97-100083CITY Of 1-1' Wt-y'3`1.)ERMI] N(IMLC91-0007
33530 F,i. u'st Way SOLIth P1 C C" 1-1M H I C V4 L P r- M H I T 01/0'//'-)'/
I eder-;A't Wad,, WA 9800'J (:,61-4,140 13Y: F''(-2
6,,51-4000 L.XPIRES: 01/01/98
AI)I)RESS:2505 S 32101H
No. . -197820-05,'�35
I)ES(-F?l L0 I 1OH"flVAC INSTALLING MINI-SPLII A/C URI].
OWNER
INIRA(loo LENDLP
NEXIEL COMMUNICATIONS INC. P S I MECHANICAL INC
2505 S 3201H ST 9322 - 141H AVE
FEDERAL WAY WA 98003 SEATTLE WA 4108
764-9663
"t CONINACCUITY- ING SALES fAX FOR PROJECIS 41111111 f'Nf CITY Of t[DIPAI VAY. JAI RATE 8.25 10
", *mm ff"A E ftrw I
PROJECT VALUATION
FUEL TYPH.:(L[
on V -
GAS PIPING.: 0 fl'
fupmook..
GAS U
2
(00 BURNER: 0 FU P
BBQ......... 0 MIS(.
GAS DPYER.. 0 AIR HA N
RANGE., .. 0 =10"00 VE GROUND: 0
GAS LOGS...: 0 > 10,000 0 UNDERGROUND.: 0
...............
FEES:
20.00
mV.S 99.00
TOTAL f1t'j S 143. i5
Does the water supply systetA contain 3 Pressure Reduction Device or (heck valve? II Yes No (it "Yes* then water expansion 00, is required on Not Water lank)
Inspection Record Water Line 01,' hechanir3tlai�rtiAn Notes:
"-fihs P!1+16 Da t
1,1KIIIIS too MYS Af lig ISSUANCE If go tX'1MK Is IARTIV. RLSIALKIIA1. UP (TADI1K P(ml 0i 0110191 0111 YFAU at 11A lAlf 01, ISSUANCt.
I CERTIFY IK IWORMIION l'o-VISK6 NY M. It fRUL AND (ORRL(J 10 )HE ItS11 Of NY [OWLLOGL fillb INE APKKABLE CITY Of HKI(Al WAY FItNUIRLOLNIS mitt. PA "Ll.
ON& OR AGENT
FIELD COPY
CITY OF' FEDERAL WAY
33530 F i rs t Way South
Federal Way, WA 95003 Building Inspection Recjues>ts> 661-4140
661.-4000
ADDRESS:2505 S 320TH SF
NO.: 797820--0535
PROJECT DESCRIPTION:HVAC - INSTALLING MINI -SPLIT ASC UNIT.
p OWNER .::::::_______________=_»___ »__-____»_»_____-_______= CONTRACTOR
NEXTEL COMMUNICATIONS INC. ( P S F MECHA
2505 S 320TH ST 9322 - 14TH
FEDERAL WAY WA 98003 SEATTLE WA
3 764-9663
{)� PSFMEI*O90N
PERMIT NO: MEC97-0007
Is3uED: (11/07/97
BY: FC2
EXPIRES: 01/01/95
LENDER
E
Ut CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY.. TAX RATE : 8.25 :i:
PERMITS EXPIRE 100 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT 10 THE BEST OF MY KNOWLEDGE AND THE APPLICABLEE CITYY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT __..-.__.,..,._,._.........._..__._....._.___.__.___...,........
UA E
________________._____ FILE
COPY
PROJECT VALUATION
7346
FEES:
FUEL TYPES,:ELE ?
FANS..........:
0
BOILERS/COMPRESSORS
MEC PRMT ISSUANCE...
$
20.00
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 HP......: 1
Mechanical Permit*
$
99,00
�
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....: 0
MECH PLAN CHECK FEE
$
24.75
F
GAS HWT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
CONY BURNER: 0
FURN>100K......
0
30-50 HP..... 0
BBQ...,.,..: 0
MISC..........:
0
5+ HP.......: 0
r
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
$
143.75
a
«:'..__....___._.__.__-.____:^»_.�..»_--_____:.'_�:_.�.__^=.=.C=.�.��:::�:==:=2=sSaC=C=.^_==C.�::.^_-__�'^_.^.�====G=CR=C=====�•===C^====«=Y::I:.:::.::5»C.•-.:.":_�..'�.-.C.q:::____»_»_»_»_._'==.^.CC==�:::=^s_-_=»»=C».^..»»_'^�::
:'s.:=»:::'.='::_!
t
Does the water supply
system contain a
Pressure
Reduction Device or Check valve?
(} 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 •-_—_—.- _
_
s
PERMITS EXPIRE 100 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT 10 THE BEST OF MY KNOWLEDGE AND THE APPLICABLEE CITYY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT __..-.__.,..,._,._.........._..__._....._.___.__.___...,........
UA E
________________._____ FILE
COPY
CUT of G BUD.DiNG DIVISION
•E(7 FF
First Way South
� (
Fedderaecall 206) 6614000
7 1997
V ® Fax (206) 6614129
Ott T
BUILDING DEP"APPLICATION FOR MECHANICAL PERMIT
MECO[ -�- - (t/ oPARCEL # 7 V " 2 S ES Single Family ❑ Multi -Family ❑ Commercial
SITE LOCATION
�fjc 7Z (32-2-2—
Tenant/Owner trone
Address/City/State/Zip ��t� � `C.-elf1
�b"
r
Nature of Work (Q -`-TAS Project Valuation: $-7.
7��=
APPLICANT
7
Name
Address/City/St/Zip l �L Z j R��✓E� �%I►'tt e'" I _ �1jC
Contact Person tyt'� �t C � S Phone (2c'L-) 22-f ` �� = Fax 6LO 2CL- i"Ll
MECHANICAL CONTRACTOR
Company Name fy' I t
Address/City/St/Zip
Contact Person Phone(== 2- Fax -147624'W
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Exp. Date
Fuel Type astother
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handlin > = 10 000cfrn
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Furn>100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
BBQ's
Wood'Stoves
A/C TONS
DISCLAIMER: I certify, under penalty of perjury, that tbe information furnished by me is true and correct 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, expaues, 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 a part of this application.
i
iia n, Date�/� /G'?`