97-101121t Ir) i 1, : " " 3
ADDITION OF 2 NEW NEAT PUMPS AND RELOCATE EXISTING DUCT WORM
04NFR
UPC H[At IN NETWORK
34012 9TH AVE S SUITES 3 7
FEDERAL WAY WA 980013
643-8400 CITY 01':
Its C011WINS, 461 LOCA
PROJECT VALUATION 120
FUEL 1'(PES.:GAS ? F
GAS PIPING.: 0 ft H
MR11100K... 0 DUCT
GAS NWI.... : 0 WOOD CT
:1
f IMV VIRNER: 0 FU\R#)1;00K.
,C . ..... tjS
BOO......... 0 hisC......., ... 0
GAS DRYER..: 0 AIR HANDLING UNITS
RANGE......: 0
1 10,000 Cf": 0
GAS LOGS...: 0 ) 10,000 CFM: 0
97 �o�r�-�
I't RM.1 , tj! , , Ill ( , � ! - f )-I
CONTRACTOR LIPPER
NORPA( 4EATIK & A/( INC
344 "A* St SC SOM 1102
?J1 UP.Lu -MEOW
22_1110M At.11fiffilfic—CALSKA I ink- MI -11, 1, fit, 11"
A&P
Iry
0
0 "P. 0
ABOVE GROUND: 0
UNDERGROUND.: 0
Does the water supply system contain a Pressure Reduction Device or Chect, vil
Inspection Record Water Line OK mechanical Inspection Note�
,_ ey
GAS MTV Dat �my
REM`
Meo4ni(al Permit, S 144.00
ME( PRMI ISSUANCE... 3 20.00
TOTAL FEES
$ 200.00
h ,-, -ter expapsiin Hr't 4,1, F ,rtt,
r
(( Die,
�V) 7
PFRNIIS (MAI 180 DAYS AtILP fSSMK1 If 10 WK IS SIARTM Rt!"IKNTIAL All GRADING PILMIS EXPIRE ONE YLAR AfJ[R MI[ Of ISS(blKE.
I ([KI(FY liff INFOMFION fURNISNED BY NE IS IRK AND CORALCI 10 M BEST OF, NY (NNIM All IN[ APPLICABLE (11Y Of f1D(RAt SAY REQUIRFOINIS WILL BE AfT.
OWNER, OR AGENT
4)
F .&
CITY OF F=EDERAL WAY
38530 First Way South Ni �":' <, iP117110.01 Ilt1.1 041 C.- f!�'a�� ��„,.��� �"���� .:��;: ,m.,,
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:34012 9TH AVE S Unit: C3
NO.: 926480-0110
PROJECT DESCRIPTION:HVAC - ADDITION OF 2 NEW HEAT PUMPS AND RELOCATE EXISTING DUCT WORK,
OWNER
UPC HEALTH NETWORK
34012 9TH AVE S SUITES 3-7
FEDERAL WAY WA 98003
643-8400
CONTRACTOR
NORPAC HEATING & A/C INC
3414 "A” ST SE SUITE #102
AUBURN WA 98002
931-0610
NORPAHA123M5
PERMIT NO: MEC97-0113
ISSUED: 04/28/97
BY: FC2
EXPIRES: 10/24/97
;i= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 *i=
----------------------------
PROJECT VALUATION 12037
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 HP......:
0
FURN<100K..:
0
DUCT WORK.....:
0
3-15 HP.....:
2
GAS HWT.... :
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 CFM:
0
UNDERGROUND.:
0
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No
Inspection Record Water Line OK -----------
-------- Mechanical Inspection Notes:
GAS PIPING OK .......... Date ...... By
------------------
H PLAN CHECK FEE $ 36.00
hanical Permit* $ 144.00 I
PRMT ISSUANCE... $ 20.00
r
EES $ 200.00 i
i
(If "Yes" then water expansion tank is required on Hot Water Tank)
------------------------
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 NET.
OWNER OR AGENT_"1 _ Q Kd�---------------------------------- F+0PY DATE �i��- ------
CRY OF
ZOM RY
APPLICATION FOR MECINICAL
/ [� /� /� I / j� �Ty OF FEDERAL WAY
BUILPARCEL # qL(D 13l/ - (Jl 1 V Family
0 DEPT.
Single Family ❑
Nwz�-ZI-oil
BurLmNG Drvrsroir
33530 First Way South
Federal Way, WA 98003
(206) 66111000
Fax (206) 6614129
PERMIT
MECO
Multi -Family ❑ Commercial x
SITE LOCATION
Tenant/Owner U H �- i`� f �1 � t� `"�` Phone
Address/City/State/Zip `a Ct9 A k nes.?
Nature of Work % ��^ G' e<%Ilk ca11�JOL`-�-- roject Valuation: $ jLl
Ki!)(Z �(
APPLICANT
Names e �r4� if /f: -i'-1
Address/City/St/Zip
`� ,rte 5%- �' -
Contact Person Phone '7 3/-V61i I Fax
MECHANICAL CONTRACTOR
Company Name -5 1 I c /" "
Address/City/St/Zip
Contact Person
Phone
Fax
State L & I Contractor Registration # � �� % % `N 5 Exp. Date 21 46 12 E
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of as piping
Range
Air Handling > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTUs
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 f utha 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 federel Way m to any claim (mchrding 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 the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a pan of this application.
Owner/Agent
Meca APP
Rr m 12/11/96
Date - [