97-100437CT'[Y Of
335::301 E i m t Way �ci► r t l�
Fede r a 1 Way, WO 9800"
66�..4tJUU
�i)I?t� L. ;>�, :710 `� ;:I�,S3 I• i 1 �.� I
NO. 202104
MOM CT DESCRIF11 LUN'HVA( ° DUCI WORK
OWNER--m ....
VALLEY WONEH'S HEALTH CARE
120 S 348111 ST
FEDERAL WAY NA 48003
�s::: auuCe:s:x2razcrr.••.^sr:x»e. ¢:a._a•:-s':.�s awn- .s;±cxar^rx T•
tot CONTRACTt
1it.I i+}g 1rispec-tlr)r1 lt(,1,40
qrl lcooq
PERM 11 HU: MEC9'/ --0046
02/06/97
BY: I"C"'
I_XP 1RE:c', : 01/31/9F-1
CONTRACTOR ....amILHUEP <,x::, 4=a•nn�A Y➢�rYa:• �= mt:�.-��z�,YIIsr Nw•;.��:II4 „-:•:�
KEY NMANICAL CO OF WA
14430 681H AVE S j
KENT WA 48032
812-1742
KEYNE11*240N? j
....i e. .:..." .. r.F............:.:: ..c:xrc .,._.:rt - -.. :,,7:� .. :....:-W:rr-+�.r. m: r..+�•xWaRnnY+zurr a®xszm%c wr. -,.w: at:»rer�,-x. xr:�q::m:x•.xcas
UMMUNiMM
NC SALES TAX FOR noJECIS WITHIN INE CITY OF TEDLRAL WAY. TAX RATE ' 8.25 m
�:x•'S»hYF SS:^,nt'IISYYittYC.». CYSXYL.^.:zlC.».L39'XC'GSr'.::: �;^."••• :• ,-.•»•.. ••••-• -- C:':a. �`±.. e'. ;.Fx.t... ;•: •,. ,.. Y.'Y;xnrsa+r, esr.K. .:. �.. .. a..R::. Z�. u.. T...Y::SSYi?�•aemarxYsx:-se��Yeracmr:Trr•.=xrn:;Cr%�:.arrn:araru^.vt9t.-.......„. c:s•xeY; as cng
PROJECT VALUATION 12500 FEES:
FUEL FYPES.:? ' FANS. IL :;i"'�"" ' MEQ. PPMI ISSUANCE... Y 10.00 �
GAS PIPING.: 0 ft 000D. s rd 9., 0 � � � � ��° � � ���� � erNitx # 144.00 �
FURNe100K..: 0 DU�i. .,.:, O s
_..: , s
GAS HaIT.... : 0 WO��� j
CONV BURNER: 0 f �, StEiP. of
BBQ......... 0 MIS.
GAS MYER-- 0 AIR Ha i ��i AN
RANGE......: 0 <--10 a: q M, LAND: tl
GAS LOGS ...: 0 UI 000 "Q HDER69OU11D.: 0 TOTAL FEES $ 164.00 f
'YN:S'.ii1'•,.CF.YM%:.. YC'.......................6tERtv'SR119LkC:i5Y3P::'1Z to^.'.:"C:6 r.4Y:CJC: Y.U�i`TSS::f:M.�:>¢.'^.RY?l'f@SrS:iM:Y'p:t:M:;Yp%+>E:IL'YF-^Iv&A➢t.A!; s:.SDR1"f:. S:'RII: 4;..'..:. ^.T'.•"':.•:. M: .. •.CYSY..S..'t'r„...:.t'. ..' .. .,'.f.t.. :YRG:�
Does the water supply system � nfiin i PrP<sure Reduction Device oy�Check valve? () Yes �j No (If 'Yes' then water expansion tank is required on Not Water Tank!...................
ank! •••i
inspection Record Water tine UK Mechanical ne�;lion Holes: j
GAS PIPING OK Dal /_ By
�n..,.crz....:,r.ma. x: s.,.._.,: ..Y ....r...:� >xs�.....-U :_.....r,.esaux....x...-e�Y^o max+... ,..:....rrrac,Yvt :c,SYR<xrae�ac:-stcaY'aeawrrxr,+a[r. �xurx.•car;'rcrxx.xYsnrrzua mcvu:.a-a twvm�•nr:vpc.nmwetr.[:ss�etY�^eraetz»usr. axrtx r. -'u.. ._a.-r.^e%ac r.na;•cc,.;:t�ex .. .r: tt.� Wt�ar�.: .....a.a•. rum. u:.[:::.
E'tiifllTS EfPlttt 11;U Y; Al ITR ISSUA#Wt It NO RORK IS STARTED. RESIDMIAL AND CRADING PLRNIIS LXPIRI 011t YEAR AFTER PAIL Of I`i'.flftbM t.
I CERTIFY I,,,. Ikt 1101, URNISNLh IfY ft 15 TIME AND CORRECT TG IN KSI 01 MY VOWLIKI. AND Ifl[ APNL10111L CITY 01 F1.p!RAI. MAY RIIAIINLMLNI'_, Milt. RC fitl.
OWNLP UR t1 Hfl Lin! i (0 , C
FIELD COPY
At
•CITY OF FEDERAL. WAY
33530 First Way Sautli
Federal Way, WA 98003
661--4000
ADDRESS: 710 S 348TIA S, I
NO.: 202104--9132
PROJECT DESCRIPIION:HVAC - DUCT WORK
1-1 ?"1044.f., M:; 1�4 Lt"k f"„ .. �"'� � a� � .„w;, , I,,.
buIldirig Irispection Re•q(.ie!;Ls 661-,4140
r= OWNER __________-=_______________________________________= CONTRACTOR
VALLEY WOMEN'S HEALTH CARE
720 S 348TH ST
FEDERAL WAY WA 98003
1
1
KEY MECHANICAL CO OF WA
19430 681H AVE S
KENT WA 98032
872-7392
KEYMEW*240NZ
PERMIT NO: MEC97-0046
ISSUED: 02/06/97
BY: FC2
EXPIRES: 01/31/98
LENDER
r
s
! r
E �i
a
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 ***
PROJECT VALUATION 12500
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0
FURN<10OK..: 0 DUCT WORK.....: 1 3-15 HP.....: 0
FEES:
MEC PRMT ISSUANCE...
Mechanical Perrin
20.00
144.00
GAS NWT....: 0
PERMITS
WOOD STOVES—: 0
15-30 HP....: 0
CONV BURNER: 0
FURN>100K.....: 0
30-50 HP....: 0p
{
BBQ........: 0
MISC........... 0
5+ HP.— .... 0
p
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 $ 164.00
Does the water supply
system contain a Pressure
Reduction Device or Check valve? O Yes O 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 IF NO WORK IS STARTED. RESIDENTIAL AND £RADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFO TION FURNISHED BY ME IS TRUE AND CORRECT 10 THE BEST OF MY KNOWLEDGE AND THE APPLILABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AG�Ni _ DATE
FILE COPY
CRY OF G
ASF APPLICATION
By
PARCEL #
Bun DING DMSION
33530 First Way South
Federal Way, WA 98003
(206) 6614000
Fax (206) 6614129
FOR MECHANICAL PERMIT
MEC C/ i
Single Family ❑ Multi -Family ❑ Commercial V(
SITE LOCATION
Tenant/Owner WOMG'_U S Phone A' //4
Address/City/State/Zip _710 �_D � `i t
Nature of Work Lk 77LW Slob OF L-wa- Jto-lC- Project Valuation: $ / �E�Uy
APPLICANT
Name
Address/City/St/Zip
Contact Person
Phone
Fax
MECHANICAL CONTRACTOR 1
Company Name (Z-te- "I
Address/City/St/Zip I 4 A-26 -L 0- LVA CI '�3 `>� Z
Contact Person I E_� Phone 00& eZz 7.35 _Z Fax 072 --73 i f
State L & I Contractor Registration # kc', VV Exp. Date ALL 17
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handlin < = 10 000cfm
Fuel Tanks:
I,ength of as piping
Range
Air Handling > = 10 000cfrn
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>l00KBTU's
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I
Boiler BTU/H
I Other
Conv Burner
Duct Work
A/C TONS
Other
Wood Stoves
I 'VC TONS
f
DISCLAIMER: I ratify, under penalty of perjury, that the information furnished by me is true and correct to the bat of my knowledge and further that I am authorized by the owner of the above premises to perform the work
for which permit application is made. I Curther agree to save harmless the City of Federal Way as to any claim (mcluding 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,4 part of this application.
Owner/Agent
Mrcn.Are
Reye® IV 11/96
Date