00-102630City of Federal Way
Com mmity D-elope—t Services
33530 1st Way S
Federal Way, WA 98003-6210
Pb: 253.661.4000 Fax: 253.661.4129
Project Name: BURCK
Project Address: 3021910TH S
Mechanical Permit #:00 -102630 - 00 - ME
Inspection request line: 253.661.4140
(3:30pm cut-off fo ezt day inspections)
Project Description: MECHANICAL - changeout of gas furnace in existing singles amily
: 515370 0090
Owner
Applicant
Contractor
Gregory C & Karen M Burck
Gregory C & Karen M Burck
NDALE HEATING & AIRCON.INC
30219 10TH AVE S
30219 10TH AVE S
FEDERAL WAY WA
FEDERAL WAY WA
12462 DES MOINES MEM DR
980034103
98003-4103
SEATTLE WA 98168
Mechanical Valuation..........................................1820
PERMIT
I hereby certify that the ab
the occupancy and the use
the City of Federal Way.
Owner or agent:
•
Counter Permit......................................Yes
October 29, 2000, $ NO WORK IS STARTED.
✓r nit issued on May 2, 2000
and that co traction on the above described propert
L the la d regulations of the State of Washingb
61
D t OS' O GO
a e.
CITY OF
-=� �O • BUILDING DIVISION
33530 1 ST WAY SOUTH
FEDERAL WAY, WA 98003 661-4000
CORRECTION NOTICE
ADDRESS: 30Z11 110 fiP —/ PERMIT
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW:
tieh4x -r 1 of ll oy f he, IA �s'�a,112�i 1;4
e sec o
f a �`�
YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661 -41 40 FOR
REINSPECTION.
e
DATE INSPECTOR FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE
COMMUNIRECEIVEDY DEVELOPMENT NNT By
ARTMEIf svII first Dy South
33530 First Way South
MAYGGA � ��tii1 Federal Way, WA 98003
t llll I (253) 661-0000
Fax (253) 6614129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: % 4F3
MEC 102-1350
tt1 PARCEL # Single Family
SITE LOCATION
Tenant/Owner
Address/City/State/Zip
Nature of Work
APPLICANT
Name
Multi Family 0 Commercial 0
/ el)"
Phone Jr 2Z 9 - 36 JIV
3
Project Valuation: $_ 4 E97y
00
Address/City/St/Zip /4Z'y6 a Zk�s Z9&:4--.5 ���r.� ,D/'. 5'E�• . 9.3-,174a�
Contact Person � e6,—k ( ooN S Phone 07Z - ��-�- 7700 Fax &26-
MECHANICAL CONTRACTOR --7
Company Name l 9- �i'r'���] �P �i'Aa �i -1 e' �"
Address/City/St/Zip .s r s
Contact Person �� �.vS Phone 0AZI ' 7700 Fax
State L & I Contractor Registration # a Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T other
Gas Dryer
Air Han
< =10 000cfm
Fuel Tanks:
Length of gas pipingAir
Hantiling>
=10 000ofi t
Above Ground
Ffun <100K BTUs
Gas Log
Unit Heater
Underground
Fhun >100K BTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
I Boiler
BTU/H
Other
Conv Bumer
Dud Work
A/C
TONS
Other
DISCLAIMER 1 ca*, under penalty of perjury, that the information 6mrishsd by ate is hue and oornd to the boat of my knowledge and fludw that I am authotized by the owner oftbo above premises to pafom the work
for which penrut application is made. I furtter agree to save barmleas the City of Federal Way as to any daim (mduding mats„ expenses, and A-toW fees ft—red in investigatimt and defense of such daimX which may be
made by any person, including the undersigned, and Bled against the City of Fedemy Way but only whom such daim arisen out of the reliance ofthe City, including its of8cars and entployaes, upon the eoomaey of the
information supplied to the city as a part of Itis application.
Owner/Agent Zi, Z, 64 :7� Date
MECn.APP
aEMED 1/7/99