99-100143CITY OF rEDERAL WAY
33530 F is t Way South MECHANICAL PERM11'
F-edearal Way, WA 98003 Mechanical 1nspPcfJ-ori Requests 253 6 � 1. --,,4140
t�5:5-661-4000
,ADDRESS:5122 SW 326'rt-i vt-
'-00 " : 189832-0010
PROJECT DESCRIPTIOti:GAS PIPE TO FIREPLACE FOR LOGS
OVNER ....... rOPIRACIOR
VERONICA KNUDSON NORDIC HEATING, INC.
5122 SW 325TH Pt 3411 C St. WN BAY 8
FEDERAL WAY WA 18023 AUBURN WA 98002
931-0503
LFHDL9
qq - 100 H3
k i
PERM -1 T 140 -. MCC94--&- 0.4
ISSULD:
BY: FC'
EXPIRES: 07/04/99
f0m MAY. TAX RATE : 8.25 S"
FEES:
W, PERMIT FEE $ 32.65
TOTAL FEES $ 312. c5
ww.exo ....... ..... = .... U0 ..... ........ ....... -.M .. ...... ... ax..ft.... :=.= .......
Does the water supply system contain a Pressure Reduction Device or Check valve? Yes ( ) No (If "Yes* then water expansion tank is required on Hat Water Tank)
Inspection Record: MeChanical Rough -'in Date Gas Piping-- 9
4j Datp—Z5
MECHANICAL f [HAL Date %j
PERIIIIS IXPIRI 180 PAYS AFTER Iss"I it NO WAK Is STARTED.
I CERTIFY IRE INFORMATION FURNIS"to By "I Is TRUE "D CORRECT 10 IK Stst Of ny yr,%tlba An TIE AMI(ME CITY of FIKKAL Ir"Y REQUIREMENTS Vill BE it
OWNER OR AGENT
DATE
FIELD COPY
Sst CONTRK10t, PLEASf USE
10011411 CVK IIV.
VKN AtMING SaLS
TAX FOR WKCTS
III ITJ' I
PROJECT VALUATION
770
FUEL TYPES :GAS
? FANS........
0
GAS PIPING.: A6
ft HOOD...
0
FURN(100K..: :0
DUCT' f—
GAS MT.—: 0
WOOD ST FI:
A
1�4'toN.'
0
(ONV BURNER: 0
FURN>10 ...
1)
BBQ......... 0
"R,( ........
0
�otf—
LO ...
"I
GAS DRYLR..: 0
AIR HANDLIK UNITS
�50'f
ZlIk"IANks-
RANGE......: 0
<:10,000 CfM:
0
ABOVE GROUND:
0
GAS LOGS...: 1
� 10,000 Cr":
0
UNDER6ROUND.:
0
LFHDL9
qq - 100 H3
k i
PERM -1 T 140 -. MCC94--&- 0.4
ISSULD:
BY: FC'
EXPIRES: 07/04/99
f0m MAY. TAX RATE : 8.25 S"
FEES:
W, PERMIT FEE $ 32.65
TOTAL FEES $ 312. c5
ww.exo ....... ..... = .... U0 ..... ........ ....... -.M .. ...... ... ax..ft.... :=.= .......
Does the water supply system contain a Pressure Reduction Device or Check valve? Yes ( ) No (If "Yes* then water expansion tank is required on Hat Water Tank)
Inspection Record: MeChanical Rough -'in Date Gas Piping-- 9
4j Datp—Z5
MECHANICAL f [HAL Date %j
PERIIIIS IXPIRI 180 PAYS AFTER Iss"I it NO WAK Is STARTED.
I CERTIFY IRE INFORMATION FURNIS"to By "I Is TRUE "D CORRECT 10 IK Stst Of ny yr,%tlba An TIE AMI(ME CITY of FIKKAL Ir"Y REQUIREMENTS Vill BE it
OWNER OR AGENT
DATE
FIELD COPY
10
CITY OF FEDERAL WAY
a
33530 First Way South it"11 ':::.: F,p E R
Federal Way, WA 98003 Mechan:ic._il Inspect:icn Requests 253-..661-4140
253--661-4000
ADDRESS:5122 SW 326TH PL
NO.: 189832--0010
PROJECT DESCRIPTION;GAS PIPE TO FIREPLACE FOR LOGS
PERMIT NO: MEC99-0004
ISSUED: 01/06/99
BY: FC
EXPIRES: 07/04/99
r= OWNER =___. _:____________________________________________=
180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
CONTRACTOR =______________________________________===__-
LENDER
r VERONICA KNUDSON
I CERTIFY THE
NORDIC HEATING INC.
OF MY KNOWLEDGE AND THE APPLICABLE
5122 SW 326TH PL
FEDERAL WAY REQUIREMENTS WILL BE MEL
3411 C ST. NW BAY 8
_ �2 11 __.---------------------------------------
FEDERAL WAY WA 98023
AUBURN WA 98002
a
931-0503
NORDIHI099BJ
-----------------
__=____=__-----=___
3#
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR
PROJECTS WITHIN THE CITY OF FEDERAL HAY. TAX RATE = 8.25 US
PROJECT VALUATION
770
FEES:
FUEL TYPES.:GAS ?
FANS..........: 0
BOILERS/COMPRESSORS
MECH PERMIT FEE $ 32.65
� GAS PIPING.: 40 ft
HOOD..........: 0
O-3 TON,....:
y 3
FURN<100K..: 0
DUCT WORK.....: 0
3-15 TON....: 0
t
GAS HWT.... : 0
WOOD STOVES...: 0
15-30 TON...; 0
CONV BURNER: 0
FURN>100K.....: 0
30-50 TON...: 0
BBQ....,.... 0
MISC........... 0
50+ TON...... 0
I
a GAS DRYER..: 0
AIR HANDLING UNITS
--------
FUEL TANKS ---------
RANGE ......
RANGE......: 0<:10,000
CFM: 0
ABOVE GROUND: 0
GAS LOGS...: 1
> 1C,000 CFM: O
UNDERGROUND.: 0
TOTAL FEES $ 32.65
Does the water 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 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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST
OF MY KNOWLEDGE AND THE APPLICABLE
CITY OF
FEDERAL WAY REQUIREMENTS WILL BE MEL
OWNER
OWNEROR AGENT
_ �2 11 __.---------------------------------------
------ DATE19
FILE COPY
CITY OF G
``• ED
V�
RECEIVED
JAN ®6 bggp
Vf t Y Ui= FF jLHAL WAY
BUILAt
APPLICATION FOVhCHANICAL PERMIT
Federal Way Business License number:
PARCEL # Single Family Multi -Family ❑
SITE LOCATION
Tenant/Owner l� !� 0 L ✓a KN,) o so,y Phone
Bun iNG DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000,
Fax (253) 6614129
MEC ;6 - 000q_
Commercial ❑
Address/City/State/Zip
Nature of Work 5 V ' �'� tr /�c���Ct- ✓ w S Project Valuation: $ 7L2
APPLICANT
Name
Address/City/St/Zip (l / S F
Contact Person� c �,j W (f "'211? 2 Phone �5 �'" �I ��- Fax
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip
Contact Person Phone Fax
State L & I Contractor Registration # �' ` l l 0 /J Exp. Date r
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handlin < = 10 000cfm
Fuel Tanks:
Length of as piping
C' Range
Air Handling > = 10 000cfrn
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Under.ground
Furn >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
BBO's
Wood Stoves
A/C TONS
DISCLAIMER: I certify, under penalty of pernay, that the information famished by me is true and correct to the best of my knowledge and fiuther that I am authorized by the owner of the above premises to perform the work
for which permit application is made. I fiuther 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 Federay Way but only where such claim arises out of the reliance of tine city, including its officers and employees, upon the accuracy of the a
information supplied to the city as apart of this application.
Owner/Anent Z = — Date /
Meca.ArP
Re sm 7/29/98