95-101684 M`
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CITY OF FEDERAL WAY PERMIT N0: BLD95-0569
33530 Fi rst Way South �����'i�''�����.,.. ������ ISSUED: 07/24/95
Federal Way, WA 98003 Building Inspection Requests 6E�1--4140 BY: FC
661-4000 EXPIRES: Ol/20/96
ADDRE55:33004 19TH LN S Unit: I
NO. : 797880-0460
PROJECT DESCRIPTION:HVAC - INSTALLATION OF 4 BATHROOM FAHS.
� ONNER an�aamamsammaasmmesaoaaaaeasxsaaa�a�=aaaasax�maea = CONTRACTOR �saasmaammmamam�aaa�mxaaaaa_asaar_=c-�a���� �ENDER �===��a==�aea�:amsas�m�asemaaaaxeaxxv=���
� EVER6REEN COURT APARTMENTS LARRY'S REPAIR
I33004 19TH IANE S, BLD6 I 514 N 103RD ST
FEDERAL NAY NA 98003 SEATTLE NA 98133
487-0412 �
IAARYR;081BS
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��� COMTRi�TORS, PLEASE USE LOCATION CODE 1132 YNEM REP�tTIll6 SALES TAX F�t PROJECTS YITAIN THE CIT11 Of FEDENAL iIAY. TAX RATE = 8.25 **x
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FUEL TYPES.:? ? FANS..........: 4 BOILEAS/COMPRESSORS FEES:
6AS PIPIN6.: 0 ft NOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... S 20.00 `�
FURN<100K..: 0 DUCT IiORK.....: 0 3-15 HP.....: 0 � � ��� �� �,,����� � MEC APPLIARCE FEES.� S 18.00
GAS HIiT....: 0 ii00D STOVES...: 0 15-30 HP....: 0 � ` "
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tONV BURNER: 0 FUAN>100K.....: 0 30-50 HP....: 0 �=� � � ``
BBQ........: 0 MISC..........: 0 5+ HP.......: 0 '
6AS DRYER..: 0 AIR HANDLIN6 UNITS fUEI TANKS--------- �' `
RAN6E......: 0 r-10,000 CFM: 0 ABOVE 6ROUHD: 0 �
6AS L06S...: 0 > 10,000 CFM: 0 UNDER6ROUND.: 0
TOTAL FEES = 38.00
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Does the uater supply syste� contain a Pressure Reduction Device or Check valve? {) Yes () Mo (If 'Yes` then uater ezpansion tank is required on Hot Yater Tank)
Inspection Record Mater Line OK Mechanical Inspection Notes: __� _
6AS PIPIN6 OK _ Date By ______ _� _.__ _�____ _
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PERIIITS EXPIRE 180 DArS AfTER ISS E IF I10 NO RESIDENTIAL AND N6 PERMITS EXPIRE ONE YEAR AFT DATE OF I NCE.
I CERTIFY TNE INFORMATION � 6 AND TNE APPLIUIBLE CITY FEDE r REWIREMENTS YIII BE MET.
,_._._.._._ � : -�
OMNER OR A6E _ DATE __ _ ��
FILE COPY
. � , �
City of Federal Way �,�G�����j�� ,
CITY OF � 33530 First Way South ��✓ t l!�
� _ �� Federal Way, WA 98003
( C.L���R� (206)661-4000
V V �Y
ApPLiCATION' FOR l!IIEC�iIAN/C.4L PERM/T
PARCEL 1�—�� � ���� ��� Single Family � Multi-Family� Commercial o
SITE LOCATION:
Tenant/Owner: /' �` Phone:
°� �� : C `�" �. �
Address/City/State2ip:
Nature of work: � Project Valuation: 5
APPLICANT:
Name: � o
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONT CTOR: •
Company Name: `� Y
Address/City/St2ip:
� 3� W� � ��
Contact Person: Phone: ���`�� Z Fax:
State L & I Contractor Registration #: � � � �� Exp. Date: ��*"-yt'r—'�
(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 Fa�s Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Conv Burner Duct Work A/C TONS Other
DISCLAIMEft: I certify under penalty of perjurY thet the intormetion fur�ished by me ia true��d correet to the best of my knowled0e Md turther th�t I�m authorized by the owner of the above
premisee to perfarm the work(or which permit applie�tion is made. I further apree to seve harmlesa the City of Feder�l W�y�s to�ny cl�im(includinp coste,experres�nd utorneyi fees
incurred in investipation and daferme ot such claiml,wMch m�y be made by any perso�,includirq tFx undenip�ed,ud liled p�irnt the City of Feder�y Way but only where�uch claim eriees
out of the reliance ot[he City,includi�its of(icen��d employeea,upo�tha accw�cy of the intormation supplied to the City s a pert ot this�ppliution•
Owner/Agent: �i�-�—V�'�_--- �" J Date:
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71111711TBACKS & 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 (–r✓v� r —
Date']/.24( `fir Byiaa.LJ
MECHANICAL (OTHER),
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
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GWB - 2ND LAYER
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SUSPENDED CEILING
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PLANNING FINAL
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ENGINEERING FINAL
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FIRE FINAL
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BUILDING FINAL
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OTHER
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OTHER
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CD01 93