98-100696 T
CITY OF FEDERAL WAY PERMIT NiO: MEC98-0055
33530 First Way South ill I';;;. �c„” H e::! Nii ., W (..,:iict "», 11:::' E.H,� ., .
'61 ..,I ISSUED: 03/27/98
Federal Way, WA 98003 Mechanical Inspection Requests 253 .-661-4140 BY: FC2
2.53-661--4000 EXPIRES: 09/22/98
ADDRESS:34503 9TH AVE S Unit: 220
NO. : 750451-0050
PROJECT DESCRIPTION:HVAC - NEW VAV'S, RELOCATE VAV'S, MISC. DUCTING
= OWNER ----_. __._--, __:_._ ; CONTRACTOR ' -_-„ ----- ---- - T LENDER - __-__. -
PEDIATRICS NORTHWEST r MACDONALD MILLER
34503 9TH AVE S, #220 ' 7717 DETROIT SW t
FEDERAL WAY WA 98003 1 SEATTLE WA 98106 I
206-763-9400 I
MACDOM*248J9 _,_
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 24000 ' FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS 1rMECH PLAN CHECK FEE $ 60.75
k GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 1 3-15 TON • 0 i Mechanical Permit* $ 243.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0
BBQ.,......: 0 MISC • 0 50+ TON • 0 a
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS I
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 I TOTAL FEES $ 323.75
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)
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Inspection Record: Mechanical Rough-in Date Gas Piping Date
MECHANICAL FINAL Date
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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 AGENTS. __ f LL --_--µ-_-�- DATE ____(- ai_g
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Cir.(Or- f 33530 First Way South ' `#/5B303c:0.
0 REI Federal Way , WA 98003
\`\` (206)661-40W00
VV . " APPL/CA.T/ON FOR MECHAN/CAL PERMIT
�` (199 '' CCItg— baLIR cad
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ELOit f N R -4S1 —0CD50 Single Family 0 Multi-Family 0 Commercial
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SITE LOCATION: iOt�C�f CHCS Mop, •
Tenant/Owner: 6 1 IVC i I V VI—v�� ITS L 'n Sc7C : Phone4051:3) 83S— /o,
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Address/City/State/Zip: 3'15 0 k)3 q v -- S, ,7`- (/-9•`" , C.C, 4/5'003
/
Nature of work: WeU) (/412'5{ 0InCaJ'C I/1414/ vv[ SSC. 6'- ,e. Project Valuation: $ 2 '
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APPLICANT:•
A(V-A(f-- -)(VA\CA
ilName: ` c\il k��Jr
Address/City/St/Zip: C&are- C-1*' 1C;-.' -�
Contact Person: ` Y `r- KZ.C.- ,7.4' '‘ce_ v/--- Phone > TCY`47/1/-)Fa4)A0k 7—(S--- --((/(
MECHANICAL CONTRACTOR: •
VVI Company Name: U Y t 'A�.O�tUl� '�� Y V ll i l't_''"4- (0
Address/City/St/Zip: D 0 1 S L'--D c — T L (.9--1Y\ 9 )o&
Contact PersonY1.1vte-, �:
Jrt Ft�tP
: r( Phone: 2c -9to clllU Fax: 2CLr. 6 y///
J (7
State L & I Contractor Registration m: )M1 CDOw1 "r 2-4°�c1 Exp. Date: ! 1 /:7t- i3
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = I O,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 i Boiler 3TU/H Miscellaneous /
Gas Hwt , Hood '3 _ Boiler BTU/1-1 Other 4' U S - 3
Cony Burner Duct Work A/C TONS Other -
BRD'a Wood Srovcs AIC TONS • -•17cr-s.tff,f:1hurt
•
OISC rkIMER: 1 certify undo penalty of perjury that the Informedon famished by me Is true and correct to C,e bort of my knowfedpe and further drat I am authorized by the owner of the above
premioee to perform the walk for which permit.opllcadon is made, I further scree to save harmfe.the City of Federal Way-to arty d.im crod Bind carts,expense.and attomeri foot
. incurred in nveetieetlon and defense of such claim),which may be made by any p000ne ndudintl the urdervpned, and lied.cruet%he City of Fedorov Way but ordY whoti ouch+daim arises
out of the reliance of the City,ndudirc s of(icons
and employee.,upon the.eax.ey of the ntormedon.updiod to+he City r a part of'14°.pplie.tion,
Owner/Agent: jt�" '�_ q �- Date: CI