95-101688 ,
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CITY OF FEDERAL WAY PERMIT N0: BLD95-0562
3353Q Fi rst Way South �`"� ��. ��'i �� �9�1'i�... ����''� �� ISSUED: 07/24/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: O1j20/96
ADDRE55:33003 19TW LN S Unit: "A"
NO. : 797880-0460
PROJECT DESCRIPTION:HVAC - INSTALLATION OF 4 BATHROOM FAMS.
� OWHER aamaaaaax�cxaazsm:ammsmaaamffix=:sxa�aaaamamsaaamsamm s CONTRACTOR S���a=asam_ameea�ssmaaaaaaaax=asemesax��a� � �ENDER m==se�saaaaeaaammaamama�m�ase�a��erneeaaaeaaa�
� EVERGREfN COURT APARTMENTS LARRY'S REPAIR ��
33003 19TH LANE S, BLD6 A 514 N 103RD ST
EDERAL iiAY NA 98003 SEATTLE NA 98133
487-0412
LARRYR�081BS
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�* CONTRACTORS, PLEASE USE LOCATIOM CODE 1732 NHEN RfPORTIN6 SALES TAX F�t PROJECTS YITHIM TNE CITT OF FEDERAL IMIY. TAX RATE = B.25 =�
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fUEL TYPES.:? ? FANS..........: 4 BOILERS/COMPRESSORS FEES:
6AS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 G MEf PAMT ISSUANCE... = 20.00
FURN<100K..: 0 DUCT NOAK.....: 0 3-15 HP.....: 0 , ���� � ���„,_.�a ,.�,���� � �� `� �� MEC APPLIANCE FEES.� Z 18.00
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6AS HiiT....: 0 ilOOD STOVES...: 0 15-30 HP....: 0 Y '
CONV BURNER: 0 FURN>100K.....: 0 30-50 NP....: 0 ��° � -`�
BBQ......... 0 MISC........... 0 5+ NP........ 0 �
. . . �
6AS DRYER..: 0 AIR HANDLING UNITS fUEI TAHKS--------- ��
RAN6E......: 0 <-10,000 CFN: 0 ABOVE 6ROUND: 0
GAS L06S...: 0 > 10,000 CFM: 0 UNDER6ROUND.: 0
TOTAL FEES = 38.00
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Does the uater supply syste� contain a Pressure Reeuction Device or Check valve? () Yes () No (If "Yes' then uater expansion tank is required on Hot Water Tank}
Inspection Record Mater line OK ___�__� Mechanical Inspection Notes: ��__ _�_�________�_________�
6AS PIPIN6 OK ____ Date �� By ___���_______________�______________�_____
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PERMITS EX�IRE 180 DAYS AFTER ISSUAMCE IF NO il01tl IS STI�tTED. RESI�NTIAL AMD �tADIM6 PERMITS EXPIRE ONE TE1�t ft DATE OF NCE.
I CERTIFY TNE IMFORIIATION FURNISHED BY ME IS TRUE AND CORNECT TO TI� BEST OF NY CMOYLED6E ANB THE APPLICA�E Y OF F Wlr REQUI�EtlE��YILL BE MET.
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OWNER Q�t� N�!'"''� ---��- DATE _�
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City of Federal Way
CITY OF G 33530 First Way South '
� —^ Federal Way, WA 98003 ���� _ /���
- - - - � (2061661-4000 v
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APPL/CA TION FOR IVIEChIAN/C.4L PERM/T
PARCEL # �� � ���f ����J Single Family � Multi-Family� Commercial �
SITE LOCATION:
Tenant/Owner: � �' Phone:
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Address/City/State2ip: —o � �'�� � a'� �
Nature of work: �� Project Valuation: S
APPUCANT: �,,
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Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONT CTOR: `
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Company Name:
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Address/City/St/Zip:
Contact Person: Phone: ���`�� Z Fax:
State L & I Contractor Registration #: � � � �� Exp. Date: �J ,�--�
(Card must be presented) -
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,OOOcfm Fuel Ta�ks:
Length of gas piping Range Air Handling > = 10,OOOcfm Above Ground
Furn <100K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Conv Burner Duct Work A/C TONS Other
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledpe and further that I am authorized by the owner of the above
premises to perfarm the work for which permit application is made. I further apree to save harmless the City of Federsl Way sa to a�y clsim(includirq eoats,expensea�nd attorneys'fees
incurred in investipation and defe�ee of such claiml,which may be made by any person,includirp the underaipned,and tiled ap�irot the City of Federay Way but only where such claim arises
out of the relience of the City,includirp its officars and employees,upon the accuracy of the information suppliad to the City as a part of this applicatio�.
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Owner/Agent: _ Date:
CITY OF FEDERAL WAY PERMIT NO: BLD95-0562
33530 First Way South MECHANICAL PERMIT ISSUED: 07/24/95
Federal Way, WA 9€3003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 01/20/96
ADDRESS:33003 19TH LN S Unit: "A"
NO. : 797880-0460
PROJECT DESCRIPTION:OVA( - INSTALLATION OF 4 BATHROOM FANS.
•= OWNER •ancawwewersclaxe!!!@aaasmlYlm@xaasaaazaacacaaa+omar.-_= a CONTRACTOR =sam•:ae@wmYa:>wmwwaa@:ialweasma@a::=sseaeoancaa@ LENDER sxzxasz.3aareu+mcmaassmzarmalwixsaaresaatas*aasscaamas
EVERGREEN COURT APARTMENTS LARRY'S REPAIR
33003 19TH LANE S, BLDG A 514 N 103RD ST
FEDERAL WAY WA 98003 SEATTLE WA 98133
487-0412
LARRYR*08185
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its CONTRACTORS, PLEASE USE LOCATION CODE 1732 MSN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY Of FEDERAL NAY. TAX RATE : 8.25 *5*
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FUEL TYPES.:? ? FANS • 4 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP...... 0 N4 POI ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP.....: O MEC APPLIANCE FEES.* $ 18.00
GAS NWT • 0 WOOD STOVES...: 0 15-30 HP..... 0
CONY BURNER: 0 FUR0100K.....: 0 30-50 HP.. .• 0
BBQ • 0 MISC........... 0 5+ HP • 0
GAS DRYER..: 0 SIR HANDLING UNITS FUEL TANKS---------
RANGE • 0 <:10,000 CFM. 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
. TOTAL FEES $ 38.00
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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
1
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS STARTED. RESIDENTIAL AND GRADING PFRMITS EXPIRE ONE YEAR DATE OF S LIANCE.
I CERTIFY THE INFORMATION FURNISHED DY ME IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND TOE APPLICABLE Y OF FE: /NAY REQUIRERENTS WILL BE BET.
OWNER 0e5111-1:7-7:7------__ `
' _ . _ __ DATE __ j %
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FIELD COPY
SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH-IN C"(j � .uo-
Date �� Byljej
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 By
OTHER
Date By
OTHER
Date By
CD01 93