97-102596CITY Of ['HICRAL W PERMIT NO: MEC97-0214
33530 t -.i t -S t Way C 1KC I P41 C 0L P C M 1:T f OP/- , 06P47
Fo-(101-al Way, WA ',43011 'BY - K
253-661-4000 EXPIRES: 02/21/9fl
APDRESS-.34503 9111 sWE
NO.: 750451-00`41
PROJEC T DESCR I I' I (ON .NVO AD0106 I (IMPOWER PO 0911, VAV BOX, DIK110.01WRISED'
•
UNKIR ...... ...... CONTRA(IOR
S1 FRANCIS COMM"lly WPIAt "Al 911111 "11 L I I
34505 910 AVE S !717 DETROIT SN
FEDERAL WAY WA 98003 SEATTLE WA 98146
7614-3400
i 01 (0100 NAY. TAX RATE = 8.25 m
PERMITS [XV101 180 MYS AI)LK ISSUAKE If
I CERTIFY 1110. IK1 owl ION I 0NISNED "
04HER OF, AGENT
.. ......... .`j
NO "It is SIARTEO-
4!,INUI An COWU to IN[ KSI W bf
t*MLIXJ No Iff AW101ILL PIY Ot FILWW NAT RLQUIR[MINIS VUL K NET.
DATE �4--
FIELD COPY
FUEL TYPfS.:GAr4 EEE
CARS..........:
MECO PLAN CHU1 IEE
i
17.64
GAS PIPING.: 0 ft
WNW-
feroitf
t
310.50
f %N< 100f. . 0
11tKI 106Pt,
HU UNT ISWK1—
t
GAS 1111T.- 0
W09D Syoyf,
CORY DWRR: 0UWJNI1
BBQ......... 0
Wr
ON.
GAS DRYER..: 0
AIR HA
t ;fimr
RAW.4 ...... : 0
<--10,0
GAS LW...: 0
> 10,
RGROUHL).:
0
[OlAt FEES
408.13
Does the Vatfr Supply system contain a
re ction Device or Check valve? Yes H No (It *Yes' then
vater expansion tank is reqlfired on
not WatEr lank)
Inspection Record-,
Mechanical RouO-in
Date
WS Piping bate
MECHANICAL FINAL
Date
PERMITS [XV101 180 MYS AI)LK ISSUAKE If
I CERTIFY 1110. IK1 owl ION I 0NISNED "
04HER OF, AGENT
.. ......... .`j
NO "It is SIARTEO-
4!,INUI An COWU to IN[ KSI W bf
t*MLIXJ No Iff AW101ILL PIY Ot FILWW NAT RLQUIR[MINIS VUL K NET.
DATE �4--
FIELD COPY
1�n
CITY OF FEDERAL_ WAY
33530 First Way South
Federal Way, WA 980O3
253-661--4000
ADDRESS:34503 9TH AVE S
NO.: 750451.-0050
PROJECT DESCRIPTION:HVAC
Mechanical Inspection Requests 252--661-.41'+0
- ADDING 1 COMPUTER RM UNIT, VAV BOX, DUCTWORK/DIFFUSERS.
c= OWNER=____________.:_____________________________________"r= CONTRACTOR
ST FRANCIS COMMUNITY HOSPTAL MACDONALD MILLER
34505 9TH AVE S 7717 DETROIT SW
FEDERAL WAY WA 98003 SEATTLE WA 98105
E
763-3400
t
MACDOM*248J9
i runrn
PERMIT NO: MEC97-0214
ISSUED: 08/26/97
BY: FC
EXPIRES: 02/21/98
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 ***
-----------------------------
PROJECT VALUATION 33188
FUEL TYPES.:GAS ELE
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 TON.....: 1
FURN<100K..: 0
DUCT WORK.....:
1
3-15 TON....: 0
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
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0
<:10,000 CFM: 0
ABOVE GROUND:
0
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.:
0
Does the water supply
,
system contain a Pressure
Reduction Device
or Check valve? ( ) Yes ( ) No (If "Yes" then
z
Inspection Record:
Mechanical Rough -in
Date
Gas Pioing Date
-----------------------------------------..
MECHANICAL FINAL Date I
--------------------
_..
,
t
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
1 CERTIFY THE
INFOR TION FURNISHED TRUE A� CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE 11Y OF FED RAL WAY REQUIREMENTS WILL BE MET.
OWNER OR flGENT _. --------------------------
DAZE,. _kl_
FILE COPY
'-I LY ui i uuu1,11 vv;,y
CII Y OF 33530 First Way South
0 Federal Way, WA 98003
\\\�- (206)661-4000
V V
Y,, p 6 1APPL ICA TION FOR MECHANICAL PERMIT
PARCEL Single Family ❑ Multi -Family 0
C�
SITE LOCATION:
ME 0OZ LI
Commercial Y
Tenant/Owner:�Tr ��ii� C I�Ir'i� 1`11`7`( � .. Phone:
Address/City/State/Zip: !I TP, p`y�' "� '" ��'� 1 (,doii�Ss
I
Nature of work: "I ?�A R�.r% l�/Z Yp►J Project Valuation: S�
co M ry Ter- W - 1.10 i ) (, j��A�,( ,thyme?WOR-K is r.1 r�
D1rf-U4116►25 .
APPLICANT:
Name: M A41XJ_ AW — H I LA-kE
Address/City/St/Zip:.-1 •! 1QZOI �-7/, :?
Contact Person: �1,.L�1'`'�J�-1 Phone:��'Fax: /j_40]]
MECHANICAL CONTRACTOR:
Company Name:
Address/City/St/Zip:
Contact Person: F91C.9. He!L1M6S7iJ Phone:1(422-2 4'10-76 Fax.7&18`"4017
State L & f Contractor Registration #:' �'`�Exp. Dater
(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 > 10OK BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTUM
Other
Conv Burner
Duct Work
AIC I .
TONS
Other —�
RRO'q
Wood stovols
A/C
TONS
DISCLAIMER: I certify Under penalry of perlury that the Information furnished by me Is true and correct to the beat of my krwwlod and further that I am wthortrod by the owner of the above -
promises to perform the work for wNch permit application k made. I f rttw spree to save harmless the City of Federal Way w to any claim Onduding coda, azpensee and attomeyv' tees
marred in Investigation ad defense of such dalml. wNch may be made by any person, including the Undersigned. and filed against tfs CRY of Fedway way but only whore such claim arises
o,A of the reliance of the City, udirq h+ officer+ and amdo eea, upon the acaraey of the Wormadon aup0iod to the Gty as a part of this app&catian.
9 -
Owner/A g en 17Utfecl_ Date.
I I A ,