95-100768f
9 "5-/06
CITY
MIT NO: BLD
33530First 0DEWay South MECHANICAL P RAL WAYPERISSUED: 04/18/9587
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 1
EXPIRES: 10/15/95
ADDRESS:33718 28TH AVE SW
NO.: 255700-0510
PROJECT DESCRIPTION :HVAC - INSTALL 2 FURNACES, ONE GAS LOGS, ONE HWT AND GAS PIPE.
OWNER
PAUL ESTREM
33118 28TH AVE SW
FEDERAL WAY WA 98023
CONTRACTOR
NORPAC HEATING & A/C INC
3414 'A' ST SE SUITE X102
AUBURN WA 98002
931-0610
NORPAHA123M5
LENDER
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 99 ft
HOOD..........:
0
0-3 HP......: 0
MEC PRAT ISSUANCE...
f 20.00
FURN<100K..: 2
DUCT WORK.....:
0
3-15 HP.....: 0
MEC APPLIANCE FEES.$
E 36.00
GAS HWT....: 1
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...: 1
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
56.00
Does the water supply
system contain a
Pressure
Reduction Device or Check valve?
(1 Yes () No (If 'Yes' then water expansion tank is required
on Hot Water Tank)
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 BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET,
OWNER OR AG - -- - ----- ------------------ DATE
--
FILE COPY
CITY OF is
City of FederayCEINOa
33530 First Wa
Federal Way, WA 98003
(206)661-4000 APR 181995
APPLICATION FOR MECHA BY
IfM
I #D P�EfMIT
PARCEL &• 7.5-5-700- N,[0 Single Family A/ Multi -Family ❑
SITE LOCATION:
Tenant/Owner: 22 u1 S r\ciY", L LL
,�,+cc M Phone:
Commercial ❑
Address/City/State/Zip: '-
Nature of work: Project Valuation: $
APPLICANT:
Name:��'� ��_�oCaC�z3r
Address/City/St/Zip:
Contact Person:
MECHANICAL CONTRACTOR:
Company Name:
Address/City/St/Zip:
Phone:
YJ
Fax:
Contact Person: `1�3LV C' , ^SIJ r✓ � Ci�'�� Phone: 0-oO 2— /-(5k/,z& Fax`s o�0 / 3/- C'6 . 7
State L & I Contractor Registration #: ���� �� ���5 Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling < = 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling >
= 10,000cfm
Above Ground
r.
Furn <100K BTU's
Gas Log (
Unit Heater
Underground
Furn >I OOK BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt I
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
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. 1 further agree to save harmless the City of Federal Way as to any claim (including costs, experts" 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 orgy 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.
/ / 9
Owner/Agent: , , ='%%l �� �� Date: / /
CITY
F FEDERAL WAY
33530°First Way South MECHANICAL P
Federal Way, WA 98003 Building Inspection Requests 661-41140
661-4000
ADDRESS:33718 28TH AVE SW
NO.: 255700-0510
PROJECT DESCRIPTION :HVAC - INSTALL 2 FURNACES, ONE GAS LOGS, ONE HNT AND GAS PIPE.
OWNER
PAUL ESTRIM
33718 28TH AVE SN
FEDERAL WAY WA 98023
CONTRACTOR
NCRPAC HEATING i A/C INC
3114 'A' ST SE SUITE I102
AUBURN WA 98002
LINDEN
PERMIT NO: BLD95-0287
ISSUED: 04/18/95
BY: FC
EXPIRES: 10/15/95
Does the rater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (if "Yes' then water expansion tank is required on Hot Water Tank)
Inspection Pecord Water Line OK Mechanical Inspection Notes:
{
GAS PIPING OK lij % Date By 1 �J
` v
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 BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL AE MI'\
OWNER OR AGENT
FIELD COPY