97-100579C::I'I'Y or t FI)Uf4)t. WO'i
33530 F'i r 1 Way SmIt:ti
Feder -al Way, WFC 98001
661 -4000
F)DI)Ftt_SS:>:::3080'9 1, FJ i�VF'
NO. : 072.104-9244
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H£DALIA HEALTHCARE
30809 IST AVENUE S
1 FEDERAL MAY 4A 98003
320-2100
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4
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q 7 100177
PERMIT NO: MEC97--0056
I )'S>UL.D: 02/2019/
BY: FC
4:._XP1RE:.`�: 02/14/'40
CONTRACTOR UNDER ....a.,....
NORTH CASCADES NTG 8 A/f. INC j
PO PDX 1002 i
CHELAN NA 98816-1002 ! 1
206.881.3949 j
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khr. SALES TAX FON ROJECTS MIINTN THE CITY OF FEDERAL MAY. TAX RAIL : 8.25 Its
�W64Jt4039LYA.LT:aLS�.C�4Y LT.S.3r @Cr to FYSLL^GtL::'2Sc.SR:: .�. TF1 iT LY»SA6:S rl"�4S>•G°�1S t':.,4.F3n LYCtT.LCMaaM94:aa:. �. d:!i_.SSG.']Y.'ilaS: GA C.^..*.'L26�ID..:IX:l:G: LYSa3C9Gt WYC1`�YtS GSSSL. �Rx:"::Y^!:4.SIL:YG�G6Gfi^.iRIXaIQ@PSNYaYIIT 4vW:iSCll:4...1:..:>2ti.2..�.:....'4. Z'.::agtA'l::Y. Ti.f:.k1:.S�9.]
j PROJECT VALUATION 8900 FEES:
FUEL TYPES.:? ? LAN,.... A UANCI... 20.00 g
GAS PIPING.: 0 It HOOV.. _. . 4f, 108.M► i
FURN,100K..: 0 DEFT Q': '. ... • 1 I N.
GAS 0 WOO11 qt6b... a 15 0 �
CON' HURNER : 0 f L1tIi�Oa
REQ......... 0 MIC. t HP
GAS DRYER..: 0 AIR HANOI 1W' fIV, IS LL T.
RANGE......: 0 <-f0,000 ft=. ABOVL 6POUND: 0
j GAS LOGO...: 0 10,000 �fp C 'INDEPGROUND.: 0 TOTAL FEES i?8.00 j
......e:....xee. a-srcecn
A
J Does the water supply system contain a Pressure Reduction Device o Check valve? () Yes 1} No (It "Yes" then water expansion tank is required on Not Nater Tank) !
I
Inspection Record Nater line OK Mechanica c ion tes:
1 GAS PIPING OK N 1442/1 By
-07
T -d .9C ...: .....;..MF '9X�...c"gfF:: :'xV]'.._: S.�:tiBTL 7YIDCiw G: ::Yi 3L eca9LMC.VS::Y6L'S'tY.::M.�RT: @L'. .CW�:LIDtkL: T.+, T.aa:.....1".'SC...IIIIC`i LTY. a'. TlT:«Ft1:.pTYc!Slitg4Y:.K2aa'lLax�P{kaAFFl:Ili0: Tf9G.�6S30.T:a31'.d•IHRC,CCAV21.«SCx iGCl a:'Sat'CLSGC�Lt?taF6Lx:C.YL?t'u hYSS:SCiv"RT':FSJS.:Tt:Y."fi....:9,.. 'r TLkC.. W3. #'.: t:. ;R
Knits EXPIRE too DAYS AFTER ISSU4110E IF NO W!K Is STAItt£D. RESIDENt.tAl AND UADING Knits EXPIVE OK "SEAR AtLl:11 DAI£ tit ISSUANCE.
I CERTIFY TME iNTORNATIOR FURNISMLD BY NE IS 1RUIL AND CORRLCT 10 TNL KS11 9H MY INW.LDGt AND lot APPLIUM E CITY Of 11KRIAt 91AY REQUIRENINTS NI11 8E 191
OWNER OP AUNT
FIELD COPY
T %.
CITY OF FEDERAL_ WRY
30530 First Way SoutY)
F=ederal Way, WA 98003
661-4000
ADDRESS:30809 1ST AVE S
NO.: 072104--9244
PROJECT DESCRIPTION ,hvac - revisions
= OWNER
! MEDALIA HEALTHCARE
30809 1ST AVENUE S
4 FEDERAL WAY WA 98003
320-2700
t
.�i lclinG; In er_tion f"t. •cTuests 661--4140
M CONTRACTORS, PLEASE USE LOCATION CODE
PERMIT N0: MEC97-0056
ISSUED: 02/20/97
BY: FC
EXPIRES: 02/14/98
CONTRACTORLENDER
NORTH CASCADES HTG & A/C INC 1 11
PO BOX 1002
CHELAN WA 98816-1002
1
206.881.3949
NORTHCH113P3 )
___...------------------ -_--------------------------------- a._--_.-____-----------_______-----._____ ..._...----_---___-.--.__�
1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 Ut
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDEN(IAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMAT HED BY ME 1S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT __._..__._....__�......_..
FILE COPY
PROJECT VALUATION
8900
FEES:
FUEL TYPES.:? ?
FANS..........:
3
BOILERS/COMPRESSORS
MEC PRMT ISSUANCE...
$ 20.00
GAS PIPING.: 0 ft
HOOD.........,:
0
0-3 HP--.: 0
Mechanical Permit*
$ 108.00
FURN<100K..: 0
DUCT WORK.....:
1
3-15 HP.....: 0
! GAS HW1....: 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
'
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
$ 128.00
--------------
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 ISSUANCE IF NO WORK IS STARTED. RESIDEN(IAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMAT HED BY ME 1S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT __._..__._....__�......_..
FILE COPY
RECEIVED
oel:1F,Pt-1 Pvj1
FEB 2 0 1997
l3LWbLNG9r49z0N
33530 First Way South
Vi l Y (-; FEDERAL WAY
Fcdofxl Way, WA 98003
BUILDING DEPT.
(206)6614000
Fax (206) 6614129
ArecK A i IUN FOR MECHANICAL PERMIT
M£c 6t:)00S&
i iiaily 0 Multi-Fanuit 0 Conunercial W`
Phone
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t5.0j�'lr7�+�
Fax
Y
'1
Fax .r -
— Fxp, Datc
. ,.. - • .- , , a _.. .. -wi e> Ou Lml of my WmAedge and fudhet OW I tin aulhofuw by ft miner or dm above ymi niaa 0, yerf+i(:n tis Nom:
- _ ,. � ....,. ..� s±�-:a;�+�'.um(omtudingoor4,exp�aNN,tltdetlomC%f'feeain�e'ralb+vivestypOosttl�dEfmbeofpichclaim),�.iiici:IiajLe
iV ni,; may afiem ay.n stem wee out of OK rebanoc of the city, c:dudirw iu odiem ltd emPloym Upm w^ —w -n y c1dic
Owner /Agent