98-103671 ;;;7o3 (O "7/
CITY OF FEDERAL WAY � p N P PERMIT NO: MEC98-0212
33530 F i rs t Way Southh ll..;.;. .. HI ii',,, ... . H N„w., E �,
"� �" . 4d' „ ` "�I,ti'"ii .1. ti ISSUED: 09/24/98
Federal Way , WA 98003 Mechanical Inspection Requests 253-661--4140 BY: FC
253-661-4000 EXPIRES: 03/22/99
ADDRESS :2101 S 324TH ST Unit: CLUB
NO . : 162104-9037
PROJECT DESCRIPTION:HVAC - INSTALLING NEW EXHUST FANS (3)(REPLACING), ONE HOOD AND ELETRIC FURNACE.
r OWNER --- T CONTRACTOR ------ .__.__..___...___ __.. LENDER -_._
BELMOR GOLF & COUNTRY CLUB G & M MECHANICAL CONTRACTORS
2101 S 324TH ST, CLUBHOUSE PO BOX 6147
FEDERAL WAY WA 98003 ) KENT WA 98064 }I
838-0517 630-1932
GMMECC*113BT
_�.._._.__...__..-._.- ___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 7600 FEES:
FUEL TYPES.:GAS GAS FANS • 3 BOILERS/COMPRESSORS Mechanical Permit* $ 99.00
GAS PIPING.: 0 ft HOOD • 1 0-3 TON • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 TON • 0
GAS NWT • 0 WOOD STOVES...: 0 15-30 TON...: 0
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
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 119.00
__ 1
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 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME I TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CIT OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENTi. _,f�- `, ` DATE E
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33530 First Way SoutSouth\)\> FI)" 2 4 199 Federal Way,WA 98003(253)661-4000
REF
R 'g4 lig 8-D5 Fax(253)661-4 129
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APPLICATION FOR MECY12 �VICAL PERMIT
n MEG -
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PARCEL# /01f- 903 7 Single Family 0 Multi-Family 0 Commercial'
SITE LOCATION
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Tenant/Owner ab E 1.4\1-01L"--.1" 0 �►r L _-- 16 A lc Phone 3S —v S
Address/City/State/Zip ( °2" S • 3 2-1
a
Nature of Work/'u 5 TA L�- 3 EY/44(46 T FA- ' • E41.---6-066- 1-(.Q��o)JC Valuation7: $ CSD 2
APPLICANT •
Name
Address/City/St/Zip
Contact Person— Phone --Fax
MECHANICAL CONTRACTOR '/
Company Name �� /`?,�e/71/9 i( C L COtiTfA £ o/� S -
Address/City/St/lip PO . 40 T 7 /rEi() (( w 4 gO th�` ,
Contact Person
4Dti-,c) __TAw , Phone 253 630 (932Fax 2-536Eo-73
State L&I Contractor Registration# /LI t= 1 r 3 2 r Exp.Date //S65/ 9
(Card must be preaentcd)
MECHANICAL UNIT COUNT
Fuel Tjpe Cgxs/othcr) E.,..'''-''' '.•._..._ .. .
t C. Gas Dryer --- Air Handful 000r.fm __fuel Tanto: _
Length ofgaa piping Rat cn c Air Handling —10,000cfm Above Ground
rum<100K BTU's I ` tet`" (sae Loft Unit Heater Underground
Furn>100KBTU's Fans 3 _ Boiler BTU/H MinoolIrtttzous
Gas wt Hood j Boiler ETU/H Other
ConVxurner Duct Work AIL' TONS Other x+>
7
AIC TQl5L5 _a'lYr- '6'af#mount i eF
PRS e �-------- — -- .._--. ___ .�—
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trndti piney or pc/jury,tilt the hlfotmation(to ohed by me is true and correct to the test of my Srnmvledae tutu farther that 1 ern authoaYf✓S by the owner of the shove ptttuf to perform the WA
for which
p tit S pphoa P°� coats.c end attom fora iuvfrcd to investigation and dcfrnsc of such claim).which may be
for per[NS aplmliwtian u mads.I fupRc agru to save harmless the City of Falaal Way a to any claim Cuaehmding xyaua, °Y".
made by any pal*on,inducting the undersigned,and elect against the City of F,Acray Way but Only whale 6ttrtt claim eriaaa out of the retiance of the city,including id offioers end employCee,upon the eoetraey of the
t.founatlCet supplied to the Cly ase part of this appticebott.
7' 'e/--/?C g _
Owner/Agent---- -- . ---(---.--- V)-1------ ------- ------------ Date
mscgAvp
ltevraen 8/15197 '