98-102540 -
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CITY OF FEDERAL WAY yy ��,.�,'� ll d p r p PERMIT NO: M C98-0155
33530 First Way South MI lM.�u L Hid'';" N I. (.., if. L.. P E,.II"'i w .li,,. II TISSUED:E07/09/98
Federal Way , WA 98003 Mechanical Inspection Requests 253 -661- 4140 BY: FC2
253-661--4000 EXPIRES: 01/04/99
ADDRESS:1414 S 324TH ST Unit: B210
NO . : 150050-0080
PROJECT DESCRIPTION: move grills and vent bathrooms
FAWNER -- -- 8 CONTRACTOR - T LENDER ----
FEDERAL WAY MIRROR AMBIENT CONTROL CO INC
1414 S. 324TH SUITE 8210 1020 S 344TH STE 203
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
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253-946-1457 253-661-5844 j
AMBIECC101PWI
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t** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.25 ***
PROJECT VALUATION 1200 ' FEES:
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 36.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0
GAS NWT • 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
GAS 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 TOTAL FEES $ 56.00
I
J 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
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION F)JRNISHED Y 11E 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 ` 78
FILE COPY
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c ITY OF FEDERAL WAy .„, PERM1 T NO: MEC98-0155
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11E(7.: HANICAL PE"Rtli r ,,,,,,,,,L,), 0A/p9/),;-tys t, A
ede ra I Way, WA 91(00 3 Mec hani cal Err pcic tion Requests 253 -661 -4140 Pr: rt 2 7 0 -
.14? 3 -661 4000 I XPIRI. '..: 01 /06/f,P4
ADDRESS:141.4 S 32411-1 '‘..; 1 llni t: 8210
NO;: 150050 0080
pRoJEc.I" DESCH'R 11011: .ove grills and vent bathrooas
1 FEDERAL NAY MIRROR AMBIENT CONTROL CO INC
1414 S. 3241F1 SUITE 8210 1020 STE 203
I fS 344TH rDERAL NAY NA 98003 FEDERAL WAY NA 980013 REVIEWED UNDER 1997 BC
253-946-1457 253-661-5844
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us CONTRACTORS, PItASI USE tOCALIOR COM in, MN REPORTING SALES TAX FOR PROJtCIS VITRA III MY Of FLOTRAI HAY. TAX RAIL : 8.25 1,4
1 PROJECT VALUATION 1200 ...--,,, .„
s,v, -: - - , 4 FEES:
: FUEL TYPES.:? ? FANS ':li41i 8011,0StSONPREAM, ,,,5.! , :„,,_ , , ,, , ,, ,, mainical PerNit* $ 36.00
' 8 * -,, 11 ,...,,, , - ' 0u poy ISSUANCE... 1 20.00
1 GAS PIPING,: U ft HOOD......,..-.v.1 ,IT '---114- T ..* , , ,, t ,,, , ,, ,,
1 "P"1"-: 0 DUCT /"Pt.::"I''''t' ' - 345 10.4;:' 6
GAS NWT . 0
CONV'BORNER: 0
11K... ...
GAS PRtR..: 0 WOOD STOtIt.::: -0:, - 15,30 PH.::-:—IY
rumbiuot..3„..t,, 0'''''''' - -r, 4°1011,
i4t:',Iv
.: 0
rust......,:..:' 0 ' i- * 100.#
AIR HANDLING MIS, tOti ISITTK -•_*,,,,'‘
RANGE......: 0 <:10,000 (St fl ROVE gi:00RD: 0
GAS LOGS...: 0 ) 10,000 CM: 0 '',OINDIPGROUND.: 0 IOTA( FEES $ t,6.00
1 Does the water supply systel contain a Pressure Reduction Device or Check valve ( ) Yes ( ) No (It "Yes" then water eq/ansion tank is required on Not Water Tank)
1 Inspection Record: Mechanical Rough-in ________ Date as Piping _ __ ___ „„_„_,_ Date _ „, __ _
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MECHANICAL FINAL (gIc 71)A, Date
r 441,11IS EXPIRE 180 DAYS Alla ISSUANCE if NO MI IS STARTED.
I CERIIIY Int INIORNAIION fORNISOLD.DUNE IS IRtfl AID EORRECI 16 101 NtS1 Of NY IINORLINCE ARP JOE APPLICANLE CIIY Of ROMP NAY RIOUINENINI Will 81 Ittl. 1 :.._-:
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plOTER OR AGENT , ,-- ./,/ 7- (78 Jr
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. FIELD COPY
CITY OF BUILDING DIVISION
•
EO 33530 First Way South 1
'+ Federal Way,WA 98003
W V /� (253)661-4000
Sr± �G0 v Fax(253)661-4129
APPLICATION FOR MEC NICAE PERMIT
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C' BVllrurl�$VIED Nc'DEP MECO 'El,_ 9')S S
PARCEL # /•)03—kp `0060 Single Family 0 Multi-Family❑ Commercial Er
SITE LOCATION /^
Tenant/Owner ( -e / icer- Phone 3 5S' -/`,e '?
Address/City/State/Zip /4147'r S. 3 i 5"7"'--) 5/. 5 :A10/
Nature of Work M cu e- Grr'L(eS / Uk yt k. i - S Project Valuation: $ �, U 0 0 U 0
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone Fax _
MECHANICAL CONTRACTOR �`
Company Name ✓✓1 /C'✓6 e, C t)r� 2n` 1 �vl c
I0 n St 34/(i* t5' 5? �O
Address/City/St/Zip � � ..3 -
Contact Person Pc—j0 (-A---)9 1/ Phone c;2S _ 6 6/-3 Fax �s —46/- -U J
State L&I Contractor Registration# A rq re la(:-c--1(2c I P4-1..2 Exp.Date <D--''' P
(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
Fum<100K BTU's Gas Log Unit Heater Underground
Fum>100K BTUs Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
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RRQ's Wood Strives A/C TONS i`FAtattli i'E30At2i i:::`:i* `: :: ::<o:::3>:
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 attomeys'fees incurred in investigation and defense of such claim),which may be
made by any person,including the undersigned,and filed against - ity 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 lication.
,"/V
Owner/Agent Date / / rg
MECn.APP
Ravrsm 8/26/97