99-103004CITY OF FEDERAL WAY
33530 First Way South �µ� .��'.. M':�.. t-1 Y`'"I N f,:,,« E., f""k,
Federal Way, WA 90005 Mechardcal Irispe,Ction' Requests 253-661-4140
250-661-4000
ADDRESS:29105 1ST AVE S
NO.: 119600-0035
PROJECT DESCRIPTION:HVAC - INSTALLING NEW FURNACE & NWT W/30" GAS PIPE.*$$THIS PERMIT TO FINAL EXPIRED PERMk MECj
- OWNER =______ -___________________________________________T= CONTRACTOR
JOAN THOMPSON NORPAC HEATING & A/C INC
29015 1ST AVE S 3414 "A" ST SE SUITE #102
FEDERAL WAY WA 98003 AUBURN WA 98002
931-0610 �►
NORPAHA123M5
##= CONTRACTORS, PLEASE USE LOCATION CODE 1.732 WHEN REPORTING SALES R III
-------------------
PROJECT VALUATION 0
FUEL TYPES.:GAS ? FANS......,..;: O cGc/CCS-a.'ESGRS
GAS PIPING.: 30 ft HOOD.. O-,, 'ON.
FURN<100K..: 1 DUCT WORK... " 3-1.5 TO'
GAS HWT....: 1 WOOD STOVES...: 0 5 T9',. C
CONV BURNER: 0 FURN>100K...... °-50_TON..
BBQ......... 0 MISC........... 0 TON.....
GAS DRYER..: 0 AIR HANDLING UNITS FUE NKS------
RANGE...... : 0 <:10,000 CF"!: 0 ROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 E UND.:
& .
Does the water supply system c
Inspection Rford7 M
M
Device cr Chegg ,.,a ; ) Yes ; )
Date ---- ff- -j &% Piping
Date
43
cm -)0-13cloq
€HERMIT NO: MEC99-0265
ISSUED. 08/O4/99
3Y• FC
EXPIR Ue01/30/00
-- ------------- - --- ------------
TAX RATE : 8.25 sts
EES:
"'eVERMIT FCE $
1
TOTAL FEES
$
(Tf "Yes" then water expansion tank is required on
Date
PERMITS EXPIRE 180 DAYS ;AF ISS CE TF NO WORK 1S STARTED.
I CERTIFY THE iNFORMAT FUR �TE IS T?�;' AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGEti' __ DATE 0/0
-----...------------------------------ (1
FILE COPY
crr of G
VY
PARCEL #
SITE LOCATION
Tenant/Owner
E CE~I'VED
AUG 0 4 1999
vl t BAY
UILDING DEPT.
BUIIAING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: 11 - 024S' 24S
MEqti� -'
Single Family Multi -Family ❑ Commercial ❑
Address/City/State/Zip 2v! S� U -�
Nature of Work _
APPLICANT
Name
Address/City/St/Zip
Contact Person —
MECHANICAL
Company Name
Phone
Phone
Project Valuation: $
Fax
Address/City/St/Zip �7 S%& f �%f -
Contact Person ! Phone'-� I CL— Fax
v ��State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Exp. Date
Fuel Type as/other
Gas Dryer
Air Handlin < = 10 000cfin
Fuel Tanks:
Length of asi mi t)
RanRe
Air Handline > = 10 OOOcfin
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
DISCLAIMER 1 certify, under penalty of perjury, that the information famished 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 ity 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 paryof this application.
Owner/Agent
MEcx.App
Kmseo 1/7/99
19qDate S -t