95-102156 96 /CO/-5"(67
r1TY OF FEDERAL WAY PERMIT NO: BLD95-0676
33530 First Way South H iff. ' ,.... 'le"1i IN I':C et L. P Ell N 1". 'T ISSUED: 08/30/95
Fede ral `Way," WA 98003 .Building Inspection Requests 661--4140 BY: FC2
661-4000 EXPIRES: 02/26/96
ADDRESS:295O5 21ST AVE Unit: 2
NO. : 422791-0010
PROJECT DESC_RIPTION:MECHANICAL - ADD (4) FANS
r= OWNER = = ========== CONTRACTOR ---- LENDER =_ _ .
I LAURELWOOD GARDEN APTS iSTAFFORD CONSTRUCTION INC
09505 21ST AVE. S. 16016 118TH PL NE
EDERAL WAY WA 98023 BOTHELL WA 9801140
I206-488-2222
I � STAFFCI134JC
1
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
=___»..»._....._= .. -. . = ===== __. _
FUEL TYPES.:? ? FANS • 4 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 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.* $ 18.00
GAS HWT • 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
Ili/
AS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 38.00
410
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:
IGAS PIPING OK Date By
I
I =__ ••--_ = _ _ ____ = = d
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 NET.
, --
OWNER OR AGENT �
��, _ ,_ .���' DATE *,.... ........)--7 ,`S
FILE COPY
City of Federal Way
CITY OF !- 33530 First Way South •
------------ [-- --13 .1Krili.___ Federal Way, WA 98003
(206)661-4000 – .-.2 •
WIFT, ..
A PPL/CA TION FOR MECHANICAL PERMI T
PARCEL if• A-7–•� 1 -)/(1)
Single Family ❑ Multi-Family — Commercial 0
SITE LOCATION:
Tenant/Owner: 5(-1 /-62 f cPe---- Phone:
L
l T
Address/City/State/Zip: 2 94.1/ 03 ())i 2 A--..-c:-_,_ .3
Nature of work: ,r�/�7c--<' 45,-7`� –7----) S Project Valuation: $ 57 2/(
APPLICANT: ��77
Name: /_ a)2f✓y 5 f pc--, -----
Address/City/St/Zip:
/Address/City/St/Zip: .f7 q ) / /C) r ---- -4/ 7Y� ',-- 9 . / 3 3
Contact Person: /------7,/'17)/ ��P 1�—) Phone: a / ax: �- - .
y �
MECHANICAL CONTRACTOR:
Company Name: L,..,-..„7( ��67.,c r`.
P
Address/City/St/Zip: 5-)4 IN 1 `? 9 �„:„.p ..6,--7____ a /-P -7.2A— 9 Es--/ 3
Contact Person: Z.-4; l✓ /(--- .A--"4-4Phone: zfr� ----0- -//) lax: S Q "---""sQ_
State L & I Contractor Registration #: Z4:7,7.,–./'
c ,S Exp. Date: i 9 3/93--
(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 Underground
Furn >100K BTU's Fans 1 Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's
Wood Stoves
A/C TONS >'?>> > :' i`::` > ' ilT �alfJnt ✓oun'c<< <<< »; ;
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. 1 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 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
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��'�I��-+= - Date: c/2.2) g
c
1111 0
CITY OF FEDERAL WAY PERMIT NO: T3l_D95-0676
335: 0 First Way SouthH , PI ` N I T ISSUED: 08/30/95
•
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC2
661 -4000 EXPIRES: 02/26/96
ADDRESS:29505 .21.S t` AVE: Uni.t: 2
NO. : 422791-0010
PROJECT DESCRIPTION:MECHANICAL - ADD (y) FANS
r:= OWNER Lia�2 :L rY _ �F.@:�ii��.,�R#�I.SRR®��,">o,����4..��:.,Y:u�RY� Y CONTRACTOR ,�� =F t.Onk C i"Rd]YR[:AR>[S'S#A •,S.SS!YLYS:itR9lfl* ASL:I fY-S LENDER "YARAR@RAC"L4:iT#i 0@RR NRS: 3TF 9@CfiP 34HAS RR'JCSI A.Y @tlY4AM«
LAURELWOOD GARDEN APIS I STAFFORD CONSTRUCTION INC
29505 21ST AVE. S. 16016 118TH PL NE
EDERAL WAY WA 980231 BOTHELL WA 98011
1
1 204-4887124
aTAF(C1134 tr
,
ik.. .-J::....AKM..:kfx ... ..YRLR'.2 i.LWR100404 ] R4tl #Getz ..• .' +,4: -.:.:»fRt:3-.ac'S•Y R.ii,..e.Y t:JYT::J'Ct @ASpffiUWU*W L.1RYIt:C..A Cr.k93^;c. RRF�as'3i9C.MRtaL:AWL.- L;_LA WRZ::tY':R0.YiRIRLI.WIpRtY@icRF:?3;J:zR4YFR[Uxa:
fat CON1RACIORS, 1111.41 USE LUCAIJON CODE 1132 WMIt REPORTING SALES TAX FOR PROJECTS ERIN ENE CITY OF 'FINAL NAY TAX NATE = 8.25 *1*
�,`SCL.«RRiFR:WXRCR1a.4::RiY S•a»'L@iFRi2A'@i1'Vi#St➢yltCl# ,.69L.3»9iY'" F ;.t R06CCGY 4:128 .AI.:XW RRFeR�.':R.'RC:!:!I?SLS:.::« t^':S�II:YR} '[.�Y 4 R._.3.::J..TS:...Y:;fIL>S A�Cli:.p�.R4:�Y?Ri!�R9:(fi[.MtYY1 LV[y<tTRl."L
I FUEL tYPES.:? ? FANS '444:1-4 'a E COMP1. a'A "a 7' ,!ten-:. F ® r
GAS PIPING.: 0 ft NOOD.. �,: 0 11:3
��:� I DANCE... S 20.00
1 FIIRN,100A..: 0 Reil1 • iE" is, P. �� L 18.00
GAS HNT • 0 411 ply
N )D S VES.. . ,.... ',A441,00140.4.-i. ,,,a „
COMV BURNER: 0 Flr N'
BBQ • 0 MISC''°x� �� t3 ,5+ , , �:
GAS DRYER..: 0 AIR HA TAW ', ‘ ---" �
RANGE • 0 <:10,0i , 0 VE GHOUHD- 0
GAS LOGS...: 0 10,000 .f;r : 0 UNDERGROUND.: 0
TOTAL FEES $ 38.00
1<P.#J..P..^.CT.':Sft'::LRLY29MR;RDk.iJt G:f'::'39DDRda:+.;::.•.-.t;YA:i 16g1�S«:aAi::,L:a.'Y#:J#ti$CitilY4C.1`1::L3C211:W..�..Y:YYCUC.[C"A: taR^P'!.'tiLSit 2u�a'.I:Sif.R'S'ylA19L;3t itiYWrRRL:F'x`Gt;1U'.-.1]!@gi::n".RCLttfAtZc I.911%[#ISA'Rtl2:p1G.SC2F@Pu".TS.'A!K'[A9@GL•'OtAtAt..>Y.: '.4'.R@L W V#NP'LL LI:t St nifl2S'@G`>A
1 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 lank)
f Inspection Record Water Line OY, Mechanical Inspection Notes:
ICAS PIPING OV Date _ By ..
I
l.'tF'NSJi'.1nCAtaflAtUK:'.tnWW92L:T'Ctt?tWY:3.�W"@iSRRtAtLxWIic Y':b'SVr AVL,nnAttn,.R1.tAV@L`nWarLCS2:RncaU- URTC:i^isi&,At-niUWAt4S:RSYF'�A CIAkii:1l'.WWtJ.'YLL'L.Y.A:WUDL 2AA'A1K.:lULYk:L'CZWh'S:SRa[;J:Y:3#Y:[CLSRYJIIGIs:.L1CT.fl4 flrLUatx4CLL5UGA^U AttOWI:Jtl@R:Y�F4:+YRL:SB.^.
PERITITS EXPIRE 180 BAYS AFTER ISSUANCE IF NO NONE IS SIARIED. RISIDENIIAL ANO SRAOING PERMITS EXPIRE ONE YEAR AFTER DARE OF ISSUANCE.
I 0.111111 INE 1NFORNATION FURNISHED BY 111 IS TRUE AND CONNECT 10 1ME IIEST 01 MY ENDWEID6E AND 101 APIIICANEE CITY OF FLI%INAL WAY REIMIIRENINTS MILL Hf. NEI.
1 .
OWNER OR AGENT �, -.''`� DATE ' .- . . cam. r,='_"'. -.
FIELD COPY