinking Fountains Other Sumps Drains • Total Fixture'Coun MECHANICAL EVALUATION ONLY S Fuel Type (electric/other) Lan th of Gas Piping Gas Dryer Range Air Handling < = 10,000 CFM Air Handling > = 10,000 CFM 15-30 Tons 30-50 Tons Furn <100K BTUs Gas Log Unit Heater { Existing Use Fans Proposed Use Fuel Tanks Pemtit Includes: Hood ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other Typs of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units _ ❑ Deck ❑ Commercial ❑ Addition ❑ Gara e O Shed ❑ Other Enter lot Floor sq ft 2nd Floor aq ft 3rd Floor aq ft Existing Floor Area sq ft Area Basement sq ft Decks so ft Garage ag ft Proposed Total Area sq ft Water Availability ❑ Sewer Availabili ❑ On -Site Septic System Availability ❑ Project Valuation 4 Zoning Lot Size Existing Bldo Valuation 1 $ r Address Nartts State Zi Contractor Name Address City State Zi Contact Phone Fax License * Expiration Date Verified ❑ Yes ❑ No Contractor City Contact License X tJ Address a_. - •7:r- Expiration Date 3'(o"C Verified kye• ❑ 1 Urinals Lawn Sprinklers Drinking Fountains Other Sumps Drains • Total Fixture'Coun MECHANICAL EVALUATION ONLY S Fuel Type (electric/other) Lan th of Gas Piping Gas Dryer Range Air Handling < = 10,000 CFM Air Handling > = 10,000 CFM 15-30 Tons 30-50 Tons Furn <100K BTUs Gas Log Unit Heater 50+ Tons Furn > 100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Under round E3E30's Wood Stuves 3-15 Tons Total Unit Count -.: 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 arts authorized by the owttea 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' fens incurred in investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the Chance of the city, including its officers artd employees, upon the accuracy of the information supplied to the city as a part of this application. r ?Date: - �-T--- Owner/Agent: ' i .C�-�'�-�---' a,auwa.Arr ravine &IO/Y7