95-102596 t� �. _
3�530oFirsD�Way South �`��;'�,�. �""��"��.,�'�...�`� �,� ���'�,�.�. .u�,. I�ERISSUED: BQ/23/95QC1
�eGeral Way, WA 98C1C13 k�uilcling Inspection Requests 66"l�-G140 BY: F'C2
6b1-40qn EXPIRES: p4/20/96
ADDRESS:33702 2�.ST AVE 5W
N0. : 242�.03-9C199
PR0,7ECT DESCftIPTION:MECHANICAI ONLY - IHSTALL ONE 2 TON UNIT.
�= ONNER ===�aaaaQaa�zz_�z���==_==__=====a�==��===��r=�sn�ns�_ CONTRACTOR ��_���,_____���__�=�=W=��-=_____====-z����a=-� LENDER _________________________________��:�_s=��ax===j
� FRED MEYER � KEY MECHANICAL CO OF NA I
� 33702 - 21ST AVE SW 19430 6BTH AVE S �
� FEDERAL NAY NA 48023 KENT NA 98032 I
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503-232-8844 872-7392 �
( KEYMEW�240N1
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�i# COMTRACT�tS, PLEASE USE LOCATI01! CODE 1132 NREN REPORTIM6 SALES TAX fOR PROJECiS IIITNIN TNE CITY OF FEDERAL NAY. TAX RATE = 8.25 =r=
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� FUEI TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS FEES: f
� GAS PIPING.: 0 ft HOOD........... 0 0-3 NP....... 1 MEC PRMT ISSUANCE... $ 20.00 I
• • o, :ila'n�n. •.' e �`n'wA 3<.-v�....M-�k:ti -�:Skn'r E9
� FURN<100K..: 0 DUCT IiORK.....: 0 3-15 HP.....: 0 ��a MEC APPIIANCE FEES.x $ 9.00 �
� GAS HaT....: 0 NOOD STOVES..,: 0 15-30 HP....: 0 �� PLAN CHECK FEE $ 7.25 �
� CONV BURNER� 0 fURH>100K...... 0 30-50 NP..... 0 � � � �� � �
BBQ.. � 0 MISC.. � 0 5+ NP.. � 0 �
GAS DRYER..: 0 AIR HANDLING UNITS FUEI TAHKS--------- � ` �
RANGE......; 0 <-10,000 CFM: 0 ABOVE 6ROUND: 0 �
GAS LOGS...: 0 > 10,000 CFM: 0 UNDfRGROUND.: 0
� TOTAL FEES 3 36.25
�
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>es the uater supply systep contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then uater expansion tank is required on Hot Nater Tank)
�
� Inspection Record Water Line OK __________ Mechanical Inspection Notes: ________________.________________________
�
� 6AS PIPING OK ---------- Date ______ BY _____.. __---..-------------------------------------- �
' ---
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PERMITS EXPIRE 180 DAYS AfTER ISSURNCE IF MO iIORK IS STI�tTED. RESIDENTIAI AND 6RADIN6 PERMITS EXPIRE ONf YE�t AFTER DATE OF ISSURMCE.
I CERTIFY TNE INFORMATIOM FIbtNISNED B1f ME IS TRUf AMD C�tRECT TO TNE BEST OF MY KlbilLED6E AMD TNE APPLICAHLE CITY Of FEDERAL YAY REQUIREMEMTS MIII BE MET.
`',_' ._=
OWNER OR AGENT -- -_ .--�----_.,______......______________---------_____ DATE �O_�-�' �S_____
FIIE COPY
qs- 105-9 ,
CllY OF FEDERAL WAY PERMIT NO: BLD95-0800
33530 First Way South NEC HAN I CAL P 0111 I T ISSUED: 10/23/95
Federal Way, WA 98003 Building Inspection Requests 661 -4L40 BY: FC2
661-4000 EXPIRES: 04/20/96
ADDRESS:33702 21ST AVE '-'1,4
t/i;49
NO. : 242103-9099 DK boplc -040e7
PROJECT DESCR I P I ION MECHANICAL ONLY - INSTALL ONE 2 ION UNIT. P ,l,k Pxt/k ep-ril
1 FRED NEVER KEY NECHANICAL CO OF NA
1 33702 - 21ST AVE SW 1 19430 681H AVE S
FEDERAL. WAY WA 98023
41111 1 KENT WA 98032
S03-232-8844
872-7392
, 41440;441 .
$1, CONTRACTORS. mkt TO 10(4110V (ON 1712 1410 PTP01flING ALS TAX FOR PROJECIS 11111111 1111 CITY Of FEDERAL WAY. IAX RAIL - 8.25 ***
1 FUEL TYPES.:? ? FANS * 0 ROMPS/COMPRESSORS .-.„. FEES:
1
GAS PIPING.: 0 ft HOOD. ...: 0
0.-: HP -: 1 - ' -.f-:. ---.“-. ,v41-46,A4404, „ ,,,w,- pAA -5.1.-- SUANCE... $ 20.00
1 FORN(100K..: 0 DUO OPP1,—,: 0 3 IS HP .„,. ' '. rP Ar' , ''), ,..„-.- - Algrar , . ' E FEES * $ 9.00
-
i:.g .: To4et, _,..., -.4„ ,--4,. '
1 GAS NWT • 0 WOOD stovt,.., .. fl 1' i0 Ht , 1 ',ti.-:: ---I- : - - " 4.., Op • • l,!1.,, E ,:r. EE $ 7.25
COP BURNER: 0 ' - OMX40011WM"Al W ' '
10y0100f ._ 0 3u LA Hy . n -vt4,11w, 7.-; .. p , . .... k, ..-A pp.7.;,, --,c -
880 • 0 PITSt.. .. ... 0 '-,f 0P ...,...: 0
1 GAS DRYER..: 0 AIR NAPTIK MI !: Wit TANKS-
RANGE • 0 (40,000 CFO0 AWE GRO001, a
GAS LOGS...: 0 > 10,00004, 0 41011DERGNOUND.: 0
1 4P. F I TOTAL FEES $ 36.25
1 Does the water supply systes contain a Pressure Reduction Devic,for Check valve? 0 Yes () No (If "Yes” then water expansion tank is required on Hot Water Tank)
1 ed P "
1 Inspection Record Water Line OK MechaniVWection Notes: AttdIU- I ' fig:4A g/(5
1 it/4471;d , / 54,vvii.06 gi. iii,t4) i
1 GAS PIPING OK OC Date / Ify 411.
1 1
C4 vlifki I
PERNIIS EXPIRE 180 DAYS AMER ISSUANCE II NO WORK IS WRIER. RES111111101 AND GRADING PERNIES EXPIRE Olf YEAR AFTER 0Aft UI ISSOAN(E.
I CERTIFY IRE INFORMATION FORNIAED Dv ME IS MOE AND CORRECT TO ENE 161 OF NY KNUWIIJGE hNO INE APPEICARE CITY 04 tEDIRAI WAY REOOIRENINIS WILE AT NET.
OWNER OR AGENT 27--.40t5/4.ee,4 f DATE
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. ,Al
FIELD COPY
- _
City of Federal Way •
CITY OF G 33530 First Way South f�j�
� � Federal Way, WA 98003 g�,,�S � b�`-"�
� ;,, „„---� (206)661-4000
�i�� k.:s� :....�,
APPL/CA T/ON FOR MECHAN/CAL PERM/T
�Y T � � �9�'r.
PARCEL • = -�E�A�WAv Single Family � Multi-Family � Commercia) o
;t � .
SITE LOCATtON:
Tenant/Owner. ��� ��-{C� Phone:
Address/City/State/Zip: �"3,�uL 2-��=T A VE . S�• VJ •
Nature of work: ����vE���L'�'� Project Valuation: S
APPLICANT:
Name: 5�..►.�1� �� C,�r;'�IZA-c.-�u�
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: - �� ("�������`' �-� `
Address/City/St/Zip: ��4�"' �`�"tt� q""G �, � $
Contact Person: �� ���N�� Phone: �7 Z- ?3�Z Fax:
State L & I Contractor Registration #: ����W �'� �`���Z Exp. Date: � � i 'y�'
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,OOOcfm 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
Conv Burner Duct Work A/C TONS Other
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correet[o the best of my knowledae and further that I em authorized by the owner of the ebove
premises to perform[he work for which permit application is mede. I further eQree to save harmless the City of Federal Way as to any claim Iincludinp costs,expenses and attorneys'fees
incurred in investipation and defense of auch claiml,which may be made by eny pe�son,includinp the undersipned,and filed apainst the City of Federay Way but only where such claim arises
out of the reliance of the City,includina its officers and employees,upon tFx eccuracy of the informetion aupplied to the City as a part of this application.
�--� c
Owner/Agent: ���.C�� ����ti��- Date: �� - � ��