99-100619my of wrly
3530 Fi 1-t, way �-;Cmttl MECHA
ANIC
3!PL PERMIT
Federal W,---iy, WA 9800-`1 2153-661-4140
2-53 --661 --4000
1A1)f*EC-S:1-048 SW 308111 �;-r
0
NO.: 178830-0100
PROJECT DESCRIPTION:NVAC - GAS FURNACE CHANG1001
KING COUNTY HOUSING AUTHORITY
1048 SW 308TH ST
FEDERAL WAY WA 98023
206.244.7750
tart
PROJECT VALUATION
FUEL IYP(S.:GAS ?
GAS PIPING.: 0 ft
RA0,110-: I
GAS OWT.... : 0
CONV BURNER: 0
Doe......... 0
GAS DRYER..' 0
RAMGL ...... 0
GAS LOGS...: 0
10(Af
1500
FANS...
(UNTRACTOR ............ LENDER
NORPAC HEATING & A/( INC
3414 'A" ST SF SUITE 1102
AUBURN WA 98002
WOP,m,, rl,
OD 30,
FURN40 ...... 30-50
MISC ...... 0 504 0
AIR HANDLI116 "!NITS FOIL TANKS ---------
10, 000 01: 0 ABOVE GROUND: 0
10,000 1CF111, 0 UNDERGROUND.: 0
PERMIT NO: MEC99-0040
ISSI-JED: 0,A,?/00-/99
BY: FC2
c"yPTw;: og/n6/99
CIA — IMN Wiel
NG SALES TAX FOR FMCIS 91 [#IN INE CITY Of FEDERAL WAY. TAX RATE : 8.25 sts
FF 1' .
$ 54.00
TOTAL FEES 54.00
Does the water supply systes contain a Pressure Reduction Device or Check valve? Yes No (If 'Yes* then water expansion tank is required on Not Water Tank)
Inspection Record: Mechanical Rough -in Date Gas Piping Date
MECHANICAL FINAL w.Dau
PERMITS L011f 100 DAYS At fig ISSUANCE If No WRK Is STARTLI.
,j-(ERfIFY 101 INFORM] log t NISHLI by ME Is INK AND CORRECT 10 THE DIST Of NY kmLLOGL AND IN[ APPI ICABLI CITY Of FLPFPAI WAY RiQUIRLMIENTS MILL K NET.
OWNER OR AQN1/?- /6
4 -0 /�-- - I - I L ------
DATE Z
FIELD COPY f i,
CITY OF FE�DERAI WAY � �uupu pp � u u PERMIT NO: MCC99-0040 "
33530 First Way S o u t h P,1' II.�,:. .„; rr°" II"''C .,,ll. �.,.., ° °r il...... ii°; :;;;.: If °. �'`�' :„u.,:.I! ISSUED: 02/08/99
Federal Way, WA 98O03 Mechanical Inspection Requests 250-66:1. 4140 BY: FC2
255-661-4000 EXPIRES: 08/06/99
ADDRESS:1048 SW 3O8TH
NO.: 178820--0100
PROJECT DESCRIPTION. -HVAC
ST
- GAS FURNACE CHANGEOUT
OWNER=:;__=______________________________________________g= CONTRACTOR =__.:::_______=________________________________= LENDER
KING COUNTY HOUSING AUTHORITY NORPAC HEATING & A/C INC
1048 SW 308TH ST ' 3414 "A” ST SE SUITE #102
FEDERAL WAY WA 98023 - AUBURN WA 98002
206.244.7750 931-0610
NORPANA123M5
US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ;ix
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION F NISNED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR RGENT _ DATE _ _ -----_
FILE COPY
PROJECT VALUATION
1500
FEES:
FUEL TYPES.:GAS ?
FANS..........: 0
BOILERS/COMPRESSORS
MECH PERMIT FEE $ 54.00
GAS PIPING.: 0 ft
HOOD..........: 0
0-3 TON.....:
0
FURN<IOOK..: 1
DUCT WORK....,: 0
3-15 TON....:
0
GAS HWT....: 0
WOOD STOVES...: 0
15-30 TON...:
0
CONV BURNER: 0
FURN>lOOK.....: 0
30-50 TON...:
0
BBQ........: 0
MISC..........: 0
50+ TON.....:
0
J 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 $ 54.00
i
3
Does the water supply
E
system contain a Pressure
Reduction Device
or Check valve? ( ) Yes (
) No (If "Yes" then water expansion tank is required on Hot Water Tank)
3
Inspection Record:
Mechanical Rough -in
Date ----------
Gas Piping -------------
Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION F NISNED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR RGENT _ DATE _ _ -----_
FILE COPY
CrrY OF
uv AY _
rj4PPLICATION FOR
vt t $tj1LpING DEPT.
PARCEL #
SITE LOCATION
Tenant/Owner
Address/City/State/Zip
ail
MECHANICAL
� ��12 �
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
PERMIT
MECIq -
Single Family q Multi -Family ❑ Commercial ❑
Phone-2�'244 7 71� U
Nature ofWorketakate , bac-A-11 n, FiLmcuct Project Valuation:Ili
$
APPLICANT
Name
Address/City/St/Zip 3q i y H SL � i- 0'(2—
Contact Person-. 3 -_fl— 1 -�� (� Phone �3310(,PQ Fax__
MECHANICAL CONTRACTOR
Company Name
Address/City/SdZip s4� g A 5n
Contact Person`r U- ►� Phone 2S-v__aG)3 1 01y d Fax �ol'a! 7
State L & I Contractor Registration # r � ` (2 Exp. Date ��
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000eftn
Fuel Tanks:
Length of gas piping
RanRe
Air Handling > = 10 000cfm
Above Ground
Fum <100K BTU's
Gas Log
Unit Heater
Underground
Furn>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler BTU/H
I Other
Conv Bumer
Duct Work
A/C TONS
Other
Wood Stoves
A/C
.4
DISCLAIMER: I certify, under penaltyof perjury, that the information famished by me is trueandcorrect 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-oe
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 its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
Owner/Agent
MEcH APP
REvm ED 8/26/97
Date
C '