95-102533 , 9g- io1S33
CITY OF FEDERAL WAY PERMIT NO: BLD95-0781
33 530 First Way South il1 El:: Ili "'fi H .,, .. c 'h 11 L. IP ' . Ft. "h .,H,,. ,.I ISSUED: 09/27/95
Federal Way, WA 98003 Building Inspection Requests 661--4140 BY: FC2
661-4000 EXPIRES: 03/25/96
ADDRESS: 3611 SW 311TH LN
NO. : 058755-0140
PROJECT DESCRIPTION:INSTALL MECHANICAL APPLIANCES AND GET FINAL INSPECTION
f= OWNER -- = =====. _= CONTRACTOR =______ ----T- LENDER - _ = _ _i
HP & SSW ASSOCIATION CLASSIC CONTRACTING INC
12700 NE 124TH ST SUITE 206 PO BOX 309
KIRKLAND WA 98034 BOTHELL WA 98041
(
822-4174 822-4174
CLASSCI113P0
-. -- ______ x___a _.____= .. I = -.-.•
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 ***
x ....__._ .-_....=-=-x= T -• ._ _- 5..... -. _-- j
FUEL TYPES.:GAS ? FANS • 4 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 99 ft HOOD • 1 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 ( MEC APPLIANCE FEES.* $ 57.00
GAS HWT • 1 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 • 1 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 77.00
-----•-_---- -._____SS__. _. ._ SL-5== .. .. ._ .._=_. -' - -.-
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
-. -•-- •- .- ----
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORE 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 _._ .- ]_L 7
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City of Federal Way
CITY OF33530 First Way South
4 _ , �FFederal Way, WA 98003 6 L ` —07 3'
WrrY.
(206)661-4000 /
APPLICATION FOR MECHANICAL PERMIT
PARCEL it.OS-'^7 S5- —C 1 '40 Single Family ❑ Multi-Family 0 Commercial 0
SITE LOCATION: ,, �
Tenant/Owner: 4? ttW a' s s L• Phone:(006)822-41-I Li
Address/City/State/Zip: =r'o C1Af J Ca-eY l I ca,to /.361 sC-) i 1 e
Nature of work: Project Valuation: $
APPLICANT:
Name: Q-W'e(' -L- COt St(A kb►J CO /dcsc CoarAc416- . is
Address/City/St/Zip: r�1 p0 t4 12-Likl- Sf luLtAse 7O4 If.�'IMJ1) WA 9,9034
Contact Person: '&---e1C_ ttt titS6M/Pe4 F4114- Phone(2Z(3)S -2'074 Fax06)gz 1 ' LI-61S—
MECHANICAL CONTRACTOR:
Company Name: SE Ic>'6OVe
Address/City/St/Zip:
Contact Person: Phone: Fax:
State L & I Contractor Registration #: C4\5.5_1113 P 0 Exp. Date: lA-05-'9
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) 4/15: Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping 9 -1 ' Range I Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's Fans a Boiler BTU/H Miscellaneous
Gas Hwt I Hood I Boiler BTU/H Other
•
Cony Burner Duct Work A/C TONS Other
BBQ's
Wood Stoves e
A/C
TONS ...................
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: ?5\-,JQ-' V --- , Date: C1 —2-7—9' S