98-100197 • gg.,/00/ 97
CITY OF FEDERAL WAY y tl p p N .,,p P ., q p PERMIT NO: MEC98-0017
33530 F i rst Way South Il 'I„” ", II°'"fl i�� r .,JI.,. ��M,,, il'° L.. !I;'„;..!I"' ti�"II .,.�, it
ISSUED: 02/03/98
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Federal Way, WA 92003 Mechanical Inspection Requests 253- 661-4140 BY: KLC
253--661—+000 EXPIRES: 08/01/98
ADDRESS :337O2 21ST AVE SW
NO. : 930100--0010
PROJECT DESCRIPTION:INSTALL 5 ROOFTOP UNITS WITH DROPS,
f== OWNER . •- -- CONTRACTOR - -- --- =:=__y- LENDER ------- --- --
! -FRED MEYER UNITED SYSTEMS INC I
33702 - 21ST AVE SW 1021 SW KLICKITAT WAY, STE 104
FEDERAL WAY WA 98023 SEATTLE WA 98134
503-797-3525 206-654-3340
UNITESI176RB I
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES-TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 9100 T FEES:
FUEL TYPES.:? ? FANS . 0 BOILERS/COMPRESSORS 1 MECH PLAN CHECK FEE $ 29.25
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 1 Mechanical Permit* $ 117.00
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 5 1 MEC PRMT ISSUANCE... $ 20.00
. GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 i
CONY BURNER: 0 FURN>100K • 0 30-50 TON...: 0 '-
• BBQ • 0 MISC • 0 50+ TON • 0
'"- GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS 1
RANGE,.....: 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 i TOTAL FEES $ 166.25
-
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: Mechanical Rough-in Date Gas Piping Date
MECHANICAL FINAL Date
PERMITS EXPIRE 160 DAYS AFTER ISSUANCE 1 _ 0 WORK IS STARTED.
I CERTIFY THE INFORMA N FURNI ED BY E S TR AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ._Lf J�J DATE ax '- q __
FILE COPY
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( TTY OF FEDERAL WAY PERMIT NO: MEC9O-0017
:43530 First Way ...;outh PIECI1ANICAL PERMIT 1AwD: 02/0..4/98
Federal Way, WA 98003 Mechanical Inspection Requests 253--661--4140 BY: KLC
25.3-661- 6000 - EXPIRES: 08/01/98
t ADDRESS:33702 21ST AVE SW
, NO. : 930100-0010
I PROJECT DESCR'PT TON:INSTALL 5 ROOFTOP UNITS WITH DROPS.
I FRED MEIER I UNTIED SYSTEMS INC
1 33702 - 21ST AVE SW 1021 SW 1LICEITAT WAY, STE 104
FEDERAL WAY WA 98023 SEATTLE WA 98134
5O3-1 ?-3525 206-654-3340
1*ITES1114111
***. CONTRACTORS, tItost USE tOCATIOR (00( 1/37 MEI REPARTEE SALES fAX rft, pooltcv; forum Hit CITY OF FEMME WAY. TAX RATE : 9.75 **I
PROJECT VALUATION 9100 EFTS:
FUEL TYPES.:? ? FANS... ... . : 0 UOILETISICOMPRES,''S KU PLA11 0IECE FEE i 29.25
GAS PIPING.: 0 ft HOD........ .: 0 0-8 TON_..*.: U Mechanical Permit* $ 117.00
FURN<100r..: 0 Nit I NORF. . 11 1-15 TON....: 5 NEC PRAT ISSUANCE... $ 20.00
GAS WWI • 0 141001) c TOVEe...: 0 15-20 TOR ..- 0
CONY BURNER: 0 FUNO100r......! 0 3u-S0 16 ...: 0
ARO . 0 NISC.......,... 0 504 ION............u
GAS DRYER..: 0 AIR HANDL LNG %ITT. FUEL TANKS--4,----
RANGE......: 0 (:10,000 CIO- 0 ABOVE GROUND: 0
GAS LOGS...: C 10,000 i.IM: 0 UNDERGROUND.; 0
I TOTAL !ELS $ 166.25
I 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)
IInspection Record: Mechanical Rough-in . , _ ,..,_ .. Date Gas Piping _ _ ____ . Date .
I
I MECHANICAL FINAL Oil, --C32,_ Date 6-0 -91
I
Pfr 41 11r RAYS AFTER ISSUANCE I ID NE IS STARTED.
1NIORMA 11,11111r1 VT IS TRW AID MEC TO ENE LEST Of NY P11011LENCI AO III PPPLICARE (111 Of TEOERAI WAY PIOUTNENNTS Vitt It NET.
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\ FIELD COPY
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City'of Federa ay
CITY OF , 33530 First Wac S uth lrpt. . ,
® _ (—= Federal Way, -4 98003 V
C1� (206)661-4000 ���,r_ Mk",
APPLICATION
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APPLICA TION FOR M% HAN/CAL PERMIT Gl e v
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PARCEL ' ° '00 0010 Single Family ❑ Multi-Family 0 Commercial 0
SITE LOCATION: MerTenant/Owner: i e(� Phone:
r � ' I, ' (/ l
Address/City/State/Zip: � U� ST 1 I AVv u uth ), es-- Fe;eil31 Wy1k' Wa q�1Oma`3
i\mak► C�wVIer su ttc9 t0 un► w/dr0 I0v t)
Nature of work: �� '� u Project Valuation: S
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
•
MECHANICAL CONTRACTOR:
Company Name: U(1(kr c(Lc9 Ju 5`2ANA • l-V‘C'
Address/City/St/Zip: IUs( 5.1A) KtiGk Wc'i Atte tU eaft--16 up. *X I37
Contact Person: �( I I Le���� L c-lt Phone: u(� 6J 1 3 .\-t° Fax: 9 (f (4
State L & I Contractor Registration #: 0141T(1%-)-1-- I t k 6 Exp. Date: 3 i qg
(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 Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
`tet `:tfi `cifiiiiit ss >>[ >::<::::: ::
Bars Wood Stoves AIC TONS T ai T
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: Date: