95-102352 .. _ . _.. , ,
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CITY OF FEDERAL WAY PERtill I NO: BLD95-0744
33.530 First Way South MECHANICAL PERMIT ISSUED: 09/13/95
Federal Way, WA 9800::i Buildi ng inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 03/11/96
ADDRESS:29505 21.5T AVE 5' Unit: 9
NO. : 422291.-0010
PROJECT DESCR I P E ION:ItECHANICAL - ADD (6) FANS
LAORELOOOD GARDENS I LARRY'S REPAIR
29505 21ST AVE S 19 I 514 N 103RD ST
FEDERAL WAY WA 98023 SEATTLE WA 98133
481-0412 ,
.0V6ii. 40R: :,1'.$: ' i
its CONTRACIONS_ WEE Ii. MAHON CODE 1712 WEIEW REPORTING SALES TAX FOR ROWS WITHIN ENE CITY OF ROM WAY. LAX RATE 7 0.25 "S
. ,
MEL TYPES.:? ? EARS..... .,.: i,, POIILPS/COWPRESSORS FEES:
GAS PIPING.: 0 ft HOOD..... ,,.: 1 - : . gJANCE .• $ 20.00
U 3 HP —: u ' '' ''' 'it':..''441tr 5ii* , ' '
FURNAOOK..: 0 MI WORK.....: u 3 I'' HP ' I. V ''-'i- ,':1* 14 ,.-1:11 , E FEES.* $ 27.00 I
' '"" .44 '''' ;77 , ,• r.-ij'- ,w44, #„, ,0, .,1
GAS HOF • 0 WOO STOWl0 g
,- . 0 ',-1r.„,! G '
towor ...,. 9 1,,,50 81. ,. 0, .,74A *='.z..-:In-qii7
COW! BURNER: 0
BBO " 0 not, - 0 c,4 0 _..: 0
GAS DRYLR..: 0 AIR100U.: I'. Nil TAOKS-------- -
RANGE......: 0 (40r,*(4 _ 0 ARPVt 00UN!': 11
GAS LOGS...: 0 N 10,404; ', IONDEPGROOND.: u
17
1 TOTAL FEES S 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 Hot Water Tank)
Inspection Record Water line or Mechanical Inspection Notes: 4)6=12. 1:4/4n) AcAcE:re_ o F= 14=1A)c, Co,
GAS PIPING OK Date/62-,A5ly Med t-4-0AA51A)(--) OCA-17L-1,-. 211-y . ?<IL(--".°1(
PERMITS MDR IOU DAYS MIER ISSUANCE II NO HURl IS SEAMED. RESIDUUM. AND GRADING PERMITS EXPIRE ONE YEAR MIER - E OF ISSUANCE.
I CERTIFY IRE INFORMION IORRISNIB KT Kt IS TRUCJ , , 4:,, 1 :„01. ...BY KNOWLEDGE MID INF APPLICABLE CITY i . EDE WAY REOUIRININIS Vat RE MI.
_i-------
4,
OWNER OR AGENT ,--;-.',-.„--,,% _ -,,, ,,,e(ls ___ ---- DATE ,-, ,..(.. „.. ,_:
_ „ 0
(e'(If ,e)
FIELD COPY \,
CITY OF FEDERAL WAY PERMIT NO: BLD95-0744
33530 First Way South 11 I (.: 1"h A k"°i .. . CPri I „. it") . P.m I 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: 9
NO. : 422291-0010
PROJECT DESCRIPTION:MECHANICAL - ADD (6) FANS
P= OWNER = ________________________________ = __=___ ___== _ _ _
�- CONTRACTOR LENDER --- i
1 LAURELWOOD GARDENS 1 LARRY'S REPAIR
1 29505 21ST AVE S #9 a 514 N 103RD ST 1
FEDERAL WAY WA 98023 SEATTLE WA 98133
4
487-0412 4110
LARRYR*081BS 1
= I = = = _ _-_ ...
xxx CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
_ __T
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
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
0 _____====_========________===__ ______=__ _ _ _ ==_=__ _
0
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
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 TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE c,:- -- ,....r--__
is
FILE COPY
City of Federal Way 4052,,, a", 5 /
C 40'OF -- 33530 First Way South S S
Q Federal Way, WA 98003 y A a. a 1t�i
WiFriV� 12061661-4000
APPLICATION FOR MECHANICAL PERMIT6Lifyi - 7'-!
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PARCEL # / a a +x 71 -00/0. Single Family LI Multi-Family?"---- Commercial o
SITE LOCATION: 4/e->4
Tenant/Owner: 5 c-L J /-6. Wi( '-'' Phone:
Address/City/State/Zip: o -,��.5r— r i 97--
Ale. --
_ -- S
Nature of work: `•:-/)---7,---'-c- -__;r 4-1 -- j Project Valuation: $ _``- --1
APPLICANT:
f
Name: C_ r'37,/✓� ` 5 /g',= ,,!moo_, ./-
Address/City/St/Zip: L, p( )C r -3 (t-- = /-:-/ /Z.2/1- 9 --, , 2)
Contact Person: [-,--2--7-",7 G�F').--1.---,?-) Phone: y�� 7 v(1/ 2-Fax: -5'- ----,--1 L'
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MECHANICAL CONTRACTOR:
Company Name: Le-27_/•,/7(f /��z�<=. .^%
Address/City/St/Zip: j 1 4 )
Contact Person: /-e't 11-'V. /(-6-' t-f----/k-t Phone: it --? -0-2/-1/)--f ax: -5--;<-1- t,--. (�
State L & I Contractor Registration #: Z,----7,t/'./'\/ C :- '4 ("1"...-1> fil 7_S Exp. Date: /,--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 6 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 74faI t)nit C 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.
Owner/Agent: '/f�� ���+'� - • Date: - // '9jl
• 0