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97-102591I : CITY Of- I'EVERAL WAYVERM11 NO: MEC97-0213 33530 Fit,�-,f Way !'-;out[i f4 1E C V1?&1 H I CM L P EJ k Hl 1' 1�3SLJEP: 0711-Sllql FP-dA.r'-t1 Way, WA 1)800.f BuiLding Inspecticm Reqtjests 6-61-4140 BY, FC 661-4000 01/11/98 ADDREI;(3:34503 9M AVE I" NO.: 750451-0U50 PROJECT DESCRIPTION:11 - PWrvacy new diffuser and ductwork OWNER =--7 ST FRANCIS NED PAVILION MACDONALD MILLER 34505 9TH AVE S 7717 DETROIT SW FEDERAL WAY WA 48003 SEATTLE, WA 98106 Yjo-otukl 763-3400 Does the water supply systes conn Inspection Record Water Lhw OK - GAS 01PING OK FtC .... ...... ......... ...... . .......... .............. Reduction Device or (heck valve' () Yes () No (If 'Yes' then water expansion tank is required on Not Niter lank) hechanical Inspection Notes: Date ty ........... Pf"Ifs EXPIRE Is" DAYS AFTER ]S%%W If 0 on is SIAR[tb. RESIDENTIAL AN., ;;RAVING MIS EXPIRE 0#1 YEAR AFTER DATE OF ISIAK.K.I. I C191ify INE 10CMATION HN NISNk By 1fE is liff AND CORRECT 10 IN[ TEST Of By twmttK[ (Igo IN[, APPLICABLE CITY Of MEW PAY RfOUIRMNIS WILL It. NET. OWN1FP OR AGENT 6'UTv" PAT[ , T FIELD COPY Sn CONTRACTORS, KEW ME 100401 1 Of F[mPm. WAY. FAX RATE 8.25 sn PROJECT VALUATION 7339 FOES. FUEL TYPES.:GM GAS FANS...... . 6 Perritt 8 99.00 GAS PIPING.: 0 FURMOOt..: 0 ft DIRT � 0-3 ,, I . f Hp — ... P "F( 1 "'" '0.00 GAS owl..... 0 W 0' 01 j CONY BURNER: 0 FUR",l 0 SK......... 0 m (AS DRYER..: 0 P yc RANGE....... 0 0 N -I GAS LKSS...: 0 0 101ACHIS 119.00 Does the water supply systes conn Inspection Record Water Lhw OK - GAS 01PING OK FtC .... ...... ......... ...... . .......... .............. Reduction Device or (heck valve' () Yes () No (If 'Yes' then water expansion tank is required on Not Niter lank) hechanical Inspection Notes: Date ty ........... Pf"Ifs EXPIRE Is" DAYS AFTER ]S%%W If 0 on is SIAR[tb. RESIDENTIAL AN., ;;RAVING MIS EXPIRE 0#1 YEAR AFTER DATE OF ISIAK.K.I. I C191ify INE 10CMATION HN NISNk By 1fE is liff AND CORRECT 10 IN[ TEST Of By twmttK[ (Igo IN[, APPLICABLE CITY Of MEW PAY RfOUIRMNIS WILL It. NET. OWN1FP OR AGENT 6'UTv" PAT[ , T FIELD COPY CITY OF FEDERAL_ WAY 33530 First Way South Federal Way, WA 98003 661-4000 ADDRESS:34503 9TI- AVE NO.: 750451-0050 PROJECT DESCRIPTION:TI Building Inspection Requests 661--4140 S - Pharmacy new diffuser and ductwork OWNERCONTRACTOR =___ ___=____________=_____________________= LENDER ST FRANCIS MED PAVILION MACDON-1.0 NIU ER 34505 9TH AVE S FEDERAL WAY WA 98003 711' DETROIT Sof SEATTLE, WA 98106 838-9000 753-3100 00 MACDOM*2483 PERMIT NO: MEC97-0213 ISSUED: 07/16/97 BY: FC EXPIRES: 01/11/98 Sts CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 tst -------------- T-- _ -- - PROJECT VALUATION 7339 s FEES: FUEL TYPES.:GAS GAS FANS..........: 0 BOILERS/COMPRESSORS Mechanical Permit* $ GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP...,..: 0 : MEC PRMT ISSUANCE... $ FURN<100K..: 0 DUCT WORK.....: 0 3-15 HP.....: 0 # GAS HWT.... : 0 WOOD STOVES...: 0 15-30 HP....: 0 i CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 BBQ......... 0 MISC........... 1 5+ HP........ 0 GAS DRYER—: 0 AIR HANDLING UNITS FUEL TANKS --------- --------RANGE......: RANGE ...... 0 <:10,000 CFM: 0 ABOVE GROUND: 0 f GAS LOGS,..: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No Inspection Record Water Line OK ---------- Mec7anical Inspection Notes: GAS PIPING OK ---------- Date ------ By 99.00 20.00 (If "Yes" then water expansion tank is required on Not Water Tank) 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 INFATION FURNI SHE SIE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. 7� OWNER OR AGENT --- - -- -- ----------------------------------- DATE FILE COPY c: n y O n r— -- '—Ity U i uuU 1 t . I:ny 33530 First Way South Federal Way, WA 98003 (206)661-400AEC;EwE© APPLICATION FOR MECHANICA f MIT 750451 -Z2010 ���.��__ � , DERAL WAY PARCEL A Single Fam y WILDING GEM -Family ❑ f{evloi-15 Mem Pwmi-T) SITE LOCATION: > Tenant/Owner: M EC� `7 --4213 Address City!State/Zip:-134r-�� !�JT4 r—E:Vr 1 W,&Z 1A • Nature of work: F4 V Ty Awrw Gi IG1WDfL.K. Project Valuation: $ V4 154.4 APPLICANT: Commercial' Name: J`i���T-sG...� I"►(I�1.�-. Address/City/st/Zip:'7�717 �"��I� � - �a1=1��TI� WA NQO--igD5 Contact Person: �� � Phone: -7lr6-40:Z e Fax: (fin MECHANICAL CONTRACTOR: Company Name: M �'"� Address/City/St/Zip: —7-71-7. //WA • �- JOOg Hl) ---72 Contact Person: �54�— Phone: Fax: State L & I Contractor Registration �: �-�—` (J � � Exp. Date: L ;Card must be presented) MECHANICAL UNIT COUNT: Fuel Type (gaslother) 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 >100K BTU's Fans Boiler BTUM Miscellaneous Gas Hwt Hood Boiler BTUM Other Conv Burner Duct Work A/C TONS Other Wood Stoveg A/C TONS :-5i DISCLAIMER: f certify under penalty of perlury that the Information furnished by me Is true snd correct to the bort of my krowl.rloe and further that 1 am sudw hod by the owner of ttio above premises to perform the work for which permit apjAcsdon is made, 1 further agree to save hartm{eas the City of Federal Way se to any claim rinctuding costs , expanses and attorneys, tees Incurred in Investigation and defense of such clakml, wNch may be made by any person, ktdudirq the undwsicned, and riled against the Chy of Fsdway Way but only wtwre such claim vises out of the reliance of the City, krJudinq ha officers and smplo m the acnxracy of 4th* lnformadom supplied to the City se • part of this appGcadont. - te. Oa •• Owner/Agent: