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PLUMBING''ROUGH-IN Date By GAS S PIPING Date By MECHANICAL ROUGH-IN Date By MECHANICAL (OTHER) Date By FRAMING Date By INSULATION Date By GWB - 1ST LAYER Date By GWB - 2ND LAYER Date By SUSPENDED CEILING Date By PLANNING FINAL Date By ENGINEERING FINAL Date By FIRE FINAL Date By .............. ... ................ . .............. ................ .. ................. BUILDING FINAL Date �� �r By OTHER Date By OTHER Date By C D0193 CITY OF FEDERAL WAY PERMIT NO: BLD95-0472 33530 First Way South M � � u Ai l . P , p ISSUED: 08/04/95 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2 661-4000 EXPIRES: 01/31/96 ADDRESS:31217 PACIFIC HWY S NO. : 082104-9017 PROJECT DESCRIPTION:MECHANICAL ONLY - ADDITION OF (8) >3 TON AND (7) >15 TON COMPRESSOR UNITS. r= OWNER T CONTRACTOR T LENDER = QFC #867 I KEY MECHANICAL CO OF WA 4i• 31217 PACIFIC HWY S 19430 68TH AVE S FEDERAL WAY WA 98003 KENT WA 98032 455-9000 872-7392 KEYMEW*240N1 , #3 CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 **X p T 9 FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS FEES: GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 8 MEC PRMT ISSUANCE... $ 20.00 FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 7 MEC APPLIANCE FEES.* $ 187.50 GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0 1 PLAN CHECK FEE $ 49.37 CONV BURNER: 0 FURH>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 IV TOTAL FEES $ 256.87 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 INFORMA . • 'NISH D E IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. �� i OWNER OR AGENT ` ,< I __ JO DATE % _ / FILE COPY • a„� G City of Federal Way F' RECE Ck ATION FOR BUILDING PERMIT JUN 201995 PLEASE PRINT CITY OF FEDERAL WAY APPLICATION #: &1Y?'5 -10(-43(9- SITE LOCATION BUILDING ph'Address 43 Z / 7 ��- ,,Ft-c_ y s Tenant (if known) Lot# / Assessor's Tax # Building Owner Name � �� Address I,Z sus ' s 3 ntit C(fC- /7 S City r oll VVa y State LOC( Zip ?t9C? Phone /. , i� Nature of WorkCReSi %lr�-t'fj t/1 x.1 v r'Ci.�ty✓� Cl/ 2_2- 7 , /0 APPLICANT Name (F,M,L) Address I 1lf30 (Pe' erode- S City State WV4 Zip /,s3t'D3� -40197 Perso aria Other Phone Fax Wi 70-73?-z 7Z-7,398 BUILDING CONTRACTOR Company Name W'fR�i ill (01" ap�1��ciV Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified I Yes D No ARCHITECT Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION r Please Complete Reverse Side CD0492(Rev 4/93) STRUCTURE ',Existing Use ,• Proposed Use Permit includes: LI Building LI Plumbing ❑ Mechanical X Other • Type of Work: ❑ Residential '1 New ❑ Remodel ❑ Number of Units ❑ Deck ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other Enter 1st Floor sq ft 2nd Floor__ sq ft 3rd Floor _sq ft Existing Floor Area sq ft Area Basement _ sq ft Decks _sq ft Garage_ sq ft Proposed Total Area sq ft Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $ Zoning Lot Size Existing Bldg Valuation $ LENDER Name Address City State Zip MECHANICAL CONTRACTOR -1-'- RQ....c- ,C. /7E, E,,. Contractor Na en, L1� j Address // /'' A G f i t(� 1 G�4�S el ( Cc 4 k._ J 9'7�® lL tic() X City O State Zip 23 Z ContactPhone Fa 7) 1\.) X11 Vx x`77-7 (i2- 72'7 39S- License # ✓ Expiration Date Verified ❑ Yes ❑ No PLUMBING CONTRACTOR Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No PLUMBING FIXTURE COUNT Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains Total::Fixture`Count MECHANICALUNIT COUNT Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 1 5-30 Tons Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Log Unit Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Cony Burner Duct Work 0-3 Tons t!f Underground BBQ's Wood Stoves 3-15 Tons 1 Total Unit Count 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 Federal Way, but only where such cla' out of the relia ce the it ,including its officers and employees, upon the accuracy of the information supplied to the City as a part of this application. �J� J Owner/Agent: � � '� � �� Date: i .. 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