94-1012453CITY 353OOFirstt Way South MECHANICAL PERMIT PERMIT NO 06/30/94°'
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 12/27%94
ADDRESS:33O23 16TH PL SW
NO.: 010457-0540
PROJECT DESCRIPTION: INSTALL 3 TON A/C TO SFR
= OWNER
CONTRACTOR
DUANE KARR
33023 16TH
PLACE SW
FEDERAL NAY
WA 98023
661-8609
i
FUEL TYPES.:? ?
FANS..........:
GAS PIPING.:
0 ft
HOOD .... _......
0
FURN<100K..:
0
DUCT NORT.
1
-15
u
GAS HNT....:
0
MOOD . tT7
0
i -ii TP....:
u
CONV BURNER:
0
FURii)100C .
BBQ ........ :
0
MISc..,.......
0
5-1 Y
0
GAS DRYER..:
0
AIR H01L!P'eG P ::
"
`,EL li K ---------
RANGE......:
0
=10,C :1 r: ,s:
4
c�'E GRIUUNO:
0
GAS LOGS...:
0
> 10,100 CF'':
?
UNDERGROUND.:
0
LENDER
_Yr
AEC PRMT-.SSUANCE... to 20.00
6EC P PLIANCE FEES.* 1 9.00
TOTAL FEES $ 29.00
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Not Mater Tank)
Inspection Record Nater Line OK
GAS PIPING OK
Mechanical Inspection Notes:
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 THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS HILL BE MET.
OWNER OR AGENT--_-,�— _ DAT*��-
FILE COPY
PLEASE PR/NT
RECEIVED
City of Federal Way 40
JUN 3 01994
APPLICATION FOR BUILDING PERMIT
CITY OF FEDERAL WAY
BUILDING DEPT.
Address 3 3 o Z
APPUCATION #:
l c- a../
Lot #
Address
Zip 9 %16.2 i
Assessor's Tax #
Phone 40
B
Name (F,M,L)
Address
City
State
Address
Contact Person
Phone
Fax
City
Expiration Date
State 41-1�._
Zip fr" 7? fa.Z
Contact Person
Day Phone
Other Phone
Fax
Y6 V7
TrI1�IG;C:»:.:::>::>:<:::
..............................::::::::.::::
::::::::::
Company Name
Address
City
State
Zip
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
Name
Address
City
State
Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
C00492 (Rev 4/93)
5UCTE :
Address
City
ting Use
�� ._r /� �
posed Use
Phone
Fax
Permit includes:
Expiration Date
❑ Building
❑ Plumbing
fl Mechanical
❑ Other
Drains
Type of Work:
ltd' Residential
❑ New
❑ Remodel
❑ Number of Units _
❑ Deck
Duct Work
0-3 Tons
❑ Commercial
❑ Addition
❑ Garage
❑ Shed
❑ Other
Enter 1 at Floor
sq ft
2nd Floor
sq ft 3rd Floor sq ft
Existing Floor Area / 7 vi sq ft
Area Basement
sq ft
Decks
sq ft Garage sq ft
Proposed Total Area
sq ft
Water Availability
❑ Sewer Availability ❑ On -Site Septic System Availability ❑
..
pru ecf 1/$lustipn .
1
-
$ <;
Zoning
Lot Size
Exlatn�. Bhdg 1(efira#iotl
$
Name
Address
City I State I Zip I
........_..................... .__..........__ _ ..........
..............................................................._..._....._._...........
...........................................................................................
11(GHANiGAY GONTRAGToit
............................................................................................
...........................................................................................
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
...........................................................................................
...........................................................................................
rLuMBnvG coNTRacTOR
:.. .
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
.................................................................................
............................................................................................
...........................................................................................
L LNG URE G01 ,
...........................................................................................1.
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
50+ Tons
Lavatories
Washing Machine
Drains
Total. Fiattrre: iCg...... > >: '> :;;;,; »::.;;
._........ ._............ ...._....-__.
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
MECHANICAL: UNLT CQUN'
Fuel Type (electric/other)
Gas Dryer
Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping
Range
Air Handling > = 10,000 CFM
30-50 Tons
Furn <100K BTUs
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
TotalUntt Count
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 Federal 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: '
LLL
3353OOFF
irstEWay South MECHANICAL PERMIT
Federal Way, WA 98003
661-4000
ADDRESS:33O23 16TH PL SW
NO.: 010457-0540
PROJECT DESCRIPT ION:INSTAI.I 3 TON A/C TO SFR
ONNER
D ..aNE KARR
33013 16TH PLACE 511
FEDERAL NAY NA 98023
661-8609
FUEL TYPES.:? ?
GAS PIPING.: 0 ft
FURNOOOK..: 0
GAS NOT....: 0
CONY BURNER: 0
Ego ........ . 0
6AS DRYER_: 0
RAW....... 0
GAS LOGS...: 0
FANS... 9
HOOD
Duct 0401
Building Inspection Requests 661-4140
CONTRACTOR
�;: �clrr�rfleca��tte�
LENDER
PERMIT NO: BLD94-0507
ISSUED: 06/30/94
BY: FC
EXPIRES: 12/27/94
Does the water supply systes contain a Pressure Reduction Devi r Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Not Nater Tank)
Inspection Record Mater line 6K ___ Mechanic pection jlotes:
GAS PIPING OK ._._� Oatel__.__._. BY
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL qAY REQUIREMENTS HILL BE NET.
OWNER DP AGENT _ ._ �w F _w _ pA;E
-.________�____��__-_ ______
FIELD DOPY