96-102732 INK
CITY OF FEDERAL WAY NO: MEC96-0162
33530 F i rs t Way South iitllC.C.illii fill ". ,.JCL',$�"Ii NL._ .y',RC" iris, 11. tr ISSUED: 08/15/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 08/09/97
ADDRESS: 33515 101H AVE S
NO. : 926925-0010
PROJECT DESCRIPTION: DENTAL OFFICE HVAC AND GAS PIPING
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DR. GARY DODOBARA i PACIFIC AIR SYSTEMS I
33515 10TH PL SO. 11121 34TH AVE S (
FEDERAL WAY WA 98002 TACOMA WA 98444 (
839-5662 ( 581-5272
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** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
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PROJECT VALUATION 10000 ( FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS ( Mechanical Permit* $ 117.00
GAS PIPING.: 25 ft HOOD • 0 0-3 HP • 0 ( MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 1 (
GAS HNT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>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 ( TOTAL FEES $ 137.00
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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: ' 0
GAS PIPING OK __-- Date _-_ By __.......__
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF 1 i'K IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY T ! . 1 i'RECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT -
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CITY OF FEDERAL WAY PERMIT NO: MEC96-0162
33530 First Way South MCCAINVIMJCNIL 114 C ' 1I T ISSUED: 08/15/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661--4000EXPIRES: 08/09/97
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ADDRESS:33515 10TH AVE S
NO. : 926925-0010
PROJECT DESCRIPTION: DENTAL OFFICE HVAC AND GAS PIPING
ri OWNER mommosessomer / , CONTRACTOR LENDER •••y
-- DR. GARY IODOIARA PACIFIC AIR SYSTEMS (
33515 10TH PL SO. 11121 34TH AVE.S I
FEDERAL WAY WA 98002 TACOMA NA 91444
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839-5662 581-5272
PACIFAS093KA
U$ 01/T$ CTIRS, PLEASE IRE LEAH , ' TING MIS TAX FOR PROJECTS'VITEN TE CITY IF FEIERAL NAY. TIMI RATE : 0.25 m
PROJECT VALUATION 10000 1 1 ' ' µ , i FEES:
f FUEL TYPES.:GIS ? FANS .0 ' E'4'C I f::'13..i..fi1 : �
• Mechanical Permits 8 117.00
GAS PIPING.. 25 ft HOOD .,1 :`: 3 - k sem" NEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT 'K. 1`
GAS NMT • 0 WOOD i rc� �., NP 4 tea° y A D " ... est:'
CONY TURNER: 0 N> : '' - NP f '
•
GAS DRYER0 Al .. l .K. '.. ''' " ._''Av
RANGE 0 <: i1" 1 `
I GAS LOGS...: 0 > 10,tAl; D.: 0 ' = . TOTAL FEES ; 137.00
LIOMMOMN& ' Aiiiillill 4'' ' '
. I Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes' then water expansion tank is required on Not Nater Tank)
IInspection Record alter Line OK
GAS PIPING OK Mechanical Inspection Notes: t
' 1
Date By
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,PERMITS EMPIRE 18I MAYS AFTER ISSUANCE IF , IS STARTB. RESIMENTIAL AN MAIMS PERMITS EXPIRE IE YEAR AFTER IAT# OF ISSUANCE.
I CERTIFY TIE 11FOINITIONIVIRSIEDli
I .• TO TE E'ST IF NI EIItFW ANI TE APPLICAILE CITY IF FEL NAY REINI IS WILL IE ET.
OWNER OR AGENT ,.,t 4'� /P. DATE `
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FILE COPY
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City of Federal Way ,,n f zC v
14
CITY OFF ,%. 33530 First Way South D'` D l
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-_- - ETTAL_ FederalWay,
s;"0Oo3400 RECEIVED
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WiFW APPLICATION
FOR MECHANICAL PERMIT AUG 15 10
,CITY OF FEDEREFT AY
PARCELS. Single Family 0 Multi-Family 0 +13u0O ercialem
SITE LOCATION: -tz
Tenant/Owner: 170 L)( C 2A
Phone:
Address/City/State/Zip: 3351 Its FL oP4l WgNI f y x$00 3
Nature of work: "f6041.1—r MPRoL1 14f#1 • Project Valuation: $
645 roakiificE4 A/(.
APPLICANT: A L'// t,�C
Name: PA tcic Ahg - JYi'//"l>
Address/City/St/Zip: Ill Z' S4:174 AVE atoIvi/4 WA- q 444
Contact Person: 4«� _Phone: (06)i6/ %272 Fax:(i)4 l-3 173
MECHANICAL CONTRACTOR:^
Company Name: �*Mf AC 4130t/
.r.
Address/City/St/Zip:
Contact Person: / Phone: Fax:
State L& I Contractor Registration #: pft61 FA S 5!i r 3 44 Exp. Date:
{Card must be emeriti/di
MECHANICAL UNIT COUNT:
Fuel Type(ges/ether) Gas Dryer a.Air Handling < = 10.000cfm Fuel Tenho! -
Tenho!Length of gas piping Rang, Air Handing> a. 10,000sfm _ Above Ground
Heater Furn <100K BTU's I Gas log A Unit HUnderground
Furn >100K BTU'. Fares holier BTWH Misodisneou.
Gs.Heft Hood Boiler BTUIH Other
Cony Sumer ,Duct Work A/C TONS I _Other
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pawn..s to prfsnn qo wwk tar Mich Wadi M..ewd N Thea I funks/wase is ms..hominy U+.Ors.f F.d.re Way Si is.a claim Ondigeni gene.ereerese a •atom W foss
..+nd in imssti..d.n one Mews N such dash. - `the ma..M hoe"ah/.ohaloes/Oh VM. d
F.n .ad find
..soot Me are K'WSW War.ye.td',Whenapeh dam rhes
sue eta+.'dunes sf the Chy.MsYpiy Ms.fliers andail, .VP.*IMasy.f the I tU .
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Owner/Agent: , -� '�'� Date: '-/�- `.Z
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