94-101561 9 y. �a �.��/
CITY OF FEDERAL WAY M E C H A N I CA L P E R M I T PERMSSUED: 09/99/9442
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/18/95
ADDRESS:32028 23RD AVE S
NO. : 162104-9028
PROJ ECT DESCR I PT I ON:NYAC - INSTALL MAKE-UP AIR UNIT i TYPE I HOOD.
ALSO - NMT, RAN6E, MOK, RICE COOKER, 2 DEEP FRYERS, 2 BATH FANS.
� ONNER CONTRACTOR LENDER
E66 ROLL KIN6 RESTAURANT lU BOND
32028 - 23RD AYE S 2609 22MD AYE S0.
I fEDEAAI MAY MA 98003 SEATTIE MA 98144
" � 14I-5263
LUBONCC080MS
fUEI TYPES.:ELE 6AS fAMS..........: 2 BOILERS/COMPRESSORS FEES:
6AS PIPIN6.: 0 ft HOOD..........: 1 0-3 HP......: Q IIEC PRMT ISSUANCE.., f 20.00
FUAN<t00K..: 0 QUCT �RK.....: 0 3-15 HP.....: 0 .,, PLAN CNECI( DEPOSIT.j = A.25
6AS HMT....: 1 MOOD STOVES...: 0 15-30 BP....: 0 ��, MEC APPLIANCE FEES.= = 81.00
`u� _
CONY BUANER: 0 FURN>t00K.....: 0 30-50 HP....: 8
88Q........: 0 MISC..........: 4 5+ HP.......: 0
6A3 DRYEA..: 0 AIR NANDLIN6 UNITS FUEL TANKS---------
AAN6E......: t <=10,000 CFM: i ABOYE 6ROUND: 0
6AS L06S...: 0 > 10,000 CFM: 0 UNDER6ROUND.: 0
TOTAL fEES { 89.25
Does the rater supply syste� contain e Pressure Reductian Device or Check valve? () Yes () No (If 'Yes' then rater ezp�nsion tank is required on Hot Mater Tank)
Inspection Record Meter Line OK Mechanic�l Inspection Motas:
6AS PIPIM6 OK D�te By
,
� PERMITS EXPIRE 180 DA�S AFTEA ISSUI�NCE IF NO rORK IS STARTED. RESIDENTIAL AND 6RAOIN6 PERYITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIfY THAT THE ION FURNISED IIE IS TRUE AND CORAECT TO THE BEST OF MY KNOMLED6E AND THE APPLICABLE CIT1' OF FERERAL MAY REGUTAEMENTS MILL BE MET.
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OWNER 4R AGENT ___ _ _ DATE �--`-�
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' • City �f Federal Way i� f � (y 1 ( ^ /'1/,�( 1�
CITY OF G 3353a First Way South (�`�l �'t �1`-��
_ � _ � Federal Way, WA 98003
I GLJ (2()6)661-4000
V V RY
APPL/CAT/ON FOR MECHAN/CAL PERM/T ����r�Ep
""""'�. " ��n� �� l ` ( a� Single Family � Multi-Family ❑ • � Com�al �`��
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)f�Gr�t /]. , � O/i-��`,
` � � . Phone:
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r iva�u�e u�wu1r�ic: � - ' ` ' Project Valuation: S
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APPLICANT:
Name: � ���� �' `
Address/City/St/Zip: \3��� ej' ` �'�� 1�P� � � �E�.�'�C�T�I`�-,.j`. q� ��� 1''�`-/
Contact Person: '� `�e� ��� Phone: 1���=� �d�� Fax: 2� ? �'� 9��
d.�(:�f2 � ��r��
MECHANICAL CONTRACTOR:
Company Name: � ���� �U1�11��L1 ��-t t`?t�LL. �`-� •
Address/City/St/Zip: a bo�=� ,�a,l� (� ���. � �(' C��--.,� ,�— .��- �''l g ( �L�
Contact Person: �P � �T� Phone:���`.) 3����L���`�ax: r���'��������
State L & I Contractor Registration #: Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) r Gas Dr er Air Handling < = 10,OOOcfm ( Fuel Tanks:
Length of gas piping Range Air Handlin > = 10,OOOcfm Above Ground
Furn <100K BTU's Gas Log Unit Heater Under round
Furn i l 00K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood ( Boiler BTU/H Other
Conv Burner Duct Work A/C TONS Other
DISCLA�MER: I ce�tify under penalty of pe�jixy that tFx information furniahed by me is true�nd eorreet to the bast of my knowledpe and further that I�m authorized by the owner of the above
premises to perform the work for which pe�mit�pplieation is mada. I further pree to save harmlesa the City of Fednr�l Way as to��y elMm(includi�p ewt�,axperuas�nd�ttorneys'feea �
ineurred in investipation and deferree of such elaiml,w ' be made by any perso�,inclWinp ttx undersipned,�nd filed pairxt the Ciry of Fede�ay Way but oNy where such cl�im srises
out of the rolianee of the City,includinp ib ' n a�d employ upon the�ecur�cy of the infamation�upplied to tFa City p�pM of this applie�tion. .
j� Owner/Agent: Date: � ��