97-101028I I I O� FEDERAL WAY
F'ade r -a I. Way, WA 9800,4
661- —4000
01)1)Rr'�S:33400 81`14 AV[ '� tfriit— I.I'L'
NO.: 926500-0110
PROJECT DESCRIPTION.'OVA( - RELOCATING GPD t THERMOSTATS
OWNER
ROS14BLOTH TRAVEL
33400 STH AVE S. SUITE 132
FEDERAL WAY MA q8003
CITY'OF
A
CONTRA(TOR
PACIFIC AIR (ONTROt !N(
11812 010 CREEK MY M.
BOTHELL WA 98011
ns coNj&Kjots, 18CA
80 R1.11 ON
..4E
31-
- Hi
`NP...
L TANKS-----. --
ABOVE GROtIND: 0
UNDERGROUND.: 0
tENDIP.
97 1010u,
PERMIT NO: MEC97-0103
1.S,cMED: 03/2.5/9'7
BY: FC2
VXPIRES: 09/20/97
ES TAX FOR PROJECTS VIININ INE CITY Of FEDERAL WAY. TAX RATE : 8.25 In
Me
TOTAL FEES
... $ 20.00
IMM 72.00
$ 912.00
............. ........
Does the water supply system contain a Pressure Red on Device or Check valvp" () Yes () Nn (Tf "YW than water Aypznrji)A tank is re(ldrM )n Not Water lank
P �'� r-vq
Inspection Record Water Line Ot mechanical In on Note
GAS PINK OK 118 BY ------
O
.......................... . .......... . ..... . ......... .......
,n , contain Red
k, he
'chan
PERMITS EXPIRE 160 DAYS Af In lsSUIAKI If M *W'IS SIARIED. RESIKIIIIAt AND UADING PERMITS MIKE ONE YEAR AFTER DATE Of ISSM[.
I MIRY IN[ INFORM11011 IM -BY Of fS IR111 AND CORPEQ 10 M BEST Of NY KWOMLIM AND IM APPLICAN11- CITY OF f[KI141 PAY Pill Ill' M!T
DATE
FIELD DOPY
PROJECT VALUATION
4500
FUEL TYPES.:GAS ?
f
GAS PIPING.:
0 ft
HOQ. . - - - - - - - - - -
FURWIM'.:
0
-
GAS 11101--:
0
4
WOOD U�
(00V BURNER:
0
f URN' I
BBO ........ :
qAS DRYER..:
0
0
MIS(
AIR HANDLI S
RANGE......:
0
<:10,000 ah: 0
GAS LOGS...:
0
) 10,000 CFM: 0
tENDIP.
97 1010u,
PERMIT NO: MEC97-0103
1.S,cMED: 03/2.5/9'7
BY: FC2
VXPIRES: 09/20/97
ES TAX FOR PROJECTS VIININ INE CITY Of FEDERAL WAY. TAX RATE : 8.25 In
Me
TOTAL FEES
... $ 20.00
IMM 72.00
$ 912.00
............. ........
Does the water supply system contain a Pressure Red on Device or Check valvp" () Yes () Nn (Tf "YW than water Aypznrji)A tank is re(ldrM )n Not Water lank
P �'� r-vq
Inspection Record Water Line Ot mechanical In on Note
GAS PINK OK 118 BY ------
O
.......................... . .......... . ..... . ......... .......
,n , contain Red
k, he
'chan
PERMITS EXPIRE 160 DAYS Af In lsSUIAKI If M *W'IS SIARIED. RESIKIIIIAt AND UADING PERMITS MIKE ONE YEAR AFTER DATE Of ISSM[.
I MIRY IN[ INFORM11011 IM -BY Of fS IR111 AND CORPEQ 10 M BEST Of NY KWOMLIM AND IM APPLICAN11- CITY OF f[KI141 PAY Pill Ill' M!T
DATE
FIELD DOPY
CITY OF FEDERAL. WAY
33530 First Way south H f"' 411-:: 1,,,,101. N. ""T., M.,.,. ir`l I... � ��. � ' �"'ii .'I
Federal Way, WA 9£3003 Building Inspection Requests 661-4140
661-4000
ADDRESS:33400 8TH AVE S Unit: 132
NO.: 926500--0110
PROJECT DESCRIPTION: HVAC - RELOCATING GRD & THERMOSTATS
OWNER
ROSENBLUTH TRAVEL
33400 8TH AVE S, SUITE 132
FEDERAL WAY WA 98003
CONTRACTOR
PACIFIC AIR CONTROL INC
11812 NORTH CREEK PKWY N.
BOTHELL WA 98011
206 682-6393
PACIFAC23OP8
LENDER
PERMIT NO: MEC97-0103
ISSUED: 03/25/97
BY: FC2
EXPIRES: 09/20/97
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 Water Line OK ---------- Mechanical Inspection Notes:
GAS PIPING OK ---------- Date ------ By
PERMITS EXPIRE 180 DAYS AFTER ISSUANE STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISH 7K -IS
E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL BE NET.
OWNER OR AGENTDATE
-—/'
-------------------------------------------------------------------------- ------
414ARNP�
sss CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN
REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE
: 8.25
sss
PROJECT VALUATION
4500
FEES:
FUEL TYPES.:GAS
? FANS..........: 0
BOILERS/COMPRESSORS
MEC PRMT ISSUANCE...
$
20.00
GAS PIPING.: 0
ft HOOD..........: 0
0-3 HP......: 0
Mechanical Permit*
$
72.00
FURN<100K..: 0
DUCT WORK.....: 2
3-15 HP.....: 0
GAS HWT....: 0
WOOD STOVES...: 0
15-30 HP....: 0
CONV BURNER: 0
FURN>100K.....: 0
30-50 HP....: 0
BBQ......... 0
MISC........... 0
5+ HP........ 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
$
92.00
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 Water Line OK ---------- Mechanical Inspection Notes:
GAS PIPING OK ---------- Date ------ By
PERMITS EXPIRE 180 DAYS AFTER ISSUANE STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISH 7K -IS
E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL BE NET.
OWNER OR AGENTDATE
-—/'
-------------------------------------------------------------------------- ------
414ARNP�
CITY OF 33530 First Way South
Federal Way, WA 98003
�-- (206)661-4000
OjAR 2 5 199 -APPLICATION FOR MECHANICAL PERMIT (�
L WAY Mtet/ �0
PARCEL It- �L-'C21Cd r (��
Single Family � Multi -Family � Commercial P�
SITE LOCATION:
Tenant/Owner: F-0 P,"_UT�t I- Phona:
Add res s/City/State/Zi0: 33q00 �� S
Nature of work: �VAI-c- Uul� 0T5 Project Valuation: 5- 4, "Scx--)
APPLICANT:
Name: PSC l"LG PnG�- ��iiLo L_
Address/City/St/Zip: t l�)(2 PV_ `( N. ±loo goTH-ip-,Lk-, L j) ameba [ I
Contact Person: pnN L --c:, Phone:
MECHANICAL CONTRACTOR:
Company Name: SP -,V \A T---
Address/City/St/Zip
Contact Person:
Phone:
Fax
Fax:
5LA 0 - 22-77 U
State L & I Contractor Registration Jl: F)P\C t F 1-\ C Z3 0 PED Exp. Date: 67_q -'Gid
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/othor)
Gas Dryer
Air Handling <
= 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling >
— 1O,00ocfm
Above Ground
Furn <1OOK BTU's
Gas Log
Unit Heater
Underground
Furn > 100K BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other C11 1;2- 0 Is, IT-5IfIq
Conv Burner
Duct Work
A/C
TONS
Other
DISCLAIMER: I certify under penalty of perjury that the Information furnished by me Is true end correct to the beat of my knowledge and further that I sm wAhorized by the owner of the above
promises to perform the work for which permit applicatlon I. made. I further agree to save hermits. the City of Federal Way w to any claim (including costa, expanses and attorneys' fees
incurred in Investiostlon and dafonsa of such dalml, which may be made by any person. Includirp the undersigned, and filed against tha 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.
Li3-2:�_.q
Owner/Agent: o�' Date:
y