95-101689 � •
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CITY OF FEDERAL WAY PERMIT N0: BLD95—QS65
33530 Fi rst Way South �'f ��Ht� � I �C�L � ��w� � � ISSUED: 07/24/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
651-4000 EXPIRES: 01/20/96
ADDRESS:33019 19TH LN S Unit: D
NO. : 797880-0460
PR�JECT DESCRIPTION:NVAC - IHSTALLATION OF 4 BATNAOOM FANS.
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EVERGREEN COURT APARTMENTS LARRY'S REPAIA �
33019 19TH LANE S, BLD6 D 514 N 103RD ST
`EDERAL WAY NA 98003 SEATTLE MA 98133 �
48T-0412 �
LARRYR�081BS :�
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=f* CONTItACTORS, PLEASE USE LOCATION CODE 1732 MHfN REPORTIM6 SALES TAX FOR PROJECTS YITMIII THE CIT1 OF FEDEQAL NAY. TAl( RATE = 8.25 in
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FUEL TYPES.:? ? FAMS..........: 4 BOILERS/COMPRESSORS FEES:
6AS PIPIN6.: 0 ft HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... = 20.00
FURN<100K..: 0 DUCT iiORK.....: 0 3-15 HP.....: 0 �� A , . �:�. �.� �� �� , ���o� MEC APPLIAMCE FEES.# S 18.00
6AS HNT....: 0 Ii00D STOVES...: 0 15-3Q HP....: 0 ��� r � ��� �-� � "` � � ` .�
CONV BURNER: 0 fURN>100K.....: 0 30-50 HP,...: 0 � �� -� � � � �
BBQ......... 0 MISC........... 0 5+ NP........ 0 �
6AS DRYER..: 0 AIR HANDLIN6 UNITS FUEL TANKS---------
RANGE......: 0 <-10,000 C�M: 0 ABOVE GROUND: 0 .,
6AS L06S...: 0 > 10,0U0 CFM: 0 UNDERGROUND.: 0 ��
TOTAL FEES t 38.00 ��
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Does the Water supply syste� contain a Pressure Reduction Device or Check valve? () Yes () Mo (If 'Yes" then �tater ezpansion tank is required on Hot Mater Tank) �
Inspection Record Nater Line OK _ � Mechanical Inspection Notes: _� _��� �_____ `�
6AS PIPIN6 OK � Date By _�� __ __ r_�_______
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�ERMITS EXPIRE 180 BAYS AFTER ISSUAIKE IF MO YORC IS STARTED. RESIDENTIAI AND 6RADI116 PERMITS EXPIRE ONE YEIW AfTER DATE OF ISSUAIKE.
I CERTIFI IT�N� MfORMATIOM FINIMIS RUE CT TO TNE BEST OF MY �MOYLEH6E AND THE APPLICABLE CITY FEBEgAI YAIf REWIREMENTS YIII HE MET.
���� _ ,
OMNEA OR A6ENT _� ' DATE >G/ �
�— -- - -- - . � �i
FILE�OPY
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City of Federal Way /,,
CITY OF � 33530 First Way South ���5 - ���lll � ^,
� _ (� Federal Way, WA 98003
I CL� (2061661-4000
V V �y
APPLICA TION FOR l'UIECHAN/C.4L PERfI/1/T
PARCEL 1�—� t � ���~ ��� Single Family � Muiti-Family� Commercial �
SITE LOCATION:
Tenant/Owner: f' �' Phone:
7 �> `w �. ;
Address/City/State2ip: _
Nature of work: � Project Valuation: 5
APPLICANT:
Name: � � C
Address/City/St/Zip:
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: ���'�--'—�
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Hand�ing < = 10,OOOcfm 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 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 tMt the i�form�tion turnished by me ia true��d correct to the best of my knowled0e�nd further th�t I�m�uthorized by the owner of the abova
premises to perform ttx work for which permit�pplicKioa is m�de. I furctx�Wree to aave harmleaa tlx City of Fedard W�Y�s to uiy d�im(i�cludirq eost�,experoe��nd�ctorneya'feea
incurred in investipation ard daferoe of such d�im1,which may be made by a�y person,includirq the u�deniQrxd,�nd filed p�irot the City of Feder�y Way but only where such claim arises
o�t of the relience of the City,includirq its officers�nd employees,upo�[ha accur�cy of the info�m�tio�supplied to the City�s�p�rt of this�pplic�tion.
Owner/Agent: �j/����� �'"`�' J J Date:
Z ` /
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CITY OF FEDERAL WAY PERMIT NO: BLD95-0565
33530 First Way South MECHANICAL PERMIT ISSUED: 07/24/9.5
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 01/20/96
ADDRESS:33019 19TH LN S Unit: D
NO. : 797880-0460
PROJECT DESCRIPTION:HVAC - INSTALLATION OF 4 BATHROOM FANS.
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EVERGREEN COURT APARTMENTS LARRY'S REPAIR
33019 19TH LANE S, BLDG D 514 N 103RD ST
FEDERAL WAY WA 98003 SEATTLE WA 98133
487-0412
LARRYR*08185
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ttt CONTRACTORS, PLEASE USE LOCATION CODE 1732 WREN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY Of FEDERAL MAY. TAX RATE = 8.25 ttt
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FUEL TYPES.:? ? FANS • 4 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD......,...: 0 0-3 HP • 0 AEC PRMI ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 18.00
GAS HMT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN)100Y • 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 ABOWE 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 NO WORE IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY T;IHE,INFORMATION FURN �'�� _ ,TRUE_ : !_ T TO THE BEST Of NY KNOWLEDGE AND THE APPLICABLE CITY OF FFDERAt MAY REQUIREMENTS WILL DE NET.
•
OWNER OR AGENT ��� J��/�/" ""` _ DAT /.�= ,IP_
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
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GAS PIPING
Date By
MECHANICAL ROUGH-IN I 'D
Date 2/:2c/ 7 Byit)
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
CD0193