95-102356 q5 (o 3
CITY OF FEDERAL.. WAY . PERMIT tlu: BLD95-0740
50 First m y South MSCI I I SI. C IL. P M.I 'r ISSUED: 09/13/95
F=ederal Way, WA 913003 Bui1dinq tnspectiorn Requests 661-4'L40 BY: 3FH
661-4000 EXPIRES: 03/11/96
ADDRESS:29595 21ST AVE S l.Uni t: 13
NO. : 422291-•0010
PR0,3 E;CT DESCRIPTION:MECHANICAL - ADD (6) FANS
•
r'� O'INER ,:�tia�rzror wt,:, ��mr.at, �,�d. ���rti�� ��fa#C Aaztcs,,:.f CONTRACTOR 3'-�:..r,�t � �:.:> � � .a�•>�:s�,exata.:_tx:t>$<am>aa .:�� r LENDER ��� >c� ��'�f.:, . .:::.�°r t,a�:] ��,>:�3��fa>,a��at .��k:
LAURELWOOD APIS I LARRY'S REPAIR
29505 21St AVE S 113 514 N 103RD ST
FEDERAL WAY WA 98023 SEATTLE NA 98133
487-0412
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+a CONIRACIORS, PLEASE. GSE LOCATION COW 1732 NO REPORTING SAIES IAX FOR PROJECTS NITNIN IN( CITY OF FIRMA. NAY. TAX RATE : 8.25 ***
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FUEL TYPES.:? ? FANS ., BO1 NSJCOMPPFS ORS ` « : FEES:
GAS PIPING.: 0 ft HOOD `, 0-' NP. . i} -- 4. ,� f �� - :' SUANf.E... $ 20.00
fUPII<IOOK..: 0 11UCT; . 15 Ii I L, t FEES.* $ 27.00
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GAS NWT • 0 WOOF fid , 15-")0 tip. :
CONV BURNER: 0 IUPU'100Y , 1
0 ra 41..54 µi `._
HO • 0 MT ;, a.. . ,_. 9 OR ..a .: 0
GAS DRYER..: 0 AIR IAM OklfSn UELTAH-S
RANGE • 0 ( 10,- 00 r *if VL floPtlii ,i
GAS LOGS...: 0 ) 10,I1t: 1M,1i , NDERGROUND.: 0
I 4- 4, 101At FEES $ 47.00
I
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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)
I
Inspection Record Water Line OK Mechanical Inspection Notes: il"n ID,?^J f�Lt Z o F K,N<, Co .
GAS PIPING OK Date/di-60y //1!/E/ dt7u5 1 A) <, 744.-1-140)2 17-1/4/, a Vv.-07, i
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PERMITS EXPIRE 180 DAYS AMR ISSUANCE II NO MORK IS SERRIED. RESIOENIIAI ANO GRADIS PERMIES EYPIRF ONE YEAR AFTER OAFE Of 'SUANCE.
1 CFRIIFY INF INFORMATION FURNISHED NY NF IS ROE AMO CORRECT TO IRE LEST Of MY MIME AND THE APPLICABLE CITY OF FE NAY REQUIREMENTS WILL It MET.
UNNER OR AGENT '`� '"" -- DATE ./---
,/ Q` t)
FIELD COPY `re'
CITY OF FEDERAL WAY PERMIT NO: BLD95-0740
33530 Fi rst Way South NI t .'tC: 'rillH' 11 I ...t C.A ..,,. P ff.:fIi.111 1:: r ISSUED: 09/13/95
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: JTH
661-4000 EXPIRES: 03/11/96
ADDRESS:29595 21ST AVE S Unit: 13
NO. : 422291-0010
PROJECT DESCRIPTION:MECHANICAL - ADD (6) FANS
f= OWNER =_______= T CONTRACTOR = Sax^'•-^•-_____ __^-_-•----__= LENDER ===z-•_________ __=====aaxaaaaT
LAURELWOOD APTS I LARRY'S REPAIR
29505 21ST AVE S 1113 I 514 N 103RD ST
I FEDERAL WAY WA 98023 I SEATTLE WA 98133
1P 1 487-0412
I I LARRYR*081BS
e
XXX CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 u:
FUEL TYPES.:? ? FANS • 6 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 NEC PRMT ISSUANCE... $ 20.00
I FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 NEC APPLIANCE FEES.* $ 27.00
I GAS HWT • 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 $ 47.00 I
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=== . a= .. a= =a aaaa^'• .. aaaa=aa=c _. saa
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
6c=== sa= - = a=====a=a =cc=•• ••-__••^-= =x__.. •--^= c••-^--•.--I
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF MO 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 OF FERE; NAY REQUIREMENTS MILL BE MET.
NER OR AGENT ` - DATE `�/
FILE COPY
City of Federal Way LI r V -- . f 3
�F C- • 33530 First Way South
________ Fe.irDirKFR__.
- Federal Way, WA 98003 5f_� ,A)59-69/ $
(206)661-4000
Wif=i),-
APPLICATION FOR MECHANICAL PERMIT
&al 5 0-714 o
PARCEL # 'i a `T +x / 00/ Single Family ❑ Multi-Family--- Commercial ❑
SITE LOCATION: XPi /
Tenant/Owner: 5 c /f / e c-Z,— Phone:
Address/City/State/Zip: ac Co r i).) 57—#Y 5
ey JJ
Nature of work: ,c f/�-7�-<" e�.-=,r h -7= 5 Project Valuation: $ --`'----/ -/ ��
APPLICANT:f �7
Name: C- i' '✓/ 5j ll"`�..e mac., ../
Address/City/St/Zip: 47q 1 )C r �'—��/ !7.„2/1 9 5---/
Contact Person: � `�(�i,,--L--,X-k) Phone: 9 �'-v��/ )'Fax: �
l ��✓ '-
MECHANICAL CONTRACTOR:
Company Name: I_�'-,'"V)i(.5 �� .
Address/City/St/Zip: 5-14 / ---) 9 ._,....-0P ����ca7L7-/ G-1.2/ 8-/ ✓� '-
Contact Person: �61 /,'"V /�e-� 1-4--- , /.1 Phone: /�---7 c-Dtp) lax: C-"a t------
State L & I Contractor Registration #: L c-77.,-.7 c ; ,-%' f,'-) e), S Exp. Date: / -)%4 3/95—
(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 6 Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
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BBQ's Wood Stoves A/C TONS Total t)tiit'Covnt
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: ' �/fj' • ��� -- .-- 'Date: ,Y -,-•s 9 f;