95-102358 CITY OF FEDERAL WAYPERMIT NO: BLD95-0738
33South 30 First Way -
MECHANICAL PERM -IT ISSUED: 09/13/95
Federal Way. WA 980021 Itui Ifli lig lc)specti on Requesst..3. 66] 4140 , : BY: F-C2
661-4000
\ EXPIRES: 03/11/96
ADDRESS:29505 2151 AVE S Ohl t: lb
NO. : 422291-0010
PROJECT DESCR I P T ION:MECHANICAL - ADD (6) FANS
LAUREL WOOD APIS 1 LARRY'S REPAIR
29505 21ST AVE S 115 1 514 N 103RD ST
FEDERAL WAY WA 98023 1 SEATTLE NA '48133
487-0412
-'--
st* CONIRACIAS, ptrki, IM LOCA00A COM 1712 WEN REPORTINQ SALES TAX 100 PROJECTS NIIMIN IRE CITY Of FEDERAL WAY. TAX RATE = 8.25 ***
FUEL TYPES.:? ? F ANS..... ....: 6 BOIL TPS/CONPREIMISAwo.,„ FEES:
GAS PIPING.: 0 ft HOOD... . ...: 0
0 I HP•--.4 0 1I17,1 -fyt2. ,,a::21n 4to ,44, 0 „.,'i',, 02 amh.,,, ,..-.4„,Ai*. OAKE... $ 20.00
FURN(100K..: 0 DUCT Hfikk.---: 1) 3-1) HP......: q - ''"': '--.-i, ''.: „........--1, ',4"-i- 10P° el- -rifS-71. -E FEES.* $ 27.00 1
,,-,-•,! 2z,,
GAS NWT • 0 WOOD SWES, • 0 15 10 Ho .. • 0 'A,;. ,' x::.. -'. *---'12.----34 71- ''''41:. ,-, :;:•*4,"11'''''''..Y.7‹. V,;i•
i 01,toi0er:;,,, : 0 3,0 4 HP,... 0. 't,
CONY BURNER: U
8130 • 0 "Tst. ......,..: 0 Cf IPI' ' *.! Ir4-117.4'
6A(.., DRYER..: 0 AIF WNW 01111S FUEL TANKS.--,*•*1•.46
RANGE 0 <:10,080 CFM: 11 --4------P'- MOVE SOUND: OW
GAS LOGS...: 0 > 10,000 (fm: 0 UNDERGROUND.: 0
'V 0 TOTAL FEES $ 47.00
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 Water Tank) .
Inspection Record Water Line OK Mechanical Inspection Notes: / ?c.;-E., .12),1a,/ 4t4.--72._ of / i/o6
1
GAS PIPING OK Da11/P179AV /14/t/
MUMS EXPIRE 180 DAYS AHEM ISSUANCE If No WOK IS SIARTIO. RESIDENFIAE AND GRADING PIRMIIS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY IRE INFORMATION FAIWI!,!91 IT NE IS IEVE AND CORRECT TO THE NEM Of MY tROVIEDLE AND THE APPLICADLE (II Y REOUIRENENIS 0111 RE NET.
---
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OWNER OP AGENT ------------- - -..::::-.------e,;.---< - --, - --
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FIELD COPY \ se'
CITY OF FEDERAL WAY -„ ,, y h �„. PERMIT NO: BLD95-0738
33530 First Way South ���E.' m, 11 "' i" .J.,. , Ai L, �"" E.R M T. T ISSUED: 09/13/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 03/11/96
ADDRESS:29505 21ST AVE S Unit: 15
NO. : 422291--0010
PROJECT DESCRIPTION:MECHANICAL - ADD (6) FANS
r= OWNER =______ = F CONTRACTOR =__ _____r= LENDER =__ = 9
LAURELW00D APTS I LARRY'S REPAIR
29505 21ST AVE S #15 514 N 103RD ST
FEDERAL WAY WA 98023 I SEATTLE WA 98133
0 487-0412 I
LARRYR*081BS
= ___ __ ---1==== ___ ..... 1 _ __
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
fmm mm==cmccs--.. ....____ == j = ._-m==c=___a= =
FUEL TYPES.:? ? FANS • 6 BOILERS/COMPRESSORS ! FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<1OOK..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 27.00
GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY 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 $ 47.00
41110 ........------= =-- = -- •-==____ ___= ====== m = _ =
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
- === ======= =m== c m=== =_ -. -- ____==== _ _
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY 1 DERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT %iiiiii :; % ;; ;;; .-----=
-- -- DAT - ----.._
FILE COPY
6 City of Federal Way `r i /� f—
ct+Y OF �--- • 33530 First Way South • _ S/ /
® _ Federal Way, WA 98003 a 6 a3 . , ) 1 5
----_-___-=_ FET:111PCF11._.
(206)661-4000
Wrii,v
APPLICATION FOR MECHANICAL PERMIT
PARCEL a a 'a / / -00/0
Single Family ❑ Multi-Family`- Commercial ❑
P/e`-'2'
SITE LOCATION:
Tenant/Owner: 5e--,1-))1147
CZ--- Phone:
Address/City/State/Zip: ( C1.5 Or a J s� II 2
Nature of work: I�=;rj'/�''�-c �`-7 5 Project Valuation: $ , . -/ / --'-'�
APPLICANT:) �7
Name: L- ?-�'Vy c 5 frz,-_,0 , _,---
Address/City/St/Zip: i,---)4,1 1 )C eL---";/ /-1 7)-- 9 5-'I 3
Contact Person: 7_ ''7=.v k-----C--'1,-t..--,?) Phone: 9 ;>.-(2-1(// )Fax: .5`'- -
MECHANICAL CONTRACTOR:
Company Name: L.,--,,_-,),,(s "--„,,z��
Address/City/St/Zip: ,„..511--/- (/`-) ,,c,P ,.,:;<---7.___,I,1--71-1__(,) 6-72A- 96--/ ) 7
Contact Person: L''' --"-✓y/ l<---r—) t-(---- !74 Phone: 2-i�--? ----(Th �--Fax: C-"`'- v`-•
State L & I Contractor Registration #: L clf 7/ C :i e''%'-' f>") r). Exp. Date: /,---1) /-9..5
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm 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
jt. Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
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...................................................................
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BBO.'s Wood Stoves A/C TONS Tota)Urijt:Caunt :. ..
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge and further that I am authorized by the owner of the above
premises to perform the work for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federay Way but only where such claim arises
out of the reliance of the City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this application.
Owner/Agent: ' -- -r ...ear .��� -- bate: �-s