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CITY OF FEDERAL WAY ""`� „„ PERMIT NO: BLD95-0718
33530 First Way South M �'_ mE. ,,. H r „., 't,,,"
N . . -A y.,,,,,. ':;;;,.U.i .31,1 ISSUED: 09/12/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 03/10/96
ADDRESS:31217 PACIFIC HWY S
NO. : 082104-9017
PROJECT DESCRIPTION:HVAC ONLY - ADDITION OF (1) 4 TON & (1) 6 TON UNIT.
F= OWNER ----• •._ ___ __.____ _ CONTRACTOR - ••--i- LENDER • = •• p
I QFC 11867 EVERGREEN REFRIGERATION INC
31217 PACIFIC HWY S 727 S KENYON 1
FEDERAL WAY WA 98003 SEATTLE WA 98108 1
11 455-9000 1 763-1744 1
IEVERGI*201D7
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
__.________- •• •- = =-. _0_.__. ,- ,� ==--
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS 1 FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 PLAN CHECK FEE $ 13.25
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 2 MEC PRMT ISSUANCE... $ 20.00
GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0 MEC APPLIANCE FEES.* $ 33.00
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP • 0
IGAS 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
Il
TOTAL FEES $ 66.25
__ -- -- __- _ -. _ ._ ---- = --•-----______ _
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:
IGAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE-IF NO WORK -START I R . , NTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATIOU FU SHED ,RIE IS TR ,AND C;:e " T T1 BEST OF NY KNOWLEDGE AND THE APPLICABL CITY OF ,€DERAL WAY REQUIREMENTS WILL BE MET.
f (
OWNER OR AGENT 2 c� -- DATE ct l?__-
ALE COPY
City of Federal Way
CITY OF , 33530 First Way South
_ • E; Federal Way, WA 98003 B05-0-i-(6
(206)661-4000
Al fY 01lFPoR MECHANICAL PERMIT
SEP 0 5 1995
PARCEL it. Single Family 0 Multi-Family 0 Commercial,
GITBUIL.DING DEPT.F FEDERAL AY
SITE LOCATION:
Tenant/Owner: Pre Phone:
Address/City/State/Zip. 3I 21-4 F'Ac�(``C `m'1, S - �'�` �� ,.-tij ,, vJ4 `te.c...,1:„-..
Nature of work: ftVrtic- . C'tcAt- c `='`--.-- -.tc ^rL Project Valuation: $
APPLICANT: /�
Name:
?G.i2 �: /2+C 2;G--. .4k ,;= j(.. -
Address/City/St/Zip: .32 ('r�Jj—cam. S r' `z-z-cam --.......4, >u(e
Contact Person: !`c 1 cf-tAFt.." c_ 1<tz`t Phone: f�3 f tfw Fax: t - 2 34b 1
'MECHANICAL CONTRACTOR:
Company Name: ` c� oto`G--�]?s4zt f�C_
Address/City/St/Zip: -72 e.`NN-4,_,.`'n./ cz Y' 4 `-'1 -,(e-,:,
Contact Person: /k-Z' i't-tA--� CE e-P Phone: 6 s 44`'` Fax: .76 71 •Z_S E`7
State L & I Contractor Registration #: Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer ,---" Air Handling < = 10,000cfm 2- Fuel Tanks: -
Length of gas piping N(A Range ,-----"" Air Handling > = 10,000cfm Above Grgund"
Furn <100K BTU's ___- - Gas Log .----- Unit Heater - UAderground
Furn >100K BTU's-----` FansJAI Boiler sSTU/H Miscellaneous
Gas Hwt .____------- Hood ,--- Boiler -'_ BTU/H-
Other
Cony Burner ,„---------- Duct Work A/C TONS Other
BBQ's .
�__
Wood Stoves
A/C �
TONS ;j-�».'>:< :.e>: : <': > �> <<:>.s
tut t3ntt Count
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 theersigne• •filed against the City of Federay Way but only where such claim arises
out of the reliance of the City,including its officers a ployees p n the accurac he info on euppl City as a part of this application.
C,.-- ,..,
c't
, C cy�
Owner ant. Date:
1110 0