96-103858 ci ('Ir 01 I E I)LIAL. Wi)Y PERMI I HET: MEC96 E.E241.
35:30 F i rst Way 50t I i 1 1 Mr: C t'irki HI C VI I. P C.rt,1141 i I [,,,...1.111— 10/15/96
r:ederal Way, WA '41lt.1u ? Blii 1 di tiii I.ripec t i on 1<c:)(1(10`;tc) 061 4 KO
461 4000 1 1 11/1 I. II 1/09/(4.1
ADDRESS:61 1 S lit-tRitil III II s'. WY
- 1 '- 292 -005()
I•P'f).1 f LI DE SCR IP r full:NW ONLY • INSTALLING IltAl POMP FUR SWIM SPA
t
HUBNER BROS I SAMARA HUBNER INC, 1HE 1 I
611 S MARINE HILLS WAY 29229 18IH S I 1
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
1 I
839-2058 839-2058 1
**1 cositAcTOks: otos( otttoutnis ciiii441101414$9$#40f SALES TAX FOR PROJECTS willil TIE CITY OF FEDERAL WHY.
..)
,i. „, ,....t.,,:.,.:-.. .,,, ,.: ..,:-.---x--,ArL.
PROJEC I VALUATION 4000 , 1 0,
'IOW' -, FEES:
,•T.0-4••-..!,• ta.T.''' nsic.,„ a- .r-44,---1oT. ofy-%,,"1,, 'I., ,..,„::i4.4 •;:,.'t,-:`...„-,it ,,,,.,,',', ,;--tz ., .INOAN([ $ 211,00
FOE t TYPES.:GAS ? f ANS... ... , 80/101 I., vnr.t''''.. ' 441 ."' ,, • I
w.L4lav -41,;,' -' .4, 45..00,ii,, i. .',. 4 1 e re a tl a 63.00
GAS PIPING.: 0 ft H00,14_1m4,,tww„ a . •., lt, ..t,4,-4,1074 ;z:' 0
FURN<100t..: 0 1)11(T WO$4,,,..44,,*,,fttm,„71?2. i',•15 ..a-_-_-, ,.e ,-7:::7---,- 'f 7,4 --,IPA -
1
GAS NWT_.: 0 Ni 0 S-f,, ST': l , I--t--.' I i P. . I,,,, -4-4,6 „
,
CORY BURNER: 0 i F up 6100*$^ ;'', - '.. 0 0, ,,,',y.1- ,,, 'ilitiritif;,1"-4, ,,,,;N\ ,;"' J 1
' vik,
BBO • u misc.:, . Q ,,,,,,,,,,,4 20. + ,‘,, ...- i -,-- '0
• .,4.? __Ak., Nt- . c.- . ,
GAS DRYER..: 0 AIR HAN 1 , ' 1W-74 q,,..,::: AN-= ------.• -'• 1 I
RANGE • 0 -Immo , --- 0 *it,,f--:.DOVE GROUND: o
. 4-4,--
1 GAS LOGS...: 0 10.000 C ' : 1 ''''"" UNDERGROUND.: 0 TOTAI. ILLS $ 83.00 I
1
1 Does the eater supply system contain a Pressure Reduction Device or Check valve? () YAs (1 No (If "Yes" then water expansion tank is required on Hot Water lank) I
1I
I Inspection Record Water Line Ok :-.hInical nse.. .' -1.---Sas:
1 -
Inspection
•
GAS PIPING OK t/ tat *' Y--cg i
tfRIIITS EXPIRE IND DAYS At IEN ISSUANCE It NO NARK IS STEROID. RESIDENTIAI AND GRADING PENIIIIS EXPIRI ONE YEAR MIER SAIFRA ISSUANCE.
I CERTIFY IRE ININANAIION FURNISHED NY tit IS IRETE AND R.ORREEI 10 Mt NISI OF NY KNOTILIPM AND THE APPLIGIOLL CIIY OF IEDIRAL WAY PIQUIRLNINIS PILE BE NIT
,.
-,....._
OWNER OR AGCNI --"--- --3 ---------- Nri I L /G,•-• ''•,---- 7 . _
\ iNj
FIELD COPY
CITY OF FEDERAL WAYPERMIT NO: MEC96-0241
33530 First Way South toll r:.w;.. Ir.R vols 101.,.,,. 1/4<::::el 1., •:;:m n r ',tql t ' JET" ISSUED: 10/15/96
Federal Way, WA 98003 Building Inspection Requests 661-14140 BY: FC
661-4000 EXPIRES: 10/09/97
ADDRESS:611 S MARINE HILLS WY
NO. : .515292-0050
PROJECT DESCRIPTION:HVAC ONLY - INSTALLING HEAT PUMP FOR SWIM SPA
r= CONTRACTOR ------ =_____________. . ----T- LENDER -- __ -__::-_____-r-_ .--�
HUBNER BROS € SAMARA HUBNER INC, THE
611 S MARINE HILLS WAY 1 29229 18TH S
FEDERAL WAY WA 98003 ; FEDERAL WAY WA 98003
t
839-2058 i 839-2058
} SAMARHI066LG
______________ ------------------ _____________________________.-......
__._..
is CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
.--------_..-.._. :.__.-___-...___..:---- _____.--W--.__.._----- •- •
PROJECT VALUATION 4000 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE,.. $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 Mechanical Permit* $ 63.00
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
BBO • 0 MISC..........• 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 1 UNDERGROUND.: 0 1 TOTAL FEES $ 83.00
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:
GAS PIPING OK .__ _.. Date __.._.•. By
qq
F.._.__..___.. -______________ _ _•- ________________________________________________ .- -- ..--- _ ._..__.._--______..
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 INFORMATION FURNISHED BY ME IS TRUE AND CORRECT 10 THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT -_-__— -_-._--._._.._... .... DATE •,-, -* /+:5"-` p
FILE COPY
City of Federal Way
CITY OF r� !
33530 First Way South ,
Federal Way, WA 98003 MEC �� 0�4( ` /
V
% W (206)661 4000 l� '1 r)
rt� • APPLICATION FOR MECHANICAL PERM/T
OCT 1 5 1996
PARCEL/f' ,,NAL WAY Single Family"( Multi-Family 0 Commercial 0
Lt' gU1L"UtNG DEPT.
SITE LOCATION:
Tenant/Owner: �. mf--' .� ,C- STT- vs'pr--102-3 . �-- .. Phone: ��eci "C`'---7'
Address/City/State/Zip: //I C A`-A'"'. A7/ 7-1-''''
Nature of work: - � "'C.s•-•l i'ry 5',c7).095- ,. Project Valuation: $ y et,d oo
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
•
MECHANICAL CONTRACTOR:
Company Name: '°. .4-•`"? •E''---6(Z- /5'VQ‘.._' C e a-;5 /'
Address/City/St/Zip: 1,1,, dv -C L .-- ,
Contact Person: =✓r��rfZ ',€6 A '-1 '61-Phone: f 0(5? Fax: 3 z 9 ,a e,
. State L & I Contractor Registration #: ' '
5 '='/57X. 15/// 1l e P Exp. Date: ''''-'2.--9 ,
(Card must be presented), r p 2 3 O 6 9
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 <100K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood '� BTU/H/.47) Other
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves A/C
TONS
DISCLAIMER: I certify under penalty of perjury that the 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,expenses and attorneys'tees
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 f
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.
Owner/Agent: - ,- .-'- -1 Date: /" -/Q'- '6 a lt
CITY OF ilf•
CC�^^cc
•
0 BUILDING DIVISION
N") ^ '/ 33530 1ST WAY SOUTH
I FEDERAL WAY, WA 90003 661 -4000
CORRECTION
NOTICE
,f,,,,ADDRESS: )444,..,.„_, ,k., `'
4,, PERMIT � (/
VIOLATIONS OF CITY AND/OR ST•T LAWS AR- LISTED BELOW:
.1.9 a f"W L ! / /
���"'VVVV ((�G.. -.ate-� �,
,S) ri.e , I w/ /O
YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661-4140 FOR
RE-INSPECTION.
?..' """ c.' ----
/0/1C )q I/ /kir
DATE INSPECTOR FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE