95-103040 q5—/C3040
CITY OF FEDERAL WAY PERMil NO: I3L1)95-0913
33530 First Way south 1C.Ctintr4ICAL PU1113: I ISWE D: 11/09/95
Federal. Way,, WA 98003 tiii 1,13.wi i t I-,p e c€i o n Requests 661 4140 BY: FC2
661- 4000 EXPIRES: 05/07/96
ADDRESS:33801 1ST WY S Uni 1,: 261
NO. : 926504013U
PROJECT DESCRIPTION:MECHANICAL - MOVE DUCTING t DIFFUSERS
1 DAVID LARSON I PSF MEHAHHAL, INC
1 33801 1S1 WAY S I 9322 14TH AVE S
I-- FEDERAL WAY WA 98003 SEATTLE WA 98108
455-9292
764-9663
PSFME1*09NZ
*** CONTRACTORS, PLEASE USE t0441100 LODE tfl? 4fft# RIDolgiNG SALES TAX FOR PROJECTS NUM ENE CITY OF IED(RAt WAY. LAX RAPE : 8,25 *1*
1 FUEL TYPES.:? ? FANS..... „..: 0 )11.ERS,(000RESSOR ,,,,4,g, FEES:
GAS PIPING.: 0 ft HOOD . V 0 4 HP . , .: u ..- ____ _, ,_ , , , • , '4! • ME_ $ 20.00
4.A•-•,-..x-- .1. -.0.-,-rx, 0:-,4,,,P4 ‹c,•Iroydo
FURN(100K..: 0 DOC1 Wok i 3 5 PP. ... 0 ,,''' *:''17 4. E FEES.* $ ' 6.50
'", , . ,..----** =
1 GAS NWT • 0 WOOD ',10v1s. .: 0 I' 40 HP.„..: 0 ',Y=.4s,. ,IV I, A,1,;,, --1::1
--..
v„
1 CONV BURNER: 0 1011'100r : 0 3G 50 HP .." 0
1 BBQ • 0 misc. .., _ 0 5+ AP ....: O.
1 GAS DRYER..: 0 All, wittli., 0#11, fL111 TAW—
I RANGE • 0 <1°'''l ("1. UJ48i G0010
, u
GA3 tOGS...: 0 ) 10,000 (in: li 01,0,E,
1
TOTAL FEES $ 26.50
1 Does the water supply system contain 1 Pressure Reduction Device or deck valve? 11 Yes 11 Ho (If *Yes" then w. er exTnsio Ink is requireo on Not Water lank)
1 4 .)
Inspection Record Water Line OK chain! /ippfetio Notes:
1fi
t 01
I GAS PIPING OE J441 \ LI(9- Hv 44
..oe 4
PERNIK EXPIRE 180 DAYS iflik FSSUANcf IF MO WORK IS STARTED. RISIDtD114 AND GRADING PERMITS EXPIRE ONE YEAR AFIER BA1 01 ISSOANCE.
I CERTIFY 11W INFORNAITON I ISNED_BY-411- ' TRUE AND CORRECT TO THE IIESI Of NY KNODUDGI AND THE OPERA E CITY OF FEDElla WAY RLOUIRENEN1S Vitt VI NEL
OWNER OR AGE • Doi i.„,....._ (ay/ \ \..-•-_--i c. i
FIELD COPY
CITY OF FEDERAL WAYPERMIT NO: BLD95-0913
33530 First WaySouth
'"i1Cr::Cl li., 1'"''Y °'' :'.. K"".::A u �'1.... 11""'kt". ,. ,.M .I. „'1 ISSUED: 11/09/95
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 05/07/96
ADDRESS:33801 1ST WY S Unit: 261
NO. : 926504-0130
PROJECT DESCRIPTION:MECHANICAL - MOVE DUCTING & DIFFUSERS
r= OWNER ---- ----- -•--- CONTRACTOR ----- -- --- LENDER
1 DAVID LARSON I PSF MECHANICAL, INC 1 I
1 33801 1ST WAY S I 9322 14TH AVE S
FEDERAL WAY WA 980031111
f SEATTLE WA 98108
455-9292 764-9663
PSFMEI*090N2
__* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 :s:
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS 1 FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 1 3-15 HP • 0 MEC APPLIANCE FEES.* $ 6.50
GAS HWT • 0 WOOD STOVES....• 0 15-30 HP • 0 d
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 6
BBQ • 0 MISC • 0 5+ HP • 0 1
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS 1 ,
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 t
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
--- TOTAL FEES $ 26.50
410-
-
-- --------- --- -- --- ..._-..:r».. •---.__-c-_.r..._
, »..-----.-.. -•-__.._._ _ » .I...........c ..... .. .- ......_.- ...-_-........,..-»_.........
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) 3
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS TER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATI N FURNISNE, 'E,;,,,��pTRUE AND CRRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGEf _ _ _ DATE --__i •-\--tti ` 1- 9
FILE COPY
City of Federal Way
33530•
45coq5 -G� /3
CITY OF �- First Way South
® Federal Way, WA 98003 t
---___—_-_-_ F&_.—EIETKFIll_ (206)661-4000
WicwECEIVED
APPLICATION FOR MECHANICAL PERM
NOV 0 91995
PARCEL it. 2 1 0-' d, -7--)r) Single Family 0 Multi-FamilkilpyOF FED AnI gal G]/
BUILDING DEPT.
SITE LOCATION:
Tenant/Owner: ASI 1---- -le--- c ----1 Phone:
33, tr--- -T- k.3`/ 5. 4 2(.47)
Address/City/State/Zip: , % or'..--,1-- ,- -00 I
- \ �'ae /L��a tA-iT Project Valuation: SSI � �
� 0.)Nature of work: 1
APPLICANT:
Name: `1,t; _�.-_2�^ = L
Address/City/St/Zip: -2----- 1,,-4-- -e -k/r____, `7--,-`7--,- 10e
6}—b ,. .,,,A.,._,. a ' tti—X 6✓L
Contact Person: t 6 r-1 1-V --le---1-y Phone -1. 4)4.---9-� Fax: -P
/ -1 Cot dig
MECHANICAL CONTRACTOR:
Company Name: 6 f ''eS Th ' -E V
Address/City/St/Zip:
Contact Person: vA-'t-_, 4,--Th "4-----0-- Of - Phone: Fax:
State L & I Contractor Registration #: :'' 4-1 V'S---; --X--- ,===.•=21-c----, F-1- Exp. Date: s - -Cp
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) (--...VA Gas Dryer L.l/--. Air Handling < = 10,000cfm W/4,Fuel Tanks: {-.l
Length of gas piping Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's 1 Gas Log1)/ Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Workd� 4 ° A/C TONS Other
ggQ's \11/ Wood Stoves �e::Nv 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 ofsuch 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.
n
Owner/Agent: _ Date: \ r .L `-1 , ti `=1.G1.S--