93-102558CITY FEDERAL A
335300Firstt Way Soouth MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:31724 42ND AVE SW
NO.: 873198-1650
PROJECT DESCRIPTION: HVAC - INSTALL GAS FURNACE
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a
ONNER
DONALD COOPER
31724 - 42ND AVE SN
FEDERAL NAY NA 98023
927-8436
CONTRACTOR
NORDIC SERVICES INC
9618 MIDVALE AVE N
SEATTLE NA 98103
522-9570
NORDIS11800A
LENDER
y2,,god 555(Rl
PERMIT NO: BLD93-1075
ISSUED: 10/08/93
BY: FLF
EXPIRES: 04/06/94
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 HP......: 0
NEC PRMT ISSUANCE...
$ 20.00
FURN<100K..: 1
DUCT WORK.....:
0
3-15 HP.....: 0
NEC APPLIANCE FEES.*
$ 10.00
GAS HNT....: 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 CFN:
0
UNDERGROUND.: 0
TOTAL FEES
$ 30.00
Does the coater supply
systes contain a
Pressure
Reduction Device or Check valve? (} Yes
() No (If 'Yes' then mater 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 THAT THE INFORMATION FU ISED BY ME, S TRU .AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
�.—lam �� a � / Q
OWNER DR AGENT _L_1L_L—� ��__� ��------------------------------------ DATE �Lj �! l
FILE COPY
0 Pelit #
CITY.OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Pleaso Print —
BOX 1 TENANT NAME:
OWNER IN:', � 000 P4fl—) 3
SITE LOCATION _/ 2 �� � � i � J ° �4' i"
OWNER'S ADDRESS �:;/ 2,A 4 "—` A CITY 1.i, PHONE 31-:7 �_V3(,
DESCRIBE JOB Cli 5 Z"
_c"z."s c` -/o 19
THE PROPERTY IS OWNED BY: SINGLE/MARRIED % PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME &0 T 6 i CONTRACTOR'S REG. # /V ,'i'4 /r' (o 1 q ti -5
Card MUST be presented
CONTRACTOR'S ADDRESS __'3 ` �'% ' �' S%/�%t �Ac� / CITY A ti 1) PHONE C-1 Z
EXPIRATION DATE
—
OR
—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 10 %e - k- /3 ; //' 1. L>c .1. PHONE !
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST I EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER _
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal descrlption.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR __J2ND FLOOR /
3RD FLOOR____J_ BASEMENT______J_ DECK---/-- GARAGE /
BOX 8 ( SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = — ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9
PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
_ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
_TOTAL FIXTURES
MECHANICAL APPLIANCES — BASIC FEE S
GAS PIPING, FEET $
NO.LFURNACE, ELEC. GAS _ S
GAS HOT WATER HEATER S
CONVERSION BURNER S
BOILER, SIZE BTU $
AIR HANDLING UNITS $
HEAT PUMPS, SIZE $
UNIT HEATERS $
AIR COOLING UNITS, SIZE $
COMMERCIAL HOOD $
OTHER $
S
S
S
TOTAL MECHANICAL FEE S
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 FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
DFFICERS AND EMPLOYEES, UP QfV THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
DWNER/AGENT: - - ` _ _ �C. r�_Y.> c .. o,,. nATF
ANP.000 3,90
A
IL
CITY OF FEDERAL WAY MECHANICAL
PERM1T
33530 First Way Sauth
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:31.724 42ND AVE SW
NO.: 873198-1650
PROJECT DESCRIPTION:HVAC INSTALL GAS FURNACE
WER
DONALD COOPER
31724 - 42ND AVE SN
FEDERAL NAY NA 98073
927-8436
FUEL TYPES.:GAS
GAS PIPING.: 0 ft
FUR111<100K..: 1
TEAS NOT..... 0
CONV BURNER: 0
Bell......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
CONTRACTOR 4= -- LENDER
NORDIC SERVICES INC
9618 MIDVALE AVE N
SEATTLE NA 98103
522-9570
FANS.,...
;iERS'COMPRESSORS
HOOD .... -
n0
D'a-.
N(i''a9 STOVE' ..:
C
1 N11. ..
MIOC,. . , k :
D•
54 HP
"O"'IWAK, Atli
FUEL w
>
o
Rf�'JWts
c
s x
PERMIT NO: BLD93-1075
ISSUED: 10/08/93
BY: FLF
EXPIRES: 04/06/94
FEES:
NEC PRN1 ISSUANCE...
IAKE FEES)
Does the water supply systes contain a Pressure Reduction Device or Check valve? () Yes () Na (If *Yes* then water expansion tank is required on Not Nater Tank)
Inspection Record Nater Line Of Nprhaniral !". motion Notes:
GAS PIPING
1
PERMITS EXPIRE 180 RAYS AFTER ISSUANCE ii No ruK& IS STAkai . RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAI THE INFORMATION FUkISED BY ME JS TRUE AND CORRECT TO THE BEST OF MY XNOMIEDGE AV THE APPLICABLE CITY OF FERERAL NAY REQUIRFMENFS GILL BE MET.
,OWNER OR AMEN; 1_L -.CL _ _ - tKT
FIELD COPY