97-102587r
CITY Of FEDERAL WAY PERMIT HO: MEC97—O212
33530 First Way South � `��i1'rii'�.�'�il�i� rt Pw�!"lMa1.� T ISSkJED: O7/16/97
Federrat Way, WA 98300~3 builditig Inspec-tion Regtwsts� -4140 BYa F'C.
661-4000 E.XPIPES: 01/1.1/98
ADDRESS::34503 9TH AVE
NO.: 750451-0050
PROJECT DESCRIPTION:MVAC- HEW DIFFUSERS AND DUCT NORC
rn OWNER ---- ..... =-- .. ....... CONTRACTOR
ME"ALIA HEALTHf.AF� MACDONALD MILLER
34503 910 AVE S 7717 DETROIT SW
FEDERAL WAY WA 98003 SEATTLE WA 98106
838-°0011 7 -140O
M DON►^4819
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M CONTRACTORS, PLE ' alto TOt 1132 1NG S TAX FOR PROJECTS NITRIN THE CITY OF FEKw NAY. FAX RATE = 8.25 M
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PROJECT VALUATION 54051 FEES.
FUEL TYPES.:GAS GAS fANS.. �,s, r Mechanirll Permits 437.00
GAS PIPING.: 0 ft HOOD , ..... U 0-.; 1 MEC PRMT ISSUANCE... = 20.00
FUR#<IOOK..: 0 1IU0 : Hl'. ...; 0
GAS HWi,...: 0 WOOD ST L 0 1 30 HP ..,: 0 cit
CORY BURNER: 0 FURN>T 3 -50 t4P.,,.: 0
Ho ........: 0 MISC.... ... 5t NP...,...' 0
GAS DRYER..: 0 AIR HANDL'' S FUEL TANKS ---------
RANGE ...... :
- _- -._RANGE......: 0 <:10,000 CFlI: 0 ABOVE GROUND: 0
GAS LOGS..,: 0 > 10,000 CFM. C UNDEPGRCOND.: 0 TOTAL [EES S 457.00
- _ 1..1L LLMDER ............... :=e=.;S t�>•x :8><� :x:
nxCnl.S�Suf"2iRY•}S'alniDi6i2Cf•M�rSSx�iwtYR.lpP,`r'[LS:�mgt:°:3SSP�CL"n XL'gJxat:i 9� Wipm::..^ORsat'x4 :ild<Fi'{.'.'.IirC�YYaYi YSC.ai:Stwb::FiE:SR bAT'Yr9q�^.ASG�3�iFit�'q:: C.Y'CiCiLZ 2:tGii �F:SA1G09':F:�tw.:'fIRWYAYr.'s:X'kGCla':AiL1U96bhSPII•x®wiER:.�!}`.3SESi-' =iid::-x'13 iiS.w'mib:FRRN9ipix:9Ri
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then v3ter expansion tank is required on Not Water Tank)
Inspection Record dater Line 01
GAS PIPING OK
Mechanical Inspection Motes:.._____
Date ___ BY
I LWCRni•..........iC.r,......kft:n,"i.LwTC'.RM�ltl3'i.;xY.SsnPdSL:LKS.iazsSnm-.=.. Y;:CCna: GllWi.azi9lsZ.amal6Fbns'3s9rw 1, 38.:s idGG2
PERMITS EXPIRE 189 BAYS AF119 IS21AKI IF NO Wi r, IS SIA8I0. RESIDENIIAt Alit► GRADING PERMIIS EXPIRE ONE YEAR AFTER IIAIE OF ISSINANCE.
I CERTIFY INE INFOR FURNISHED IS RUE '"b C(RRFC1 10 INL MST 01 N., KNnI I KF FANO THE APPLICAIN.E TTY OF F .R£RAL NAY MQUIREN ENTS Mitt 9I 11H..
j f �
x-31' . �. _w DATE
OWNER OR AGENT _ �,/'.._ �l_._..
FIELD COPY
CITY OF FEDERAL WAY
33530 First Way South r,;;: �',.,.,,;,, ��,,N .;:1�',: �,w''''� N,' ?�: , (h .;�': •,,,,
Federal Way, WA 98000 Building Inspection Requests 661-4140
661-4000
ADDRESS:84503 9TH AVE S
NO.: 750451-0050
PROJECT DESCRIPTION: HVAC- NEW DIFFUSERS AND DUCT WORK
€= OWNER =_____=_____=_______ _______________________________ rnuroormR --_---__=______________==_________=_______== LENDER =
MEDALIA HEALTHCARE MACAONALD MI LLER
34503 9TH AVE S 7717 DETROIT SW
FEDERAL WAY WA 98003 I
SEATTLE, WA 98106
i
838-9000 �, 763-3400 MACDOM*248J9
M CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY
PERMIT NO: MEC97-0212
ISSUED: 07/16/97
BY: FC
EXPIRES: 01/11/98
PROJECT VALUATION 54051
FUEL TYPES.:GAS
GAS
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 HP......: 0
FURN<100K..:
0
DUCT WORK.....:
0
3-15 HP.....: 0
GAS HWT....:
0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER:
0
FURN>100K.....:
0
30-50 HP....: 0
. TAX RATE : 8.25 t#_
FEES:
Mechanical Permit* $ 437.00
MEC PRMT ISSUANCE... $ 20.00
BBQ......... 0 MISC........... 0 5+ HP........ 0
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 TOTAL FEES $ 457.00
----------------------- __---__------_ - ----------------------------_1- ------------------ __----------- -----------
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: _----_
-----------------------------------
i
GAS PIPING OK ---------- Date ------ By ------ ------------------------------------------------
i
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE "'7RHAS RUE ND CORRECT TOTHE BEST OF MY KNOWLEDGE AND THE APPLICABLE ITY OF F DERAL WAY REQUIREMENTS WILL BE MET.
--DATEOWNER OR AGENT _
FILE COPY
33530 First Way South
(� Federal Way, WA 98003
(206)661-4000
APPLICATION FOR MECHANICAL PE T
j�G�1VE®
PARCEL Jr• `� Single Family ❑ Multi -Fa 10 1 0 19 '1 mmercialX
C � Hee—" ��'�x✓i, �� h1� reeH1 T J GIIY OF FEDERAL WAY
BUILDING DEPT.
SITE LOCATION:
Tenant/Owner: � 1=�M ��� - Phone:
Address/City/State[Zip�j .d •.rrte�_ q � � 0 y§) 0Fi f_-444_ �`ia` I WA
Nature of work:���� �'fTY'I A�G� ��� 1,J�W VAY Project Valuation: 5
APPLICANT:
Name: {{ /,
Address/City/StlZip: � (7 QE T �W - �� I L . I�l� g616 2
Contact Person: .�1�� �� Phone.& 40 Fax. -7& d'b`�"�
ME,'HANICAL CONTRACTOR:
Company Name: �U Nom', t ' �L�✓�+\
Address/City/St/Zip:
Contact Person- 1 —Phone: -7(0/ 2' Fax r ✓
State L & I Contractor Registration #: Hlbe—Do ' I ly G`'i :J q Exp. Date:`4182
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling <
= 10,000cfm
Fuel Tanks:
Length of -gas piping
Range
Air Handling >
= 10,000cfm
Above Ground
Furn <IOOK BTU's
Gas Log
Unit Heater
Underground
Furn >I OOK BTU's
Fans
Boiler
BTUM
Miscellaneous
Gas Hwt
Hood
Boiler
BTUM
Other
Conv Burner
Duct Work
A/C
TONS
Other
Wood Stnvelq
A/C
TQNS
:4�ii\4i:Q�:viiii::wY�;:Y:fiii:?jnri.:r
:t -- .:;'6rwvi...... a.........i. :
DISCLAIMER: I certify Wer penalty of perjury Hut the k+formadon ftrmlaMQ by rte Is true " correct to the beat of my know{edoe and furdw dh.t I am sudwttted by the owner of dw above -
premisee to perform the work for which permit app43cadott Is made. 1 hrdwe act" to save harmteas the Chy of Fedsrsf Way se to wW clakn Groducru p costs, axperwes &-A attorneys' fees
ktetrred in Investigation sM dafenae of with dalml. wNch may W made by any person, Incfudkq the Wersittrwd. srd flied egsirw Yw Chy at Federay Way but only wtwre such claim sates
out of the reliance of the Citktdudinp Its officers upon accuracy of the Wormatlon ■ttppliod to the City as a part of this appacodom -
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