97-100314�r
(`f'IY i'Ji FEI)I-wit, W( -)Y
"=3530 Vi t-st Way
V'edea ral Way, WA 98003 %
661-4000
0
HC'CHP11N1CML PEMMIT
Oulf(hriq Jnspection Rp.qtje,ts 661 -41,40
ADI)RESS:,q5419 1S'f AVV* 9
NO.: 302104-9017
[)ROJECT DESCRTFIT 10N. -.HVAC - INSTALLING A/C UNIT AND GAS PIPING, if
OWNER:v ... ..... w .7.
HI)NIINGTON PARK BUILDERS, INC.
PO BOY 98309
DES. NOIRES WA 98198
824-6224
COITY OF
CAMPBELL 9 BRUCE RFRG SVCS INC
14,828 W IRVING
M
PERMIT NO: MtC97138
f
8Y: 1- (-'2
LXI-).1A'f-S. 09/20/14'�'
MICH MN IC"R=$ 247.38
Mechanical Permit* S 789.50
NEC PRMI ISSUANCE... S 20.00
RECH PLAN CHECK FEE I 247.38
fOIAL FEES
.......... .. .... I ....... W."1V-C=iV=.=W.. 'x9e.w ... V,
P101000 -1.1 .......
Does the water supply system contain a Pressure Reduction Device or COO Aar r
Inspection Record Water Line Ot Mechanical Inspection ti
GAS PIPING Ot Date By
PtRNIfS EXPIRE 10 DRYS AFTER !SSURN(I It NO WK IS STARTED. RESIDENTIAL W GRADING PFRNIIS 1XPIRIE ONE
I CER110 THE INIOR"ATION t(WN1SRt) By "t, Is TRUE AND CORRECT TO THE REST OF NY 11KNILID6L AND jut APPLI(Al
4,10 OR "I't 0, t FIELD(X)PY PAT[
1 1504.26
S Vitt BE off.
r
S�BACKS & FOOTINGS
—
C�-
Date
FOUNDATION WALLS
By
-
Date
By
PLUMBING GROUNDWORK
Date
By
UNDERFLOOR FRAMING
Date
By
SHEAR WALLS
Date
By
PLUMBING ROUGH -IN
Date
By
GAS PIPING
Date
By
MECHANICAL ROUGH -IN
Date
By
MECHANICAL (OTHER)
Date
By
FRAMING
Date
By
INSULATION
Date
By
GWB - 1ST LAYER
Date
By
GWB - 2ND LAYER
Date
By
SUSPENDED CEILING
Date
By
PLANNING FINAL
Date
By
ENGINEERING FINAL
Date
By
FIRE FINAL
Date
By
BUILDING FINAL
Date
By
OTHER
Date
By
OTHER
Date
By
CD0193
I I Y OF' F'EDEI`014, 14f -)Y
33530 Fi t-st, Way Eiout.l*i
H C V1 ON PA I C V4 L P C, M HT T
r*e(Jera.,1 way. W(-) 9800-4 t..,4AIdiw7j 1rispP_rfJ.(,n 6,61 414(_
661 .4000
ADME'SS:35419 1S i�-)Vf:
NO.: 302104 /
PRO3F(^'l` DFS01P`10N.HVAC -INSTALLING AA 'Mil AND GAS PIPING.
13IRM11 NO: ML(.91-0038
BY. F( 2
L,1:P1,11ES: 01/22/98
OWNER - ......... ...... . . CORIPA(IOR LEHDLR
HUNTINGTON PARK BUILDERS, INC. CAMPBELL 9 BRUCE RFRG SKS INC
PO Box 98309 2828 W IRVINE
DES NOIRES WA 98198 PASCO NA 99301
824-6224, 504.5,5.9848
iix MG SALES TAX 10'v' PROMIS WITHIN THE MY 01 t1KRA1 40. TAX RAIL &25 M
COMINACM- 01.811$8 OM (kA
. ... . . . . . . . . .
PROJECT VALUATION
200000
FEES:
FUEL TYPIS.:GAS LLE
FANS. 0
llt ECK ILL
$
247.38
QS PIPING.: 600 ft
NO(ID
f, 1e
rikits
S
989.50
fumioor..: 0
Idl,
MU.
20.00
GAS HNT....: 0
W#*P, 44,1. S
I
(ORV BURNER: 0
f Upt ... . . . . .
.
Boo
..... 1)
GAS I*Y[R..: 0
AIR. IIA
RAKE ...... 0
::10,00
Atoft 6HOUND: 0
GAS LOGS...: 0
> 10,000 U
UNDERGROUND.: 0
TOTAL FEES
1256.88
Does the water supply
systes contain a Pressure
Peduction Device or (beck valve? Yes
No (It 'Yes' then water expansion tank is
required
on Not Water tank)
Inspection Record
Water Line OK
Mechanical lnspection Notes:
GAS PIPING (it
Date By
F111111IS M191'YS "At 11.9 ISSUAACt 11 M MORK IS SIARI(P. ACSIOLM11111- ANT)CHIMA Puk"Its EXPl9f ONE YEAR AFIER DATE OF ISSUANCE.
I CERTIFY lift I IfoRn"Mayllsiob Ital'.110 Ht I I BE
�(11 A�� (OR91.0 10 Ift bU 1 01 NY 111OPLIM1. AND IN( APPLI(AKE (11Y Of ItOl-RAt WAY MUIRLOLNIS MILL 111.1.
OWNER OP ANENT
FIELD COPY
CITY OF FEDER01_.- WAY
33530 First way Sautf-i
Federal way, wA 98003 E:s��i cU r,c, Ire ����ct a. c7ri 1Mtc cTi.�ca� N.�; 661._4140
661-4000
ADDRESS:35419 1ST AVE: T
NO.: 302104-9017
PROJECT DESCRIPTION -HVAC - INSTALLING A/C UNIT AND GAS PIPING.
1' OWNERCONTRACTOR
HUNTINGTON PARK BUILDERS, INC. F CAMPBELL & BRUCE RFRG SVCS INC
PO BOX 98309 2828 W IRVING
DES MOINES WA 98198 PASCO WA 99301
824-6224 509.545.9848
M CAMPBBR131MP
N
PERMIT NO: MEC97-0038
ISSUED: 01./28/97
BY: FC2
EXPIRES: 01/22/98
LENDER:_____ _____=_-__--------- _____________:_=====3
)
i
i
i
c
4
att CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 9.25 t;t
_amcaaaaa-=cmccm=a==rccmmmmamasasas=�.•..asc..=.mmc===::amsaa:asmacssmaam-m=mccc=,-cmc-accmcaascv=sans=aa-=accca::acs==s::scsacrosaccamcacaammmamscmmammmcrsccaccz:cacccc=::=m=sasaaamcacj
PROJECT VALUATION
200000
FEES:
FUEL TYPES.:GAS ELI
FANS..........: 0
BOILERS/COMPRESSORS
MICH PLAN CHECK FEE
$
247.38
GAS PIPING.: 600 ft
HOOD..........: 0
0-3 HP......: 0
r Mechanical Permit*
$
989.50
FURN<100K..: 0
DUCT WORK.....: 0
3-15 HP.....: 0
MEC PRMT ISSUANCE...
$
20.00
GAS HWT.... : 0
WOOD STOVES...: 0
15-30 HP....: 1
CONV BURNER: 0
FURN>lOOK...... 0
30-50 HP..... 0
BBQ......... 0
MISC........... 0
5+ HP........ 0
I GAS DRYER..: 0
AIR HANDLING UNITS
--------
FUEL TANKS ---------
RANGE ......
RANGE......: 0
<:10,000 CFM: 0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES
$
1256.88
�
)
T
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: -_--------------------------------__--_---_-
{
M
GASPIPING OK _ . _-_--__--
Date ._......__ BY ._..._._.--
-------------------------- _.------
�sc_.__o..ao_s_m_._gamma_=m_r_..m__s_a_._._.m_=m..ccc__....c_a_.,......___._c=r..__._aa_a__cacmm_mccm _c__
_ay..aa..,c..c...._.._a..__ar.�....._._...._..^____=a_.__...c_ar_..ac_a..__c._❑-._____cca__.._s.a
m..a_c..._..»___...._z=,
PERMITS EXPIRE DAYS FTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DALE OF ISSUANCE.
I CERTIFY THE FORMATIO TURNISHED MEI TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT :..--(,If�t,�... __ _ ________________ ______ ____ __________ ____ DATE _._
FILE COPY
CrWF G BUILDING DIVISION
EO 33530 First Way South
Federal Way, WA 98003
(206) 6614000
Fax (206) 6614124
,SAN 2 8 1047 APPLICATION FOR MECHANICAL PERMIT
Ut t Y£U�t rj N�Cp=FT SAL NN AY
MEC'_I
PARCEL # Single Family ❑ Multi -Family ❑ Commercial
SITE LOCATION
Tenant/Owner -L) ` �(d5 e a pp -e VQ Phone
Address/City/State/Zip 3 S 6/ I q 1 5 rQ u G SC) .
Nature of Work d U Ad 6A5 r'fAJ, �/ A& Project Valuation: $-
APPLICANT
Name CAMPBELL & BRUCE REFRIGERATION SERVICE INC
Address/City/St/Zip
2828 W IRVING PASCO WA 99301
Contact Person RANDY KAAS Phone 509/545-9848 Fax 509/545-1692
MECuAN!CAL CONTRACTOR
Company Name
CAMPBELL & BRUCE REFRIGERATION SERVICE INC
Address/City/St/Zip 2828 W IRVING PASCO WA 99301
Contact Person RANDY KAAS Phone 509/545-9848 Fax 509/545-1692
State L & I Contractor Registration # CAMPBBR131MP Exp. Date 11/1/97
(Card trust be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Len of as pipingRC1
Range
Air Handlin > = 10 000din
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
DISCLAIMER: t certify, under penalty of perjury, that the information furnished by me is true and coned to the best 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 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 may be
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 �L"-- —`" 4 Date 1-24—C37
Mrcr.App
Rm m 12/11/96