95-101028 lbi °(;)-8
CITY OF FEDERAL WAY First Way South �� N I LA L PERMIT PER ISSUED: 05/19/95MIT NO: 8Q
33530a 9C.
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY : KLC
661-4000 EXPIRES: 11/15/95
ADDRESS:2156 S 314TH ST
NO. : 092104-9053
PROJECT DESCRIPTION:MECHANICAL ONLY - RELOCATE (1) ONE HP CONDENSER TO ROOF.
= OWNER CONTRACTOR LENDER = 9
LA PETITE FLOWER SHOP ELECTROMATIC SALES/SERVICE INC 1
2158 S 314TH ST 800 MERCER ST
-EDERAL WAY WA 98003 SEATTLE WA 98109
454-4245 624-3370
ELECTI*233NE 111
1 1 - -I
*1* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 :u
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 • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 9.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
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: 1 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 29.00
III
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 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 FURMISHE BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
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_ _
• City of Federal Way 0 ,
CITY OF �--- 33530 First Way South
__ - 1----
Federal Way, WA 98003
(206)661 4000
APPLICATION FOR MECHANICAL PERMIT
PARCEL tt• Single Family ❑ Multi-Famil ❑
Y Commercial ❑
SITE LOCATION:
Tenant/Owner: L a l'e.7L, 7 i' i. ec- �`e. Phone: 5 75—:F5
Address/City/State/Zip: //-2-45-6 Sas 3/ 17q ��
Nature of work: /4'/cCa1'i° 6a t1v��'?l
� /c) irc--/ L-- Project Valuation: $ S��l 00
APPLICANT:
Name: E/eC I7J/
^Gi??l1/1�c /5 V` '/-l/i`ems —737C:.
Address/City/St/Zip: .g.) . /''G e,— c7'/ Sea.7g 140 P`S'c 7
Contact Person: Acito7 j/ - Phone: �P r- ,.
---7 ' �p� —‘14
Fax:
MECHANICAL CONTRACTOR:
ri ),
Company Name: /S /Jo
Address/City/St/Zip:
Contact Person: Phone: Fax:
State L & I Contractor Registration #: �e'C �/r . cZ r�
Exp. Date: I/.57 ---
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer y 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 /sir (cmch,,)//ce;
Cony Burner Duct Work A/C TONS
Other
t tBBO's Wood Stoves A/C TONS tat?ntf aunt
—
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: ,3-- i 1--
0IP .