94-101451CITY OF FEDERAL WAY MECHANICAL
PERMIT
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:32619 18TH PL SW
NO.: 010455-0860
PROJECT DESCRIPTION: HVAC - INSTALL AIR CONDITIONER, 3 TON
OWNER CONTRACTOR —
HENRY CHU NORTHWEST NATER HEATER
32619 - 18TH PL SN 8201 DURANGO ST SW
FEDERAL NAY WA 98023 TACOMA, NA NA 98499
FUEL TYPES.:? ?
GAS PIPING.: 0 ft
FURNOOOK..: 0
GAS HNT....: 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
FANS... .......
HOOD..........: W
DUCTWORK. r,
WOOD STOVES...:
MISC..........: 0
AIR HAkv-1WE All
<:1C,6V fm,
> 10,'30 CF,..
3-;V.
�..... C
'1- u ilij.„... 0
s�.... 0
.UF`.. AkK�----------
At-01 GROUND: '0
UNDERGROUND.: 0
LENDER
PERMIT NO: BLD94-0596
ISSUED: 08/02/94
BY: FC
EXPIRES: 01/29/95
SSUANCE... $ 20.00
kONCE FEESJ t 9.00
TOTAL FEES S 29.00
Does the pater supply systen contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then rater expansion tank is required on Hot Nater Tank)
Inspection Record Nater Line OK Mechanical Inspection Notes:
GAS PIPING OK 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 NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _______________ DATE _V kl a1-9 �
r
FILE DOPY
' City of Federal Way 0
CITY of 0 33530 First Way South Ii
Eo Federal Way, WA 98003 ') C �"
(206)661-4000
V V
APPLICATION FOR MECHANICAL PERMIT
PARCELA- t �'� �! '�(� Single Fan*y'6 Multi -Family El
SITE LOCATION: (� 1
Tenant/Owner: �Aul:]V" (J Phone:
Address/City/State/Zip:
Commercial C3
Nature of work: VA L - Project Valuation: $ +) 2C) ( /
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person:n Phone:' —� /�1 Fax: `�61;gD_ Z
MECHANICAL CONTRACTOR:
Company Name: ���� ���✓ �r��
^, 1 I n
Address/City/St/Zip: ,e'l,l(VJ, ) � 14 1 afr' L�J- �- GY Lk �CG �l G7
Contact Person----/� ��`�Q�II�� Phone: Fax:
State L &I Contractor Registration #: !`l(w4t, wo Exp,
(Card must be presented)
MECHANICAL UNIT COUNT:
Date:f�
Fuel Type (gas/other)
Gas Dryer
Air Handling
< = 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling
> = 10,000cfm
Above Ground
Furn < 100K BTU's
Gas Log
Unit Heater
Underground
Furn >I OOK BTU's
Fans
Boiler
BTU/H
Miscellaneous
tHood
Boiler
BTU/H
Other
taHw
urner
Duct Work
A/C
TONS
Other
Wood Stoves
A/C
TONS
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 uxderaignad, 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 en)ployees, upon the accuracy of the information supplied to the City as a part of this application.
/ I
j
Owner/Agent: '"` Date: A
CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:32619 18TH PL SW
NO_: 010455-0860
PROJECT DESCRIPTION:NYAC - INSTALL AIR CONDITIONER, 3 TON
OWNER
HENRY CHU
32619 - 1814 PL SY
FEDERAL NAY WA 98023
FULL TYPf.S.:? ?
GAS PIPING.: 0 ft
FURN<IAOK..: 0
GAS NW1....: 0
CONY BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS,..: 0
CONTRACTOR ----
NORTHWEST
—^
NORTHWEST MATER NEATER
8201 DURANGO ST SW
TACOMA, NA MA 98499
-6404
FANS.....,,.." 0DILSfcDMPs
HOLD........... _ 0 0- 'HP,. 4..
0 3-15 NP..,...
LENDER
PERMIT NO: BLD94-0596
ISSUED: 08/02/94
BY: FC
EXPIRES: 01/29/95
SSUANCE... t 20.00
NC£ FEES.= S 9.00
I., ., My
t l f
Nk
AIR r'
> 10, UIDERGAM.: 0
TOTAL FEES t 29.00
Does the rater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then eater expansion tank is required on Not Mater Tank)
Inspection Record Mater line OK Mechanical Inspection Notes:
V, V
GAS PIPIIN; OK Dake BY
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
T I F E L NAY REQUIREMENTS Will Bf
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT 10 THE BEST Of MY KNOWLEDGE AND THE APPLIC 1E CITY Of ER RA QU
OWNER OR AGENT
FIELD COPY