93-101638 93 � 1a�6�8�
CITY F FEDERAL WAY M ECHAN I CAL PERM IT PERMIT NO.: BLD93�0722
3353 First Way South BUILDING IfVSPECTIOlV - 661-4140 ISSUED: 07/07/93
Feder.,l Way, WA 98003 BY: E'LF
661-4000
SITE ADDRESS: 1624 SW DASH POIN�' RD
PARCEL NO.: 122103�9074
PROJECT DESCRIPTION: HVAC � REPLACE ONE (1) �°IVE TON GAS PACR AND DUCT 6�lORR RELOCATION
OWNER CONTRACTOR LENDER
GOLDEN WOK
1624 SW DASH POINT RD
FEDERAL WAY WA 98023
927-9890
FUEL TYPES.:GAS FANS..........: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 35 ft HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... S 20.00
FURN<100K..: 0 DUCT IJORK.....: 0 3-15 HP.....: 1 MEC APPLIANCE FEESe'' S 19.50
GAS H41T....: 0 WOOD STOVES...: 0 15-30 HP....: 0
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 UNDERGRWND.: 0 TOTAL FEES $ 39.50
INSPECTION ItECORD
��
Water Line OK Mechanical Inspection Notes:
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3 PIPING OK Date By � A �
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� ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF IVO WORK IS STARTE ��
1 CERTIFY THAT THE INFORMATIOf� F NISHED fS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICA �OF FE ERAL WAY REQUIREMENTS WILL BE MET.
/V — -- �
OWNER OR AGENT DATE
btd mech 07/01/92 �
' I
�,� -� City of Federal Way .
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.� � �� ''�
�� APPLICATION FOR BUILDING PERMIT
JUN 3 0 1993
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PL EASE PR/� APPL/CA TION #: �"����'� � 7 G `
SITE LOCATION ,addrass c�t� L.1 �� ' J �
TenaM (if known) ,�� 4 e�� ) y�`/� Lot # Assessor's Tax #
�� �.r✓ L
i�-'�l ��:3 ._ `"9�; '7�
Building Owner Name �� �`' Address
City >G`1 �, State Zip ,,�j j�'� Phone .� ' f(f�v
Nature of Work - � r ,/c L c.� �%t�� ff v/�G ,cl/�"� �'�r_'�l /'c.j��C�;��Cls-1c�(,,f'" �..✓ J7,�..�.���� ��
APPLICANT
Name (F,M,L)
�; �� � �
Address � � �C� �� � ��
C�/(�al �✓�
City ' �g State Zip �j y��
�
Contact Person Day Phone,., Other Phone Fa
1'�1,•k � 7 - �u /7 P-- �7- 9����r
BUII,DING CO � RACTOR
Company Name
Address '
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT'
Name
Address
City - State Zip
ContactPerson Phone Fax I
I
LEGAL DESC TION
Please Complete Reverse Side
� CD0492(Rev 4/931
S7�RUCTURE' ' Existing Use Proposed Use
Permit includes: ❑ Building O Plumbing echanicei ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
�Commercial ❑ Addition ❑ Garage ❑ Shed �' Other d'�i��r
Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability O Sewer Availability ❑ On-Site Septic System Availability ❑ '� ``, Project Valuation S >
Zoning Lot Size Existing$Idg Valuation S '
LENDER
Name , Address
Ciry State Zip
� DiECHANICAL CONTRACTOR
Contractor Name Address 1 C
��E-��- � �=.� � �� �, 7��CL',qrGt �vL Y=
City ,�L'L State �i✓C�t Z�P 7 ���''_/
Contact Phone Fax
/�/; ,��- �v' 7-�-ry/7 �„��7 ���ii7
License �f �L G�_,��� ��� �'� '7 Expiration Date � �
�� Verified O Yes ❑ No
PLUI�ZBING'CONT CTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUi�ZBII�'G'FIXTURE C UNT ,
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers ectric Water Heaters Sumps
Lavatories Was 'ng Machine Drains Tota(Fixture Count ''
� r�CHANICAL UNIT COUNT
Fuel Type (electric/other) �7/f� Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping 3_S' � 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 3-1 5 Tons % Total Unit Count '
DISCLAIMER: I certify under penalty of perjury that the information furnished by me ie true and correct to the best of my knowledge and further thet I am authorizad by the owner
of the above premisec to perform the work for which permit application is made.I further agree to save harmiess 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,includinp 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 end employees,upon the accuracy of the information supplied to the City as a paR of this
application.
�Owner/AgenT. � � Date: