95-101787 95- /o/ 787
CITY OF FEDERAL WAY �J PERMIT NO: BLD95-0593
33530 First Way South MECHANICAL PERMIT M. T ISSUED: 03/02/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 01/29/96
ADDRESS:33711 33RD PL SW
NO. : 954280-0450
PROJECT DESCRIPTION:HVAC - INSTALLATION OF GAS INSERT AND 55' OF GAS PIPE.
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JOHN CARPINITO PACIFIC tNERGY SUPPLY INC
33711 33RD PL SW P.O. BOX 2144
FEDERAL WAY WA 98023 6920 - 22ND ST W./TACOMA
GIG HARBOR WA 98335
838-5129 565-4594
PACIFESO77KQ
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t$* CONTRACTONS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ttt
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FUEL TYPES.:GAS ? FANS,.........: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 55 ft HOOD .: 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURH<100K..: 0 DICT WORK • 0 3-15 NP.....: 0 SEC APPLIANCE FEES.* $ 9.50
GAS NWT • 0 WOOD STOVES... 0 15-30 HP..`..: 0
CONY BURNER: 0 FURN>100K.....: 0 30-50 HP • 0 I
BBQ • 0 MISC.... • 0 5+ HP.......: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS- -
RANGE • 0 <=10,000 CFM: 0 ABOVE MOND: 0
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 29.50
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Does the water supply systes 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: ?_�S4n<�7 Na Y16-7-
GAS
16rGAS PIPING OK g`7-95
/A
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORE IS STARTED. RESIDENTIAL AND CRATING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY TIE INFORNATION FURNISHED BY If IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND TIE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL DE MF' PS1
OWNER OR AGENT ����-�-�- C)-� M
--------------�__ _--------. �''�- DATE _"' )
FIELD COPY
CITY OF FEDERAL WAY PERMIT NO: BLD95--0593
33530 First Way South M "u.dr.M H N , (, •1111'-'t .„... PF.R M . . ISSUED: 08/02/95
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 01/29/96
ADDRESS: 33711 33RD PL SW
NO. : 954280-0450
PROJECT DESCRIPTION:HVAC - INSTALLATION OF GAS INSERT AND 55' OF GAS PIPE.
= OWNER CONTRACTOR LENDER
JOHN CARPINITO PACIFIC ENERGY SUPPLY INC
33711 33RD PL SW P.O. BOX 2144
FEDERAL WAY WA 98023 6920 - 22ND ST W./TACOMA
GIG HARBOR WA 98335
838-5129 565-4594
PACIFES077KQ
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.25 ***
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 55 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 9.50
GAS HNT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 29.50
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 I
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 TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENTDATE P/V91-
FILE COPY
08/01/95 08:46 FAX 206 566 0669 001
R�-
Permit # �� 01113
ij'4er CITY OF: FEDERAL WAY RECEIVED
eiglos91t G� BUILDING PERMIT APPLICATION AUG" 0 2 1995
•--Please Print-
-
CITY Op FERE lAL WAY
9X 1 TENANT NAME: BUILDING DEPT.
OWNER .Tdhnt_ 173 • \- SITE LOCA''I•
OWNER'S ADDRESS _ 4=7ZCITY
'I DESCRIBE JOB it S f' _ `Nr- it j eft _ _.,r 42:04 4mfs• •
THE PROPERTY - •WNE r B :SING EIMARRIED PARTNERSHIP C CORPORATION
7X2 CONTRACTOR'S NAME CONTRACTOR'S REG.#/J,Q'rlr=E:Sa77KQ
/ I -�-�- �arcEM STIbe presented
CONTRACTOR'S ADDRESS _ 6'920--4220-0 . .-37( • E• .CITY /e [.D.�t/$ PHONE %P.45-45 9
EXPIRATION DATE
OR __...
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 15.27.110 WHICH PIou161TS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
)x 3 CONTACT PERSON PHONE-.
)X 4 SEWER DISTRICT - WATER DISTRICT -- -
)X 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION -DX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
Of necessary,please submit a separate page with the legal description.) - - -
KC_Plat Recording# - - •
3X 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST• FLOOR I zND FLOOR J
3RD ` FLOOR / - BASEMENT_.•_._! • • GARAGE - 7 - -_
DX$ ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
(- ) MULTIFAMILY(NO.OF UNITS - ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY Sri FT •
D4 9 PLUMBING FIXTURES(including rough-ins) " MECHANI AL APPLIANCES— BASIC FEES
NO:
WATERCLOSETS • GAS PIPING, FEET
BATHTUBS NO. _ FURNACE,ELEC. GAS
-- - SHOWERS EAS HOT WATER HEATER- - . --- $-----
- LAVATORIES - • • CONVERSION BURNER . .• . . _.— 5._ -
. _SINKS _BOILER,SIZE BTU S
DISHWASHERS - AIR HANDLING UNITS - S----.
HOT WATER HEATER -•• - . . - • HEAT PUMPS,SIZE
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS - -- AIR COOLING UNITS,SIZE - - - S---- -
DRINKING FOUNTAINS •- -- - • COMMERCIAL HOOD . - -
SUMPS.SPRINKLER VACUUM BREAKERS
- - - DRAINS --
OTHER A-1"
TOTAL-FIXTURES 'S'
• • TOTAL MECHANICAL FEE $
;ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
ND FURTHERTHAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PEFIMITAPPLICATION IS
ADE.t FURTHER AGREETOSAVE HARMLESSTHE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
ES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON,INCLUDING THE UNDERSIGNED,
ND FILED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE REUANCE OF THE CITY.INCLUDING ITS
FFICEFS AND.EMPLOYEES,UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION,
WNER/A DATE:
GENT: _. -_ ��, ` _ ��-
....�.