97-100812( i T Y (# M)E'RA1L WAY
:31530 f i. ►-c,t Way <;r)utt, E CI VA I C (iL PERMIT'
Fc,-de?ral Way. WA `800'"; '3►.�S i�Iir7ca trti`',E?���}. �n f F=rlil��.i� �,C.1 �I t:i
'661-4000
ODDR - S� : 34315 16M AVL.
NO.: 202104-909',J
PROJI F C T UESC:R:I PT:I ON : TI - LOCKER ROOM. SHOWER, ROOM, LURCH ROOM HVAC EOUIPNENI
x OWNER =._.z-... ........
BELOIT-MANHATTAN INC
34315 100 AVE S
FEDERAL WAY WA 98003
921-2200
.x;saRs.:.,r:m:•a.-.:r.:zcxR.v'.^xxxr.:=:a:cs:cattaz as. ms .^:. .
ttt ceITRACTORS, PL USE LKA
PROIM VALUATION 9100
FUEL TYPES.:GAS ILE fANS,>
GRS PIPING.: U t HOS
FURN100K..: 2 W11
GAS NWT..... 0 WOOS I 0=
CONV BURNER: 0 FUM
BOO......... 0 MIS(..
GAS DRYER..: 0 AIR NANDL11� f
RANGE....... 0 x'10,000 Cf 0
GAS LOGS...: 0 > 10.000 Cf M: 0
PERMI.I NO: ME:C97--(X)80
T): 0,3107/97
13Y: f(2
E:n'IRE : 03101/`4ip
CONTRACTOR ....... .�� a �.a.r.._�•�s �...__,- a. LENDER ...........
ZION CONSTRUCTION 1Nt
992 INDUSTRY DR
IUKWILA WA 98188
919-8585
eacxxa..aa ss..a':enn:: r�xaxfi�sa•.zas�.:, :aa_:.:xmrca. ,-m:sx.•am:.^.::.vxL,Lxa LazxaL x.vQ.m,.Q��. ..._..m_.-.a.n .^�.axaaQuam-a:: rzaamsscQ;:aa�rtx._....•'
SALES TAX FOR PROJECTS NITNIN THE CITY Of ftt*RAE NAY. TAX RATE ' 8.25 tat
..R... Y.:.:..: :'�.._c.__x: ....;.: .. ...... c... :-R2 ......'R... ,.:IX.."_: _.., i,..':...... .... x._x..':. '.: :•.::��1C a':. _s: --s::.; s.':s _: _:."L'::'�«..;:e X„OSG4LACS;4:'
1-
�, „N GK FEE S 2').25
er a t 3 111.00
MIC 1�. . 20.00
1� �T+ A� Fee Adiusttent S 0.00
s� ,u � . t
••. 0
TANKS--_----
ABOVE GROUND:
0
UNDERGROUND.:
0
Does the water supply system contain a Pressure Reduction Device or Check valve?
Inspection Record Water line Ot ___ _ ___ Mechanical inspection Notes*
GAS PIPING OK _ Date
1�1TAI. FEES
S 166.15
'11 UAll
Pf"Ils EXPIRE 180YS AtTLR ISSUAIF, `NO N@RC IS SIARIE6. RESII�NIIAI AND MADING PERNITS EXPIRL l YcAR At (ER RETE Of ISStbTNCf.
I CER(IfY THE INFO"NCE TION fURNISNEB BY Nei IS TRUE AND CORRECT 10 THE BEST OF ;1Y KNOWI(KI AND Ilii OJPtKAl1tf t:tIY Of fE6fRAI. WAY p(WIRENt:II
WNEP )k AQNI (
FIELD COPY
Hill BI Nf l .
CITY OF FEDERAL. WAY„„ PERMIT NO: MEC97-0080
33530 F i rs t Way South C H A N I C L i;.":. R M I ISSUED: 03/07/97
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 03/01/98
ADDRESS:34315 16TH AVE S
NO.: 202104-9093
PROJECT DESCRIPTION: TI - LOCKER ROOM, SHOWER ROOM, LUNCH ROOM HVAC EQUIPMENT
OWNER
BELOIT-MANHATTAN INC
34315 16TH AVE S
FEDERAL WAY WA 98003
927-2200
= CONTRACTOR____________________________________________r-= LENDER
ZION CONSTRUCTION INC i
992 INDUSTRY DR
TUKWILA WA 98188
575-0367 979-8585
ZIONCI*148MG
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 ***
PROJECT VALUATION 9100
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 YS AFTER ISSUANCE I JO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INF TION FURNISHED BY M IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
'% r
OWNER OR AGENTDATE
----------------------- =-------------- --
FILE COPY
FUEL TYPES.:GAS ELE
FANS..........:
1
BOILERS/COMPRESSORS
GAS PIPING.:
0 ft
HOOD..........:
0
Mechanical Permit*
FURN<1OOK..:
2
DUCT WORK.....:
40
$
GAS HWT....:
0
WOOD STOVES...:
0
0.00
CONV BURNER:
0
FURN>100K.....:
0
5+ HP........ 0
BBQ.........
0
MISC...........
0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<:10,000 CFM:
0
$
GAS LOGS...:
0
> 10,000 CFM:
0
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 YS AFTER ISSUANCE I JO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INF TION FURNISHED BY M IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
'% r
OWNER OR AGENTDATE
----------------------- =-------------- --
FILE COPY
FEES:
BOILERS/COMPRESSORS
MECH PLAN CHECK FEE
$
29.25
0-3 HP......: 2
Mechanical Permit*
$
117.00
3-15 HP.....: 0
MEC PRMT ISSUANCE...
$
20.00
15-30 HP....: 0
Fee Adjustment
$
0.00
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
TOTAL FEES
$
166.25
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 YS AFTER ISSUANCE I JO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INF TION FURNISHED BY M IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
'% r
OWNER OR AGENTDATE
----------------------- =-------------- --
FILE COPY
CF of BUIIAING DIVISION
EO 33530 First Way South
FIN"'
y Federal Way, WA 98003
V V (206) 6614000
Fax (206) 6614129
APPLICATION FOR MECHANICAL PERMIT
MEC -
PARCEL # Single Family ❑ Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner � i f l �-IA k.i i -+477- c LJ Phone
Address/City/State/Zip
Nature of Work
APPLICANT
i4 0 i�,
Project Valuation: $
Name 'S" i.k - l� i iL�� S -H iF i % i r l Fk ! N C.-
Address/City/St/Zip ! U �' �' r U ,C a j i t!
Contact Person t U 1,J Phone 1 S 7 b 6 Fax `_ t j— Y 7 E
MECHANICAL CONTRACTOR
Company Name ` J /'t = —
Address/City/St/Zip
Contact Person Phone
Fax
State L & I Contractor Registration # J - A A - T S i, -J 0 Exp. Date l ' 2 cl -
(Card must be presented)
MECHANICAL UNIT COUNT /r � l J J
Fuel Type as/other
Gas Dryer
Air Handlin < = 10 000cfm
Fuel Tanks:
Length of gas 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
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C s`' i 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 fu[ther 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 (mchu{ing costs, expanses, and attorneys' fees inured in investigation and defense of such claim), which may be
made by any person, including the undersigned, and filedagainst the of Federay Way but only where such clever arises out of the reliance of the city, including its officer and employees, upon the accuracy o[the
information supplied to the citya part of this application.
Owner/Agent" _`-�` �l✓,�, ;�` Date
Me Are
Revcsm 12/11/96