97-104484CITY C)F_,,Ff.I)+R
,AL Wv)Y
-irst Way Solith-�L ERM
PIT
M E C. t I A N I
Vral. Way, W6 98007.1
fns.pi-_�( tie-in k. '�)53,6614140
ADDRESS: 32018 23RD OVEN S,
,NO. : 1621.04-90,'218
"PROJEC11' DESCRIPTION: secahni(al permit only
OWNER
ON PHYSIoCIANS NETNORV
11.505 SJ?OTH ST, SUITE 110
f f DEPAL WAY #A 98003
153-58,t8408
CONTRA(IOR .... .. LENDER
W A DOTTING COMPANY
PO Box 33706
SEATTLE VA 98133
253-364-0340
"I
gra UiAiVoy'lop�' ptit"k,1 V"t, 11 A110 i2j'Of 1711 WITA 11"WRTIK SKIES TAX H* Kwf(IS WITHIN IK City Of rEKw NAY. TAX UK 8.25 nt
PROJECT YALUAHOR 35000 FEES:
IUFL TYPES.:? ? FANS.. t, WILfPS/C6NPR(,,"- KICK PLAR CAEJ FEE t 79.25
M,�,A,�Mcal Permitt 317.00
GAS PIPI G.: ft ONO., 0-3 ION—.*
4"
...... MIC PRHT ISSUANCE...
PERMIT NO: MUC97--0371
ISSUED: 01/05/98
DY: FC
EXPIRES: 07/"
GAS HWT.
..:
0
VM STOM.'...
(OOV BUR
4ER:
0
FUP6uk,'....
0
it;
DEO.......:
0
GAS DRY[,..:
0
AIR 0AHDt,'* VOTS
WL fkfit"�- -
RANGE...
01
NO' "m
;r' --
I'll
ASOVI G0UND:
0
GAS LOGS,
0
> 10,000 C
-0
0
AL FEES
$ 416.25
Does the -i vater supply system contain Pressure Reduction Device or Chert v31ve? Yes No (If "Yes" then nate; expansion tank is required on Not Water lank)
............... ,",
111TIPecti �n Record: NeChIni,,al Fough-in Dat 1-17 -IF
HROARICAL FINAL7- —12
w1*wbz.w...-.x%.'r ..............
Gas Piping Date
KRAITS EX 1R1: 11K) efis, a 110 lswwt 11 011 wr is SwIED.
IY fOL 111FORMAI10E' IMMISKI) BY LS TRUL AND C(*Rk0 TO IK KSI W KNWtK[. AND INE WLICAKI CITY Of FIKFAIL MAI REQUIRMKIS Vill K all.
ONNER OR AGLHI PAT[
'A � C� /
G' --f%__
FIELD COPY
CITY OF FEDER{QL WAW
aayy p
33530 First Way South !a� � I�11 �`� d,4' i,I"t p i;,�. .,.
.
Federal Way, WA 98003 Mechanical Inspect —i.c>n RegUes is 253.-661-4140
253-661--4000
PDDRESS: 32018 2 3RD AVE S
NO.: 162104-9028
PROJECT DESCRIPTION:mecahnical permit only
PERMIT NO: MEC97-0371
ISSUED. 01/05/98
BY: FC
EXPIRES: 07/03/93
,= OWNER CONTRACTOR =______________ -__=___________________.__=====T= LENDER
UW PHYSICIANS NETWORK
€ W A DOTTING COMPANY
2505 S 320TH ST, SUITE 110
PO BOX 33706
FEDERAL WAY WA 98003
SEATTLE WA 98133
253-584-8408
253-364-0340
}
WABOTC*099JA
***
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX
FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE =
8.25 *31
PROJECT VALUATION
35000
° FEES:
FUEL TYPES,:? ?
FANS..........:
0
BOILERS/COMPRESSORS
MECH PLAN CHECK FEE
$ 79.25
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 TON.....: 0
Mechanical Permit$
$ 317.00 3
FURN<100K..: 0
DUCT WORK.....:
1
3-15 TON....: 0
� MEC PRMT ISSUANCE...
$ 20.00
GAS HWT.... : 0
WOOD STOVES...:
0
15-30 TON...: 0
CONY BURNER: 0
FURN>100K.....:
0
30-50 TON...: 0
BBQ......... 0
MISC..........,
0
50+ TON...... 0
#
r
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE......: 0
<:10,000 CFM:
0
ABOVE GROUND: 0
a
GAS LOGS._: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
1 TOTAL FEES
$ 416.25
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
Inspection Record: Mechanical Rough -in Date ----------- Gas Piping
MECHANICAL FINAL Date
i
Date
P11ITS EXPIRE 180 DAA AFTER ISSUANCE IF NO WORK IS STARTED.
I44TIFY THE INF TRTN FUR HED BY E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNEnp AGENT _ DATE _
FILE COPY
' 1
MY of � t"'� ���++++ BuaDING DIVISION
• F�E��L �� R C V E I V E✓^ 33530 First Way South
�� Ry Federal Way, WA 98003
DEC 1 199" (253) 661-4000
Fax (253) 661-4129
FEUtHAPPLICATION FOR MECHWMFGALPPERMIT
MEC ( -_J
PARCEL # Single Family 0 Multi -Family 0 Commercial
SITE LOCATION
Tenant/Owner
1
Phone
Address/City/State/Zip 3 2p l CD 2 Z _zO (_) k --V[/_C _C1 0 \ \-L C�o
Nature of Work L�F�ll�l\ t C.2 l V�L �" l C� I AS �2 �lc T �(_l (l Project Valuation: $
APPLICANT
Name—
Address/City/St/Zip
ame Address/City/Stt/Zip
Contact Person `� �� Phone � 3 L'� U 3 0 Fax d 3
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip
S A �_k F
Contact Person Phone Fax
State L & I Contractor Registration # w o l -pis Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handlin
< = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling
> = 10 000cfm
Above Ground
Fum <100K BTU's
Gas Log
Unit Heater
Under.ground
Furn>100KBTU'S
Fans
Boiler
BTU/H
Miscellaneous
Gas HwtI
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work K L -`�
A/C
TONS
Other
Wood Stoves
A/C
TONS
DISCLAIMER: I certify, under penalty of perjury, that the information famished by me is true and correct to the best of my knowledge and further that 1 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.
Y
Owner/Agent
Ma .App
Revts® 8/26/97
Date ('_ ( C —/