00-100255 City of Federal Way
:.on itybevcippmentServices Mechanical Permit #:00 - 100255 - 00
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: CHAVIL(MEC)
Project Address: 32018 28TH SW Parcel Number: 873190 0260
. Project Description: RETRO HEAT PUMP CHANGEOUT
Owner Applicant Contractor
Donald V Chovil NONE PUYALLUP HVAC INC
32018 28TH AVE SW PUYALHI066MK(07/01/00)
FEDERAL WAY WA 130 15TH ST SE
98023-2277 NONE PUYALLUP WA 98372
Mechanical Valuation 4600 Over the Counter Permit Yes
Mechanical Fixtures
Description P : Quantity ,q Description - iQuantityl Description Quantity
Air Handling Units 1
r) ma arl (c
7j/ q/ /
PERMIT EXPIRES July 19,2000,IF NO WORK IS STARTED.
Permit issued on January 21,2000
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. ,� J_ �,�
Owner or agent: Q(l '` a7/& � Date: 1/24/A
'' , _ 4ti909 //
3°()° I S
CITY of 4= W W BUILDING DIVISION
• EDE �� _ 33530 First Way South
N)N) Federal Way,WA 98003
(253)661-4000
Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT T
Federal Way Business License number: b 2 1 LO
MEC _ _ ab • (6Vt55iD
PARCEL# Single FamilylJa'....* Multi-Family 0 Commercial 0
SITE LOCATION N
•
Tenant/Owner—DC)N C h( `^ Phone 7i q a 5
Address/City/State/Zip� 1 ^ 2 r� S. 1"
Nature of Work Ye- I I.SL pu, ]- c.i 1 V 1 e art- Project Valuation:$ 1000. OD
U
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR (� '
Company Name • t - a• r i `�
4‘ I •�Address/City/SZ'
Contact Person J 61- u f/ S Phone 1 Fax LI IJ v
g1(
State L&I Contractor Registration# P I/l. 7 6-1-TA 0 Vl (Y1 IL Exp.Date "-1-Dv
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type(gas/other) e,leA I. Gas Dryer Air Handling<=10,000cfm ' Fuel Tanks:
Length of gas piping Range Air Handling>=10,000cfin Above Ground
Fuze<100K BTU's Gas Log Unit Heater Underground
Punt>100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work TONS Other
�' �.�i l i .,. - ' ••
DISCLAIMER:I certify,under penalty of perjury,that the information furnished by me is true and correct to the best of my knowledge and tirther that 1 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/A g ent Q411Y it ► 6-)" " Date ( 1—7- "Z ✓CO
tie
Rearm 7/29/98