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CITY OF- 1.L DE I<A 1_ WAY PERMIT- NO: MEC96-0012
35:-30 1 i rst Way SOUth 11 C ir MA N I r A II P 1.,7 RN I T
, ..... ,.., -,... ISSUED: 05/03/96
Feder. ] Way, WA 90003 Ouildin9 inspection Pt,7quests 661-4140 13Y: FC
41-4000 EXPIRES: 04/27/97
ADDRESS:12:44 SW 900-11-1 Pt_
NO. : 515320-0185
PROJECT DESCRIPTION:HVAC - GAS HOI WATER t HEAT
BETTY & GARY SARVER UNIVERSAL REFRIGERATION INC.
1234 SW 300 PE I 4102 8 PLACE NW 1
FEDERAL WAY WA 98023 I MORN WA 98001 I
839-5964 939-5501 1
AAWAv .
„ , , .......----. . -. "..... 7„7,, ./.r...2",* - - flp.r. 17_ • - . r:r... . _. . . :ptpr . , • .
slis CONTRACIPOIC PILAU WEE LOCATION Apeclitrimint . 1 ' LNG SALES TAX fOt PROJECTS WITHIN (OE CITY Of FEICK WAY. FAX HATE = 8.25 SU
I PROJECT VALUATION 6000 4VI,ti ,4. ,4'.6444-4_44,44-4 . fir:
I FUEL TYPES.:GAS GAS FANS t;R• 1101010.0NPU*OWw,,f4 ;,.--c,--,41-,,p0,44p ,,,*040yedbm wx,t,:- , ,, -;.,,,,...-, :.4L,„ - .:;' .:.,.. -_,- e 3 i t* $ 81 00
S4
1 GAS PIPING.: 30 ft HOOD.,a ,4064,440L. :0 ip, 7
5L:Iii„ , W 04".' AF1 ,71ilit 400100,1C
1 FURN(100MO
K..: 1 lteLt15
e t -. •4 - R 4-64t4 v;q4 ...„.. „. ....„
...... ._ . ....-
AP4X4446t1 LY 41:k.
' '
1 GAS HNT • 1 :11'410* A
1 CONY BURNER: 0 fult & A, i't, 1,_' 3"i4 AP-4 ,-i-4:-kil:,*
)-'; '----4 ' '', '' , '''” 4000006, "041A‘ ,or
1 Bli0 • 0 NISC:%:-ArtAitik'0 %:t,,: i' c,. ,,
GAS DRYER..: 0 AIR NA . :. Impir ' ''';4 44 ,,,g'AN ''; 4,,C. 464'd
6, ,)
RANGE - 0 /.:10,11.4 40 - 4 :UVE GROUND: 0
1 GAS LOGS...: 0 ' 10,000 n . 0 -4 UNDERGROUND.: 0 THAI FEES $ 81.00
1 Does the vater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then vater expansion tank is required on Hot Niter lank)
1 Inspection Record Water line OK Mechanical Inspection Rotes:
1 I
I GAS PPM OK Pate Ey ... .,
PERMITS WIFE 180 DAYS AFTER ISSUANtf If Ni NORIS SIARTED. 1011E111AI AND GRADING PERMITS EXPIRE ONE YEAR AIIEP DAII 01 IS5VAN(E.
I CERTIFY 1N1 INEORNAIION fORNISRID BY NI IS IRU1 AO CORRECT 10 1Rt PLS( UI MY KNONEEDU ARD ENE APPIKABLI il1Y Of ROLM RAY REQUIREMENTS VIII Pt ALI.
OWNER OR AGENT PACE
FIELD COPY
CITY OF FEDERAL WAY PERMIT NO : MEC96-0072
33530 First Way South IM ("Al Pi I' I. „ .ir''''°'i L.. ,:°.k ;:;:.H M 11. ."T. ISSUED: 04/09/96
Federal Way, WA 98003 Building Inspection Requests 661--4140 BY: FC2
661-4000 EXPIRES : 04/03/97
ADDRESS :1234 SW 300TH PL
NO. : 51.5320-01.85
PROJECT DESCRIPTION:HVAC - GAS HOT WATER & HEAT
- OWNER -____-__-----___.. --_ _ .___r_ CONTRACTOR --------------=•.--_ - - — •• --i- LENDER ------- • ------- ____
_I
BETTY & GARY SARVER J UNIVERSAL REFRIGERATION INC.
1234 SW 300 PL 1 4102 B PLACE NW
FEDERAL WAY WA 98023 AUBURN WA 98001
i
839-5964 i 939-5501
' UNIVERI159RF 1
-- -- ---. -----.-_.-
;i CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 *i*
------._-_-------._._.... _-----____:-N.--- _.-:.- -:.- :: -.__ ___
PROJECT VALUATION 6000 FEES:
FUEL TYPES.:GAS GAS FANS.,.,•.....: 0 BOILERS/COMPRESSORS ; Mechanical Permit* $ 81,00
GAS PIPING.: 30 ft HOOD • 0 0-3 HP • 0
FURN<100K..: 1 DUCT WORK • 0 3-15 HP.....: 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0 -'-'4' 44 ''-
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: 0 UNDERGROUND.: 0 TOTAL FEES $ 81.00
------------ _ _____ _-::_-____--____-_.__-_--.--_--____________ _ -.
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
. . . ...... ...___._____1
PERMITS EXPIRE 180 DAYS AFT ' IS IAN' IF N 0' IS . ARTED. IENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION ' S BY M S TR.E - D COR /-0 THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT !! fDATE_ , C.- ._._.,..._.._____._ _. `"---
t FILE COPY
RECEIVED City of Federal Way p/
CITY OF ,' " 33530 First Way South ("1/14 C C l:p J GO 22_ a
- 1----1-1rAwitafjFederal Way, WA 98003
(206)661-4000 •
)4A) FrY vl 6U;A,Pf AYTION FOR MECHANICAL C AN/CAL PERM/T
PARCEL ft. S/--S S 2-0 - O/CS
Single Family, Multi-Family El Commercial Ili
SITE LOCATION: /�_ ,/
Tenant/Owner: �/1i`l Ie JJ l/�� Phone: `'Q � ^ ���
Address/City/State/Zip: ( Z `f ✓ r r'`�' 7T eG " , 4d
Nature of work: /'«4' l4/4 zA/ Project Valuation: $ 6-"f
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
/G6a��r, /G �'
Company Name: ��� � j/'�c��v��O.t� _71-e 4
Address/City/St/Zip: 4/7
ez X_ "c/Gz-/
Contact Person: ) >
�� tc4��' ‘4J) Phone: /5.9--57-579/ Fax: ?5 Tc73
State L & I Contractor Registration #: ��7/ / -/c')_ G ` /--r1 _' r Exp. Date: 7-Z/A6
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) L7/_)_"; Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping ,_ ' Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's t_ ' Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt )K. Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's
Wood Stoves
A/C
TONS
DISCLAIMER: I certify under penalty of perjury that t 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 applic ion is made. I her agree t ve 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 b ,.e by an arson,including undersigned,and filed against the City of Federay Way but only where such claim arises
out of the reliance of the City,including its offi rs a mplo es pon tr _accuracy of the' motion supplied to the City as a part of this application.
�.. 7 � �
Owner/Agent: — Date: