95-101683 �
_ g�,���� $3
CITY OF FEDERAL WAY PERMIT N0: BLD95-0563
33530 Fi rst Way South ��� �� � �'���. ,Q'��r"� � � ISSUED: 07/24/95
Federal Way, WA 98003 Bua.lding Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 01/20/96
ADDRESS:33009 19TH LN S Unit: "B"
NO. : 797880-0460
PROJECT DESCRIPTION:HVAC - INSTAIlATION OF 4 BATHROOM FANS.
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EVERGREEH COURT APARTMENTS LARRY'S REPAIR
33009 19TH LAHE S, BLD6 B 514 H 103RD ST
FEDERAL WAY WA 48003 SEATTIf ilA 98133
481-0412
LARRYR#081BS
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==i CONTRACTORS, PLEASE USE LOCATION CODE 1732 YNEM REPORTIN6 SALES TAX F�t PROJECTS YITNIN TNE CITY OF FEDERAL IIAY. TAX RATE = 8.25 iu
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! FUEL TYPES.:? ? fAMS..........: 4 BOILERS/COMPAESSORS FEES:
� 6AS PIPIN6.: 0 ft HOOD..........: 0 0-3 HP......: 0 , MEC PRMT ISSUAHCE... S 20.00
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FURR<100K..: 0 DUCT MORK.....: 0 3-15 HP.....: 0 ; � � ��� '�,�,_� �� � -: MEC APPLIANCE FEES.$ S 18.00
6AS HNT....: 0 61QOD STOVES...: 0 15-30 HP....: 0 �� �
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CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 � �
BBQ........: 0 MISC..........: 0 5+ HP.......: 0 �, �
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6AS DRYER.,: 0 AIR NANDLING UNITS FUEL TANKS--------- , -
RAN6E......: 0 <=10,000 CfM: 0 ABOYE 6ROUHD: 0
6AS L06S...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 ;
TOTAL FEES s 38.00
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Does the uater supply syste� contain a Pressure Reduction Device or Check valve? (j Yes () No (If "Yes" then Water expansion tank is required on Hot Yater Tank)
Inspection Record Mater Line OK _�_��_ Mechanical Inspection Notes: ____�__���__
6AS PIPIN6 OK ___�____ Date �� By _ _ ____�______ __�__.._�__
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�ERMITS EXPIRE 180 DAYS I�TER ISSIIAIKE IF MO iIOR� IS STMTEB. RESI�ENTIAL AND 6RADIM6 PERMITS EI(PIpE 01� YEAR AFTER DATE OF ISSUAIKE.
I CERTIFY TWE III�ORMATION FUtNI B1 C CT NE BEST � MY �NOiH..ED6E AID TNE APPLICABLE CI OF FEDE YA1 REQUIREl�MTS YIII �E MET.
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OYNER OR A6EN � DATE
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FILE COPY
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City of Federal Way
CITY OF � 33530 First Way South
� _ (� Federal Way, WA 98003 ��,��� " ����3
' � (2061661-4000
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APPL/CA T10N FOR PUIL�CH.4 N/C.4 L ,PERM/T
PARCEL� �� � ���~ �� r '�' Single Family � Multi-Family� Commercial �
SITE LOCATION:
Tenant/Owner: /' �` Phone:
�� �-�� �� � `� �a 1� �� (G� '�
Address/City/State2ip: �� _
Nature of work: � Project Valuation: S
APPLICANT:
Name: �� �
Address/City/St2ip:
Contact Person: Phone: Fax:
MECHANICAL CONT CTOR: �
Company Name: `� �
Address/City/St2ip:
� 3� �� � 3�
Contact Person: Phone: ���`�' Z Fax:
State L & I Contractor Registration #: � � � ✓� Exp. Date: ���s�y.�."'—�
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,OOOcfm Fuel Tanks:
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
DISCLAIMEN: I certify under pendty of perjury that the informetion(urnished by me is true��d correct to the best of my knowledpe�nd further that I�m�uthorized by tha owner of the ebove
premisea to pertorm the work for which permit�pplication is mde. I further�pree to aave h�rmlesa ttx City of Federd Wey�s to My el�im(includirq costs,expernes ad�ttor�eys'fees
incurred in investidation erd dafe�ae ot auch elNml,which may be made by��y person,includirp tha undersipned,ud filed pairot the City of Feder�y W�Y but o�ly wlxra�uch eldm srises
out o(the relie�ce of the City,i�cludirq ib offieen�nd employeea,upon the accuracy of the intormation wppliad to the City�s�p�rt of thi��pplic�tion.
Owner/Agent: `'� ` � � �—� f Date: � ` /
CITY OF FEDERAL WAY PERMIT NO: BLD95-0563
33530 First Way South MECHANICAL PERMIT ISSUED: 07/24/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 01/20/96
ADDRESS:33009 19TH LN S Unit: "B"
NO. : 797880-0460
PROJECT DESCRIPTION:HVAC - INSTALLATION OF 4 BATHROOM FANS.
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EVERGREEN COURT APARTMENTS LARRY'S REPAIR
33009 19TH LANE S, BLDG B 514 N 103RD ST
FEDERAL WAY NA 98003 SEATTLE WA 98133
487-0412
LARRYR*081BS
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::: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WREN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 tts
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FUEL TYPES.:? ? FANS..........: 4 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD ..: 0 0-3 HP • 0 MEC FIRM ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP.....: 0 1 MEL APPLIANCE FEES.* $ 18.00
GAS HNT • 0 WOOD STOVES...: 0 15-30 HP 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP 0
BBO • 0 MIS( 0 5+ HP.......: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS---•---
RANGE • 0 <:10,000 CFM0 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
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF MO MORK IS STARTED. RESIDENTIAL AN) GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNI BY IS , CORRECT Ti NE BEST OF NY KNOWLEDGE AND THE APPLICABLE CI OF FEIERA.VWAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT=" .._...r� :„.1001 . — —_-.:,.__....DATE
FIELD COPY
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SETBACKS &FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
. ...............
. ..............
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UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN__,
Date By
GAS PIPING
Date By
MECHANICAL ROUGH-IN � CU"_//
Date 779..6/1rS By 1)12,132
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
imilm.. 1.1.1111111/V13 - 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
NEMI
711.1.OTHER
Date By
OTHER
Date By
CD01 93