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95-102353 • (1s t© 3 , CITY OF FEDERAL. WAY PERMIT NO: BLD95-•0743 33530 First Way South M ,KANI eNL. PERI I. „ ,= ISSUED: 09/13/95 F ede ra:1 Way, WA 4800;3 I3ui 'ding Inspection Requests 661 -4140 BY: JTH 661--4000 EXPIRES: 03/11/96 ADDRESS:29505 21ST AVE S Unit : 10 UO. : 422291. UO.10 PROJECT DESCRIPTION:MECHANICAL - ADD (6) FANS Cr' OWNER S�:iiatrQ Wit E$S SSW rr. WtX SmANYYG.YEiOEt n::E¢5C1G93 ERss46ERXc CONTRA(TOR C- nzr ,t,.Y tfwiSGWA'iSC EM A9 Cyra,, aYtwn,r%Sill!'>YCP Y"tSXS-A LENDER Xw^SOCEtii:]^«aR 64mp T%3 ?l YSAEPmS OWKa � Ltl[iYi"LRGAAmf]G r;:r: 1 LAURELNOOD GARDENS 1 LARRY'S REPAIR 1 29505 21ST AVE S 110 1 514 N 103RD 5T I FEDERAL WAY WA 98023 SEATTLE VA 98133 1 487-0412 14144S IYS.AiEY.tiE C:illFtttO:ilitLE:.Si,'LI•iS:'l.-5).4.... t.u.E�•1¢ SP ,'..+-'z,i.r ..ami si,J Ski}ty�^B1^.f.: rYa",.k .4_ ..:'..3CE:lK@,x6SRO:RwSC%E:li S16lY'p�ttt._It >:C2s FC#FDT.'tTh ttA"..um YCi#m1EF W,,..:GSi]E?:EYY'L t 5:IYA%:ALSRf:rnXC:9>SL`t'-iG:l":.iiE4ltrtlt:iFt.^ff94fitRmWR'PdK'AW/Oitt.'aR#'m::!YTW u* CONINACIONS, PLEAiat: IM 1.O01I001 C*1 110 IIMFR REPORTING SALES TAX FOR PROJECTS KININ TIN: CITY OF FEDERAL WAY. TAX RAFE = 8.75 *** �:iit EEGdLYt92 E"AECEStt5r C!#ti C:i':::'.Rw1 r, ..:C1'it,::m.J[�:::..0%..:S.l... .t.1E.ak.... . ..... b.;k`:.':#;µ.�.. .....,,cr C31biE0k1HUUC*...=:'L^.c:##CJ9XT>:146Rt:tt i3RYPi::.^.FJ:'S".%F:2biffi.YE m.'XFC EEO:A•.rt ttarb'W•_^.M:i'41EESOCG�•�!G,r,rn C::.T:KLi3C:.L4Kt:::f.;!iE�.«.::.Y]dEnCR^,'�'CSTYtlGF9(narJYn FUEL TYPES.:? ? FANS..... ....a t efoit+rsioMPRt:;SOR! .n FEES: GAS PIPING.: 0 ft HOOD.......,..: 11 3 ' " . . ..,; 4! k AAURNCE... 20.00 FURN<100K..: 0 DUCT VOL..__ i 3 1-. TSP --, 't ;I- , E FEES. $ 27.00 GAS HNT • 0 NOP IFF .. - n 1`.. )0 VP.,,, : 0 CONY BURNER: 0 0090.1110r ... .• k' 30 40 NF . 4,1 BBQ • 0 MISC.. ... ..: 0 ;+ HP-.. 0 ,,,,- GAS DRYER0 Alk iARitIH UNIT FUH TANKS-•--- RANGE • 0 <-1o.OUP CFM 0 ABfVE GROM: o I GAS LOGS...: 0 > 10,000 ,'t fI!!tERGROUND.: 0 TOTAL FEES $ 47.00 �.:SECS:t:EG.::Ea'.ice,�.RPT.it�:>«L.d'',g9iltYt C'EI'Ek:a«„UW'SAa=.bt!'J%'.:CF:iti6laSEF;�:ET.mT_Gpp6L:YL'SY.A:S>"':'t=ELXC�S"f1�S�G�'4•TXL'EC[EL%9TYNttRffiffiRL^Yt:iIIp&IT:i':GCxli9smCEJ%i EEFRIt Ii.A'%O F".E6 :.Y R=�rxt'.:Y.aR.CsK;6:C.%C,'.43i.GbE::'CY:Yl�[51.11CYt et:hVK1"LF AE:Y.;:%iJEYlMl^,SitiC.%S1CRi>~##CIT.tTtiYlR! 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 OR: Mechanical Inspection Notes: f`f� DA 4q4E-2 or= Ki;‘)�� Ca , GAS PIPING OK Date/.?.1 SBY fri( . (1O , %I F, /—ice-Taarz( i y, .2_k71,-(--0 a 9 I:mnlai'.Yrmit_rorcu:xm!"aEas>acmn�u#ral.^ec.:sicos%_rsE::xtalE::orn-aa:m»muu-�:x^msuaiwau e:rt+aamavexx:z+�xiocaar%evui-�:c,::.'...:,..:...dc..... .:c......,.¢•,�:...e.x«...i.m.-s.,:.. .,..sr....r..:,..a u :..r:zs:rxx;oEaa.'esa,w�uracEJr:wrca:x:v:::crw.a.nm�+-wrms�E:W ice:.ur:.;xWc,^n:sxEe. P9IHIS EXPIRE 1110 DAMS MILR ISSUANCE IF NU NM IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of !SANE. I CERTIFY lilt INIORMAIION IURNI NY IS 1011-11110 C 1 TO Ilk REST OF MY KNOWEEDGI: AND THE APPLICANLE CII 01 It RAE WAY KEOUIREMENTS WILL NE IIET. OWNER OR AGENT , +- DATE /,/� /%.J Ji- ib k'cirli'e!' FIELD COPY CITY OF FEDERAL WAYPERMIT NO: BLD95-0743 33530 First Way South 11 i . Cit ear IN ICA ,.... P El i'i.thl :I;. "r ISSUED: 09/13/95 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: JTH 661-4000 EXPIRES: 03/11/96 ADDRESS:29505 21ST AVE S Unit: 10 NO. : 422291--0010 PROJECT DESCRIPTION:MECHANICAL - ADD (6) FANS F= OWNER =___ _•• T CONTRACTOR =___- _-- ------ LENDER =________________ __1 I LAURELWOOD GARDENS I LARRY'S REPAIR I I 29505 21ST AVE S #10 i514 N 103RD ST I •EDERAL WAY WA 98023 SEATTLE WA 98133 I 41, I I 487-0412 I I tI LARRYR*081BS =ss=r. sss=ssssss=.s= _ ••_^•• sc:=-^^^•=sssss=sss== ••-=ss ••--_ ====mss==i t=; CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 *5* I FUEL TYPES.:? ? FANS • 6 BOILERS/COMPRESSORS FEES: GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00 FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 27.00 GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 I CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 I BBQ • 0 MISC • 0 5+ HP • 0 I GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS I RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 47.00 400 _----•_________=•-•=Pa_-•--_ . .._.-............-== =-======__....___==- _ == =•-•__•^•__=_ __- __ 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: I I GAS PIPING OK Date By I = ----_ ____ _ _ .- ______ 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 , -AND CORR CT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT __ _ _ DATE FILE COPY City of Federal Way 6 4 1 4, IC) .'r of r-- • 33530 First Way SouthSf - _ e _ Federal Way, WA 98003 9 VP/ f g/ _ (206)661-4000 WiFP,' APPLICATION FOR MECHANICAL PERMIT CK 1.� </ / -00/0BU - C27L3 PARCEL ii• ! +x Single Family ❑ Multi-Family?---- Commercial D SITE LOCATION: P/ )< Tenant/Owner: 5(- l to4Z-' Phone: Address/City/State/Zip: 4,, } ©5- ( --) st Nature of work: /,-,c < -z " / .5 Project Valuation: $ 5 /-f .- APPLICANT:) Name: C ��i�✓� c S Pe7-_-1l�c ./ Address/City/St/Zip: 1 q I /c .....,:,,, ,/ 7�/1I ,� 27 Contact Person: [--"'��"� ��F'1,1--) '1--) Phone: 95-- 7-el)(1/ 2-Fax: 5'2- ---,-•‘ MECHANICAL CONTRACTOR: Company Name: J ��./.7(f d--.-2^ �' Address/City/St/Zip: _5-74 i (/`) ...--47c-�ca 791-Q-Q (-/--)- 9 6-I ) 7 Contact Person. /---''' -----,77 kr-' l-x--N1i Phone: qr.> --c-_ 1/)-Fax: C;c1- L---.- Q State L & I Contractor Registration #: L c-3.,f•.'\/ r if (-=•= ,--) r), Exp. Date: /,---V). 3/9S (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 64, Boiler BTU/H Miscellaneous Gas Hwt Hood Boiler BTU/H Other Cony Burner Duct Work A/C TONS Other ................................................................... .................................................................... BBQ's Wood Stoves A/C TONS T Eal#Jnft ount 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. _____/) , r Owner/Agent: s - ---i�/ Date: -�s 9> • •