94-101975 9 y-/ol g �5
33530OFirsDEWay South MEC ICAL PERMIT PERISSUED- BOj17/9401
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/15/95
ADDRESS:2169 S 278TH ST
NO. : 757562-0770
PROJECT DESCRIPTION:NYAC - INSTALL 6AS INSERT AMD 14' 6AS PIPE.
� OMNER CONTRACTOR LENDER
DMA1fME PAPPAS PACIFIC OYERNEAD DOOR
2169 S 218TH ST 1908 S 341ST PL 11
fEDERAL NA1f MA 98003 FEDERAL MAY MA 48003
529-3511 839-5704 587-8229
PACIFOD132L5
FUEL TYPES.:6AS FAMS..........: 0 BOILERS/COMPRESSORS ' FEfS:
6AS PIPIN6.: 14 ft HOOD..........: 0 0-3 HP......: 0 ' MEC PRMT ISSUANCE... = 20.00
FURM<100K..: 0 DUCT MORK.....: 0 3-15 HP.....: 0 ; �� ; , MEC APPLIAMCE FEES.= = 4.50
6AS HMT....: 0 NOOD STDYES...: 0 15-30 HP....: 0
COMV BURMER: 0 FURN>1QflK.....: 0 30-50 NP....: 0
BBQ......... 0 MISC.......,... 0 5+ HP........ Q
6AS DRIfER..: 0 AIR HAMDLIMG UMITS Fllfl TAMKS---------
RAM6E......: 0 <=10,40Q CiM: 0 ABOYE 6ROUND: 0
6AS L06S...: 1 > 10,000 CFM: 4 UNDER6RWND.: 0
TOTAL FEES = 29.50
Does the rater supply syste� contain a Pressure Reduction Device or Check valve? () lfes () No (If 'lfes' then Mater expansion tank is required on Not Mater Tank)
Inspection Record Nater Line OK Mechanical Inspection Notes:
6AS PIPIN6 OK Date By
PERMITS EXPIRE 180 DA1fS AFTER ISSUANCE IF NO MO IS STARTED. RESIDENTIAL AND 6RADIN6 PERMITS EXPIRE ONE YEAR AfTER DATE Of ISSUANCE.
I CERTIFY TNAT TNE I FORlIATIDN f ISE T TRUE AND CORRECT TO THE BEST OF MY KNOMLED6E AND THE APPLICABLE CIT1' OF FERERAL MAY REWIREMEMTS MILL BE MET.
w w- -- ----------------------------------------- DATE ���7 ���
OWNER OR AGENT _ __ _ _
F�LE COPY
33530OFirsDEWa� South MEC I CAL P EJ�I T PERISSUED- BO/12/9401
Federal Way, WA 98003 Building Inspection Requests 661-4144 BY: KLC
661-4000 EXPIRES: 04/10/95
ADDRESS:2169 S 278TH ST
NO. � 757562-0770
PROJECT DESCRIPTION:HVAC - INSTALL 6AS IMSERT AND 14' 6AS PIPE.
OMMER CONTRACTOR LENDER
DIIAYNE PAPPAS PACIFIC OYERHEAD DOOR
21G9 S 278TH ST 1408 S 341ST PL #1 .
FEDERAL MAY MA 98003 FEDERAL MAY NA 98003
529-3571 839-5104 587-8224
PACIFOD13216
fUEI TYPES.:6AS FAMS..........: 0 BOIIERS/COMPRESSORS fEES:
6AS PIPIN6.: 14 ft NOOD....,.....: 0 0-3 MP...,..: 0 " MEC PI�IT ISSUAMCE... = 20.00
FURN<100K..: 0 DUCT IHIRK.....: Q 3-15 HP.....: 0 , :; � °��`' ��`°°��`���` ��� ��'��� MEC APPLIANCE fEES.x � 9.50
6AS HMT....: 0 IIOOD STOYES...: 0 15-30 HP....: 0 p '�
CONV BURMER: 0 FURM>140K...... 0 30-50 HP....: 0 �rk
BBQ........: 0 MISC..........: 0 5+ NP,......: 0 �;
6AS DRYER..: 0 AIR HAMDLIi� UNITS FUEL TANKS--------- "
RAN6E,.....: 4 <=10,t#00 CFM: 0 ABOVE 6ROUND: 0
6AS L06S...: 1 > 10,000 CFM: 0 UIIDER6ROUND.: 0
TOTAL FEES = 29.54
Does the rater supply syste� contain a Pressure Reduction Device or Check valve? () Yes () Mo (If 'Yes' then rater expansion tank is required on Hot Mater Tank)
Inspection Record Mater Line OK Mechanical Inspection Motes:
6AS PIPIM6 OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUAMCE IF NO MORK IS STARTED. RESIDEMTIAL A1� 6RADIN6 PERMITS EXPIRE ONE 1(EAR AFTER DATE OF ISSUANCE.
I CERTIFY TNAT TNE INFORMATION FURMISED BY !IE IS TRUE AND CORRECT TO THE BEST Of Mlf KMOMLED6E AND THE APPLICABLE CITY Of FEREML MAII REWIREMEMTS MILL BE MET.
OyINER OR AGENT �_ _ _�lZ�______ ��_____ DATE _���I�Z���
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CITY OF FEDERAL WAY
Feder�aFlWay`,NW 98003 B U I L D I N G P E R M I T BUILDING INS 661 4140
PERMIT NO. OWNER'S NAME SITE ADDRESS
CONTRACTOR ADDRESS CONT.PHONE
CONT.REG.NO. EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD.
NEW MULTI-FAMILY (UNITS )MU�TI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
)NE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATEfl HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT
,/� ,� /� � d� -}�
VALUATION �W-/ V� ��f m ��G��r l � ���</`�- � �� � �'�/L(./� ,I i i w.f1 `
�
PERMITFEE ��� ��Qllll�l�`-'��S VV�/'P ���1V►"' • � � C�I� ��/�-/� �"'-'
PLAN CHECK FEE � ���� ��/� ��{� ��-� �� . �� �� �(MI �"�� �/� ���� ���' �_ (��
PIUMBING FEE j YWJ i ��.�� v��+L ��.
MECHANICAL FEE A�� � Q J � ���-Q� a �1��f� � � � �G�� i"�� �l.l y l�'
�v�v� �
ARTP/CFEE C �_V r ��� �r, ,,,,��,I � �'n '�
?�_ � (�!I 1 in t` w
SEPA REVIEW
PUBLIC WORKS /� 1
S.B.GC.FEE lr�,� `�� � �� �`'I
FIRE FEE DATE:
OTHER FEES AMOUNT:
AMOUNT DUE RECEIPT:
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNI ED BY ME I RUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
OWNER OR AGENT • DATE v
City of Federal Way
• �'�I`'+Y OF � 33530 First Way South �� �1' f �;
_ � - c� Federal Way, WA 98003 � �f� (LI ��;�-'�r��
```` � (206)661-4000
V V RY
APPL/CA T/ON FOR MECHAN/CAL PERM/T
PARCEL �• Single Family Multi-Family � Commercial o
SITE LOCATION:
Tenant/Owner: —'��f���N �/' ��/ ��! � Phone: J��- ���
Address/City/State/Zip: �I �`-' C� `�U ���� � f �� C�y
c-z
Nature of work: C'� ` � �'� Project Valuation: S 7�G �
APPUCANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRA TOR:
/ �
Company Name: �C �1 C.._ �i�I'�'�{'lZ.k��.� �2� `Z�',�' �LC ,
Address/City/St/Zip: �<v �% C�z' � �1 ��
� ��'C � � /
Contact Person: ''� �'C2'� � Phone: - ��S � �� c (/ Fax: �° �� �'
���� �F��i� �3� � � �� � �--
State L & I Contractor Registration #: Exp. Date: ��
(Card must be presented)
MECHANICAL UNIT COUNT: `
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,OOOcfm Fuel Tanks:
Length of gas pi ing � Range Air Handling > = 10,OOOcfm Above Ground
Fum <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 pendty of perjury that ttx information furnished by me' ue and eorreM to the beat of my knowledpe arxl further thet I�m authorized by the owne�of the above
premises to perform the work for wMch permit�pd�ution is made. I further apr to ve harmlasa the City of Fedaral W�y a to any cleim lindudinp eosts,expenaa�and attorneys'faes
incuned in i�vestipation�nd defensa of such claiml,which mey be mad by a� pera ,i�cludirq the urdersipned,and filed pairret the City of Federay Way but o�ly where sueh claim uises
out of the reliance of the Ci ,inel inp ita officers�nd e oyees, n thg eewa of the informallon supplied to the City as a part of this�pplication. _
�
, �` �
Owner/Agent. �'� Date: �