95-100945 I ."111. (fib-100 °1 `1'0
CITY OF FEDERAL WAY C. d� PERMIT NO: BLD95--0362
33530 First Way South E,,.C. "' I N .� C.A !L. P i' ., .I,. ISSUED: 05/24/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: RM
661-4000 EXPIRES: 11/20/95
ADDRESS:33516 9TH AV S
NO. : 926925-0020
PROJECT DESCRIPTION:MECH - ADDING DUCT WORK & 3.5Ton split A/C UNIT
OWNER - CONTRACTOR = LENDER
DR YOSHINO PACIFIC AIR SYSTEMS
33516 9TH AVE S 11121 34TH AVE S
FEDERAL WAY WA 98003 TACOMA WA 98444 •
581-5272
PACIFAS093KA
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
--
FUEL TYPES.:? ? FANS • 2 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 PLAN CHECK FEE $ 10.75
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 1 MEC PRMT ISSUANCE... $ 20.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 MEC APPLIANCE FEES.* $ 25.50
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 56.25
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank) 111/1
Inspection Record Water 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 THE INFORMATION FURNISHED ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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RECEIVED
• City of Federal Way ,
CITY OF r---. 33530 First Way South MAY 1 1 1995
fit____- rEEIEMFIL_. Federal Way, WA 98003
11
(206)661-4000 CITY OF FEDERAL Wqy
WF:r
' BUILDING DEPT.
APPLICA TION FOR MECHANICAL PERMIT
�, 30)q5 -03(Q(2
PARCEL #• a �`1 �- - C(D' Single Family ❑ Multi-Family ❑ Commercial
ommerclal
SITE LOCATION:
Tenant/Owner: D R• '1 OStt (Ai() Phone:
Address/City/State/Zip: 3 357 G ciii-v I S FID . W f}V
Nature of work: 4/VSTA-LLkt'/oA) OF 1-1147`(7G(ti'(PProject Valuation: $ 7/ Don
APPLICANT:
Name: PACIFIC A La. SyST A,(,5
Address/City/St/Zip: I I(Z. I 3yth-- Ayr , S • 1 40)6449
Contact Person: C+It I ICtIf h1 PfAJAJ Phone: SBI-.5 Z 7 Z Fax:
MECHANICAL CONTRACTOR:
Company Name: i 1 F<< f}'te $ yS-'T'h1 5
Address/City/St/Zip: III2I 3 --- 4-I!£ S 7-jy-toA(74
Contact Person: Ottgi S gLI c M4-1"1 Al Phone: Sa I S2-7 Z..
Fax:
State L & I Contractor Registration #:
Exp. Date: 5-A /1f 6
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm 4, Fuel Tanks:
Length of gas piping Range Air Handling > 10000cfm
= ,
Above Ground
Furn <100K BTU's Gas Log Unit Heater Und ��
Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood ! A/C Boiler BTU/H Other
Cony Burner
Duct Work Iw 31/7 TONS Other
BBQ's Wood Stoves A/C TONS
tat{3nft Oarun ........... ,
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 Federay Way but only where such claim arises
out of the reliance of the City,including'/o icers and employees,upon the accuracy of the information supplied to the City as a part of this application.
r / c
Owner/Agent: 4• •L Date: . // - 7S
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