95-102287 \\ AdOO maid
ceicd)
1d
' _ �.3I00 1� r _^irr,.�:.: 10390 40 438110
.1111 31 1110 SININ3tliQd111 AV$4Ufl11.4--101.II3 1100:1114d0 Jill 00 390110001 AO JO 1531 101 01 1)1 1) (IOU 3001 SI 10 AO 011611 0101 001101010111 lilt AIIIWI) 1
"3)I1VASSI 10 3100 $113k NIA 3100 311IdX3 S111101 911300119 INV 1VIIN301538 '03111V1S SI INN 00 :II 3)N0OSSI 43110 SAVO ONI 3$14X3 SlINO3d
r,er�c:naav,xe=:x#xt#nm:aNty.m¢:eaotxamstmmmsar ra ulmumw==wa:.]nml.—.,1
'Me ".1-)29 ti_2,r0 `7 r'/S'1' /e1/44 A 1 iE4 - 30 9N1did 99 I
07 (7 ""74 2/T &I 1 a — oti/ :siuot33 dsui 101,1/
t,ieu)awl AO aurl Imppao�atl uotl�adsu1 I
VV
(quel imp lop uo pajtnba.i sr Sue} uorsuedxa Jalen Uall .50A. II) op 0 saA () iaAR pail) JO a)tna0 notimpad aJossaad a uteluo) iaisAs A1ddns _area► atil scop I
R314A.cn,T1.1S::Mz,ani..zW'.W-.raitnsLY 1=021CmSI[itY-.':4.W=^.;41.ASC t atm9#:t4.-'-^.RS C:al :.at .,,::'...c.cit.`o"631.:R4:f..iS2Y.11'RiCxtT.SC1[tiV14,1=4 RJf::fmS#S.3mArm-ra4G'Y.:Y:t:R1wC8YSSSix,#::t=Cf.130'.T.'.`SC.C:b11'1:1.'.^SCm61X2:`N:J:]ti1tl3•?x]i JFC15##T491YG#4TOavuu:T
00'0 $ S131 1H101
i} 'ONNO INTIM- P ' �fit97 090'01 < 0 "5901 SH9 1
�., \. 01111 d' 1 - 000.01:> 0 • 39NH8 N
,;b S;111Ht 1
x,..51 3QIt . 8IH O '83A8(1 SH9
_0 rj11 +5 0 " N 0 • uaa
y I‘NAA 0 311480 NO3
�.,
�. �. . ' iii 4I u �s3AQ!
i � _ ., � �. �w ; e � � 0 • 1 NHASH9
OO`1Z $ x'5339 1NVIialdtf 'ld .�,,. 0 ,NOSE E ri :"--1110N. I 0 .,1001>08111
00'OZ $ ...3)NHOSSI I1ttd 1141 -,., r ,.", w Y' �� t:
i a F 0 0 ;... ; 000N if 0 :'41d1d SO I
•5)33 j ( + lif►rSrdd SSI )/S4 r .., Syk4 i i:'S3dA1 1389
.t'C:2#C:':..".�'aS:F]m�.,:iR'3m:A31S tR:l#Y`:Xk''9f1.Yt]^.t!C;a:.:4]_]G,....:.T•F'.+,.!]ittR 14@S:S:]S'JCRf#X:
us WA : 11VA XVI 'AAA 1@03031 3A Alt) 101 010110 S1)3(ON N09 XVI 511V5 94tl11O4J4 OM 411 1 ) 110110101 1511 1.11131d `5OOIJU08100) tit
Fa]:gme:aaaciC25::G2...4 Maxwa u#n:ua;wb a#a;:x#a:jat:x'=ara::sa.m4=nn. c:msyen.un...;m-.aS ea vasa;ax#aa:.umwacnmmx.flt ataa.m:u#<svr n4aulieummmaR aatambtmmma sa avu.awit&asmuw' mtilcy ' tatl unt]aamos..maaeosm;Aamr aunam_:.m:]uarmmmna:ati
Sre0t 8#01 ''r
ZI/O.187 I
EE186 HN 3111035 E0086 HN AVN 1043031
IS 08E01 N ,I6 L '9018 'S ld ISIZ 8IV2
Loftxma,..m.x====axemamarmuum*mmustameamftummwmunr
I0dld S,Ad8Ol ( SN30809 000A1101 I
830031 .a gt::=mxm.uma<::#,a-mum.,mmaa a-a:omm=msasm.uaansa;,a u .;R 801)08INO) mA-anan,>=a.mn=umm, mw.»amaYm:,. :tRx=tla,txa:t.:aR:Fzota,umm:smmm#zm 83000 A
'1 914I01114 NI SIM 1400dH!H8 9 3J81(138 H:0011 d DOSS 1 1 D3CO29d
0`I00—I6ZZ;Z;7 : -ON
id 1ST?, E31:S6Z:SS3 Jc1(1FJ
96/11/E0 :SJY31dX:3 0009—T99
DIN :1.£f 0919- 199 slsenbad uoyoad 1 burp Tn#:j 60086 VM 'AvM [LuePa:i
S6/ET/60 :ainSSI . IW JJd -1 IN I1DJW 1l nos At M 4s_a TA 0 ,sEE
SILO—S6a1a :ON . tkrd3d AVM it U1(1:.3.3 9O AM
1.Gee 5O/ 9b '
• v
CITY OF FEDERAL WAY _ PERMIT NO: BLD95-0725
33530 Fi rst Way South ill „. "µ1,. ...,fr # 1. MIMM' ' L »,tit .i tilt.1. TISSUED: 09/13/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 03/11/96
ADDRESS:29518 21ST PL S
NO. : 422291-0010
PROJECT DESCRIPTION:HVAC - REPLACE 6 BATHROOM FANS IN BUILDING 7.
i;= OWNER = _---"---p- CONTRACTOR - - LENDER ••=
LAURELWOOD GARDENS 1 LARRY'S REPAIR
29518 21ST PL S, BLDG. 7 I 514 N 103RD ST
FEDERAL WAY WA 98003 I SEATTLE WA 98133
f487-0412
�I LARRYR*081BS
1=.a= = ==aa-.a== a_=_S_6a__..._3__=- a ._____=-_^aa .. •• =--S
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.25 ***
FUEL TYPES.:? ? FANS • 6 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.* $ 27.00
GAS NWT • 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...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 47.00
aaaaaaaaa==ca======s .• 5=a-----= •_ ____. __._....-,____. c .
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
--"__....a--- = c_-- -- -------- -----------------= a =c ac c ==acs ..._...-....._.._ _________
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 NE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ ,77: EE--ii :IL4", -
—%j M_ ____ DAT
10 FILE COPY
City of Federal Way 8 L,, /0",---„57
CITY OF r--- 33530 First Way South S*'
F-- ..--1:3 ._.r/C1=n— Federal Way, WA 98003 ass-) RJ
(206)661-4000
WiFTY
APPL ICA T/ON FOR MECHANICAL PERMIT - S`D1"
PARCEL tt• / ' 4a / -00/0 Single Family ❑ Multi-Family- Commercial ❑
SITE LOCATION: P /
Tenant/Owner: 5 L-li f / C'G 9E. - Phone:
Address/City/State/Zip: 1� c fA 574- A S
Nature of work: :-fl`�^-c' iA--.am —--—, 9 Project Valuation: $ S -/ /
APPLICANT:
Name: Ci'"),.i'✓/lj `S i-7
._l 'C0_, -f
Address/City/St/Zp:i -470 )V ) ' ,1?
--(-7 9 �"=.� r � 1� 9 / '7
Contact Person: `--,--?, ✓v G<---�1,'ti-,� -•f) Phone: y� -`-'`1/ ) Fax: -5''- ---'--1 L
MECHANICAL CONTRACTOR:
�RCompany Name: L,---,,---/.7(5. v' -,,z�c ./✓
) Address/City/St/Zip: ,-14 I 1� f`' �<--.„-_‹-a 91-'I Q G-72,x}-, c- / 3 3
Contact Person: 2-4" -'-✓ Kr--) �.�-,7 /4 Phone: tir- -��e-I�) �a ,-----...
/ -Fax:
State L & I Contractor Registration #: 2_4•17✓. 'y C : f;'= r� r �. S Exp. Date: /-=-V) �95—
(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 6 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 To a[ Unit C40nt
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 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.
A ss
' Owner/Agent: <------- '/0��� - -�r� " Date: �j
• •