97-103426.�r,CTTY OF FEDLRAL WAYPLRIII'l NO: MLC97-0267
53
1330 Fit -St Way SOU-LI'l MECV1AN1(...-AL PERMIT 10/15/97
federal Way, WA 98003 Me(,tianir.-1,41 253 661 4140 13Y.. 1, (",
'
V253-661 -4000 I-XI)IRE": 04/l.', -)/9F
ADDRESS: 1650 DASI-I POINT RD SW
NO , : 1221.03-9069
PROJECT DES(.,RIP1'1CjN:#ev RVAC and walk-in cooler
- OWNER M CONTRACTOR �ma ... UNDER
CHEVRON POLAR STAR RFRC CO INC
1650 SW DASH P1 RD 19424 AIR Aff 0
[BERAIL NAY VA 9023 LYNNWOOD NA 98036
206-323-8940
its C41fWT0AS,, MUSIC K tOCATIN (OK 1737 SKI IrWITIN SALES TAX FOR FWFCTS VIININ 1K CITY Of UKRAI. NAY. TAX RATE = 8.25 *119
PROJECT VALUATION 25000
FEES:
19EL TYPC-j'.:LLE ELI FANS..........: 2 001 Lip 1,11COMPP't ;.SORS NECH PLAN CHECK FEE $ 63.00
0S PIPING.: 0 ft HOOD..........: 0 0-3 It NL( K"T ISSUAKE... $ 20.00
FURN(100K...: 0 D00 f...... 1, 3-1t Toll': I Mechanical Perlitt $ 252.00
GAS HNT .... : 0 WOOD CUMS, ..: 0 I5-30 TON_. ff
(ONV BwHtR: 0 0 W W, TON—: 9
pkfl ......... 0 1 504 TON--; a
GAS DRYER..: 0 AIR HANDLING NITS fu(L Thns
RA#GL ...... 0 ,:10,000 ON: I AM GPOUND: 0
GAS LOG:...: 0 > 10,000 04.4, 0 UNDIRUOUND.: 0 TOTAL [US $ 335.00
...... .... =: I .........
Does the water supply systes contain a Pressure Reduction Device or Check valve? Yes No (If *Yes' then water expansi
Inspection Record: Mechanical Rough -in Date ___ "1 1. Gas Piping Date -
MECHANICAL FINAL Date
PERNIIS EX9191 100 DAYS NICK ISMKF If No mK is SIART11.
I CERTIFY 1K INF(MI1011 FURNISHED By K M-1mr-W COUICT To TK BEST OF NY INMEW W Tit MCAKE CITY 01 FtKXK
tworR Of AGENT DATE
FIELD COPY
is required on Hot
W il
i
CITY OF FEDERAL WAY ., PERMIT NO: C9 —0 67
I ME 7 2
33 530 F i rs t Way South � �,... ,.,,� ,.,, �"' .. �... �....,. �.�, ,.,., P �:;. �""�, P"1.. ,. ,,,�... ISSUED: 10/15/9;7
Fe dera1 Way, WA 98003 Mectnariic al a rns pection Requests 253--661--4140 BY: FC2
253-661-4000 EXPIRES: 04/12/93
ADDRESS:1650 DASH POINT RD SW
NO.: 122103-9069
PROTECT DESCRIPTION -New HVAC and walk-in cooler
r= OWNER _________________________ __________-__=_________=_= CONTRACTOR=_________=___________=________________=====T=
LENDER
CHEVRON
POLAR STAR RFRG CO INC
'
1650 SW DASH PT RD
19424 74TH AVE W
S
FEDERAL WAY WA 98023
LYNNWOOD WA 98036
E
206-323-8940
POLARSR066RT
ext
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES
TAX FOR PROJECTS WITHIN THE CITY
OF FEDERAL WAY. TAX RATE =
8.25
as
PROJECT VALUATION
25000
FEES:
FUEL TYPES.:ELE ELE
FANS..........: 2
BOILERS/COMPRESSORS
MECH PLAN CHECK FEE
$
63.00
GAS PIPING.: 0 ft
HOOD..........: 0
0-3 TON.....: 0
MEC PRMT ISSUANCE...
$
20.00
FURN<100K..: 0
DUCT WORK.....: 1
3-15 TON....: 1
Mechanical Permit*
$
252.00
GAS HWT....: 0
WOOD STOVES...: 0
15-30 TON...: 0
e
E CONV BURNER: 0
FURN>100K.....: 0
30-50 TON...: 0
BBQ........: 0
MISC..........: 1
501 TON.....: 0
GAS DRYER—: 0
AIR HANDLING UNITS
FUEL TANKS---------
; RANGE......: 0
<:10,000 CFM: 1
ABOVE GROUND: 0
¢
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES
$
335.00
f 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 ---------------- Date _--_---_--
s
a MECHANICAL FINAL Date
a
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME,I ND CORRECT TO THE
OWNER OR AGENT -------------------
BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
FILE COPY
DATE
CITY OF C
GIT BUILD NG pY
DEPT,
APPLICATION FOR MECHANICAL
PARCEL #
,fy 2 1991
SITE LOCATION
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
PERMIT
MEC 17- 026 T
Single Family ❑ Multi -Family ❑ Commercial
Tenant/OwnerPhone
Address/City/State/Zip/t/
Nature of Work ( � S�'1 l'!ON �� S�W� Project Valuation: $ Z400a L 2`ovz)
APPLICANT
Name
Address/City/St/Zip—/'?40s)
Contact Person
MECHANICAL CONTRACTOR
Alesi
MIL 1 Phone
Company Name `i�
Address/City/St/Zip
Contact Person
Phone
State L &I Contractor Registration # ?Q (/kr52 d e, w e T
(Card must be presented)
MECHANICAL UNIT COUNT
�• �' 'off
20(1 32-3 Lc`fO Fax
Fax
Exp. Date
r
Fuel Type as/other
Gas Dryer
Air Handlin < = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10 000cfm
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Underaround
Furn >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Hood
Boiler BTU/H
Other
tC.nBurn
Duct Work
A/C TONS
Other
Wood Stoves
A/C TONS
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 1 am authorized by the owner of the above premises to perform the work
for which permit application is made. 1 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 maybe
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/Agent
Mecn.Are
Revrsm 8/26/97
Date / — /_� —I -)