95-102431C 1 TY OF FEDERAL. 1L. WAY PE fkMl + „w : 15LD95-0763
3a530 First, Way South MECHANICAL PERMIT I1.>.` I IED: 09/26/95
Federal Way, WA 913003 Building Inspection Requests 661-4140 BY: FC2
EXPIRES: 03/24/96
661.--4000
ADDRESS:31.2.11 PACIF CC NWY S
NO.: 082104-901:3
PROJECT DESCRI P I" ION : aech - add duct vork.
r OWNER CONTRACTOR ---.a LENDER --.__ .•�sna�_
[ BLOCKBUSTER MUSIC i fOUSNEE : ASSOCIATES �- SEAFIRST BANK
31413 PACIFIC HWY S PO BOX 3767
I FEDERAL NAY NA 98003 BELLEVUE NA 98M WA
}- 776-6006 746-ION
iiWIAti15slei� �1
CtT3ARRS� ui.YC=nc.:IAA-J-oidi4lp.P.'G�'.��... til��-�sK 1Mr3K::�__':�ww�asrrw Si. Y....wa.a. �...•__•- _. .• .. ti.. .:.:._'..'.::lSi•�c��'_F�f L•L�cS:ff C- ��c:':=:-:f-:-.•. _^.I6i":.:'-:'»=F�a'�C K-c .s: -:.. :'�.:.�-�a a:��--� �ish�!
m CINITMCTORS, PLEASE V% LOCATION tebC 1112 MH KiPORT106 SALES TAX FN PINECTS 111111 THE CITY Of FEKHt WAY. TAX RAFE = 8.25 ns
.-r-
[ FUEL TYPES.:?
?
FANS...........
U
[ GAS PIPING.:
0 ft
HOOD ....... ._ :
0
j FURN<1OOK..:
0
DUCT "Pr .....:
1
GAS HWT....:
D
+i00T) STOVES...:
0
CONV BURNER:
0
FURK, 01...
u
8B0........ :
0
HISC..........
0
GAS DRYER..:
0
AIR IKXI Ll% UNITS
RANGE......:
0
<:10.9m C" :
0
GAS LOGS...:
0
> 10,900 (fit:
0
SDlllkSf rn�f►f!f55ryP�
0-3 HP. ..... 0
3� }WF........ 0
F1�EL TAHI;5-•--....
A9G'�I: GTtO�]flWi: g
UH1}0690mb.: 0
FEES:
IEC PNN1 W.KRCE... = 20.00
N4 APPtIWE FEES.# $ 6.50
I'ts'N CkI.CK FLL $ 6.63
TOTAL FEES S 33.13
.cr+arrcarns��z:.•ra::e-n. �r�cx �reerr :ire: .----ecsn �crr--care-��t=:-��:sr-, �..+�r�r.a:^c::c _���=�z�c�=-�:: -�=:: •-�:._ _:.:-=--=::..._...: ��...-�:�----:-cc..::�::--.-,__._�y:z_.«:rf•-_.—��»mom_-_Qu��rva�rss�rc r.rr�
Does the eater supply systesa contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then vater expansion tank is required on Not Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
ji GAS PIPING OK Date .,.. By
Fis. ca��.r.�,ir nc�nnu craavea�orarr�a�F=�x�.�:xzacrosmcaa�e.nss�nsra��-`=nsr- r-rtvns,:acnsrn=rene7rr__:.:.tom.-xe�c+3-.-ss=ire a_a-.r»�r_i�scx-rsas:rc==�sr���caaar.= .�-=��r�mcosr is�ar..xz +era-�a�- •e;
pE"ITS [DIRE 18U DAYS AFTER ISSlkWf. IF ILO IIORI IS STARTED.
I CERTIFY TNt. tiff ONMATTf URNTSM10 By ME I5 TRUE an 90RECI
OWNER OR AGENT'
RESIKNTIAt AND WIK PERMITS EIUIRE OW 10N AFTER DATE OF IStil1AKf-
10 IK DEST OF NY KWOMLEKj AM6 THE A1'KIML CITY OF FEDERAL WAY REOUIRLKINIS PILL it KT.
FIELD COPY
DATE
SETBACKS & FOOTINGS
Date
By
FOUNDATION WALLS
Date
By
PLUMBING GROUNDWORK
Date
By
UNDERFLOOR FRAMING
Date
By
SHEAR WALLS
Date
By
PLUMBING ROUGH -IN
Date
By
GAS PIPING
Date
By
MECHANICAL ROUGH -IN
Date
By
MECHANICAL (OTHER)
Date
By
FRAMING
Date
By
INSULATION
Date
By
G WB - 'I ST LAYER
Date
By
GWB - 2ND LAYER
Date
By
SUSPENDED CEILING
Date
By
PLANNING FINAL
Date
By
ENGINEERING FINAL
Date
mommoom
By
FIRE FINAL
Date
By
BUILDING FINA,
Date
By
OTHER
Date
By
OTHER
By
CDO193
CITY OF FEDERAL WAY
33530 First Way Sough
Federal Way, WA 98003
661-4000
ADDRESS:31217 PACIFIC HWY S
NO.: 082104-9013
PROJECT DESCRIPTION:mech - add duct work
�= OWNER
BLOCKBUSTER MUSIC
31413 PACIFIC HWY S
FEDERAL WAY WA 98003
776-6006
Building Inspection Requests 661--4140
CONTRACTOR =========
FOUSHEE & ASSOCIATES
PO BOX 3767
BELLEVUE WA 98009
746-1000
FOUSHAC158DD
PERMIT NO: BLD95-0763
ISSUED: 09/26/95
BY: FC2
EXPIRES: 03/24/96
LENDER
SEAFIRST BANK
WA
t_= CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES
TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE
= 8.25
sn
FUEL TYPES.:?
? FANS,.......,.: 0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.:
0
ft HOOD..........: 0
0-3 HP.....,: 0
MEC PRMT ISSUANCE...
$
20.00
FURN<100K..:
0
DUCT WORK.....: 1
3-15 HP.....: 0
MEC APPLIANCE FEES.*
$
6.50
GAS HWT.... :
0
WOOD STOVES...: 0
15-30 HP....: 0
PLAN CHECK FEE
$
6.63
CONV BURNER:
0
FURN>100K.....: 0
30-50 HP....: 0
BBQ........ ,
0
MISC........... 0
5+ HP...,..., 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
$
33.13
s 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:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION jURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
a Cj G
OWNER OR AGENT yC12 ------------------------------------ — DATE
FILE COPY
CITY OF • City of Federal Way RECEIVED,
33530 First Way South
- ®- r Federal Way, WA 98003
(206)661-4000 SPP 2 01995 If
APPL/CA T/ON FOR MECHAN/CAL PER CITY OF FEDERAL WAY
M/T BUILDING DEPT_eCVq5
PARCEL ft- Single Family Multi -Family 11 Commercial 11
SITE LOCATION:
Tenant/Owner: /3/0 lu) l or 4,( r,' � , " Phone:
Address/City/State/Zip: P4 f/i ll,'a4 s 1 �
Nature of work: '�'� f i��Q f «_ram E? i`S �� u c ', ii' s Project Valuation: $ occ-, o
APPLICANT:
Name: S�= C �'•
Address/City/St/Zip:
Contact Person:
MECHANICAL CONTRACTOR:
Company Name: Z_ /q
hone:
Fax:
Address/City/St/Zip:
Contact Person: f'✓` ��'� �a Phone: `� L l 5 j Fax:U�
State L & I Contractor Registration #: — �i ` �` Cr_" 2 Lk Exp. Date: (, —/"It'
(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 > = 10,00ocfm
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
Conv Burner
Duct Work
A/C TONS
Other
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: ,, z�G�%% �.�r��� Date: l S