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CITY OF FEDERAL WAYPERMIT NO: MEC96--0277
33530 F i rs t Way South P•'IF C qi;''".III-1111M ft'ift ,II',. 1101011 IIL Pi ;H it 'P,i'Ip44,,j1'°: r ISSUED: 12/13/96
Federal. Way , WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 12/07/97
ADDRESS:1001 S 344TH SF
NO. : 202104-9159
PF2OJECT DESCRIPTION:MECH - UPDATE GAS FROM 2LB TO 5LB (EXISTING FIXTURES)
= OWNER ---_..._. __.____.__.._____.___________._ __.__ = CONTRACTOR -- -- ---- _, __._..._,._ T LENDER ---- ___- :: - - 1
JASMINE BAKERY i OWNER IS CONTRACTOR
1001 S 344TH ST
FEDERAL WAY WA 98003
i
624-7141
u: CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 xtt
PROJECT VALUATION 4000 1 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS 1 MECH PLAN CHECK FEE $ 15.75
GAS PIPING.: 300 ft HOOD • 0 0-3 HP • 0 Mechanical Permit* $ 63.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP.....: 0 MEC PRMT ISSUANCE... $ 20.00
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 3
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 i TOTAL FEES $ 98.75
� T
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 ..._..._.._ ____._.. __..
___...__...__-• ___ _.__...____- -----_ ._.___. _. - _._.. �- .. --.- .._.__. ..._ __ __-. ___... -•
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 INFOR , : URNISHED BY S TRWE A D / RRECF TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT 4/ Q/
DATE �.� __..,L.:3 _-,C_..
FILE COPY
City of FederalWaR
CITY OF . 33530 First Way SouthIVED
- Federal Way, WA 9800
(206)661-4000 id c 0 4 1996 MEc - 0)-17
WIRY
APPLICATION FOR MECHANICAL P MIT
PARCEL lt• Single Family 0 Multi-Family 0 Commercial)"
SITE LOCATION:
/
�1 /lam �,^ ?� 3� 6p a•3
Tenant/Owner:
J Phone:
Address/City/State/Zip: { u y ah. ga00
Nature of work: (/#1!2 CirC4f�� 9ei wt 2 fD `-- Project Valuation: $ %• ��' OC
APPLICANT:
i �
Name: \_c C(5 m/kyr.- �,�. A4...., . -L/1L--
16
Address/City/St/Zip. �-)yy/� A7,74_,---,/ , a A- 5
) tigi'//, o '" ba�' -3Contact Person: IPhone: �
Fax:
MECHANICAL CONTRACTOR:
Company Name: V 4s i.s` t it,. /a t'67 rr"4.- _
Address/City/St/Zip: /Z'e)/ 5��� -4 ��4 laaz lel/ - GC
Contact Person: L \1`'('' i"' /7,-- S. is 6
Phone: � Fax:
State L & I Contractor Registration #: Exp. Date:
(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 <100K BTU's Gas Log Unit Heater ' 746 714/ l" Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous / 6.)0 -12/_..5
Gas Hwt / Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stow 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'fees
incurred in investigation and defense of such im),which may be made by any person,including the undersigned,and filed against the City of Federay Way but only where such claim arises
out of the reliance of the City,including of cars and employ--- -accuracy of the info ation supplied to the City es a part of this application.
•
Owner/Agent: L L� '� `7 Date: /Y,--P .
i