97-100850( TY OV FEDERAL WA1•
'9:j530 First Way Sout_.r 1-1 Pt N .I. CA L P Efjk T ,..I
f-eder'a1 Way, WA `:)E300,3 (,x(;14'1411
66*1--40001
ADDRESS: 2;300 S 204T it PL.
NO.: 4222201...0220
F'RO,JE:c,T DESCRIPTION: (RANGE OVER- NEW UNIT NEN WA1ER/ NEAT
p-- OWNER sscaaaxsrse:asaaras,[Yaaassmr:c:�m'sr.^.-.c
KEVIN STUCK.EY
2300 S 284TH PE
FEDERAL WAY WA 98003
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ut CONTRACT E
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PROJECT VALUATION 3476
FUEL TYPES.:GAS ? FANS.........
GAS PIPING.: 0 ft HOOOm:'.
FURNs100K..:" 0 [N
GAS HNT..... 1 W
CONV BUPNER: 0 FUR
BBV......... 0 MISC..
` GAS DRYER..: 0 AIR NAN
RANGE....... 0 ':10,00
GAS LOGS...: 0 > 10.000 C 0
CONTRACTOR.....:xcsrvacx:m—
HORPAC HEATING & A/C INC
3414 "A" ST SE SUITE #1011
AUBURN WA 980011
9310610
LENDER
9 q IeOB50
PE RM1 1 NO: MI_C91-0085
LSS(JED:
BY: FC:
I )'PI:RES: 09/06/97
SALES TAX FOR PROJECTS VITRIN TRE CITY OF FEDERAL MAY. TAX RATE 8.15 til
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3 63.00
20.00
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Does the water supply systee contain a Pressure Reduction Device or Check valve? () Ye,.-,
83.00
Not Water I
Inspection Record Water Line OK . __,. . Mechanical Inspection Notes: ....... \A/
GAS PIPItif 3
��f By ...
C............c. ......:a:etR«... Tlxx.xa..._.: �_.x+'._...�...�:iSxs:..;",<.:..aC.T.:cA�:.. L'v.-r, Y. x:••. .r ... :v: :. .. .. R., t..... ...-« �
PERMIIS [XPIRL 180 DAYS AT IFR ISSUWF IF 0 YORK IS SIARICO, RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DAF[ OF ISYMN(J
I CFRTIFY INE INFORMATION IURNISKII WY NE IS M AND CORRECT TO INE BEST Of NY INONI_EDGE AND TME AMICABLE CITY OF FLKRAL NAY RLOUIRLNLNIS WILL Of Nit.
OWNER OR AGENT ► t 1� �; �1 _.__....__.._ DATE 3to l L
FIELD COPY
CITY OF FEDERAL WAY PERMIT NO: MEC97-0085
33530 First Way South P I:;;; .'FI fix' NI C A L. F1 E" R ISSUED: 03/11/97
Federal Way, WA 98003 Building Inspection Requests 661-41.40 BY: FC
661-4000 EXPIRES: 09/06/97
ADDRESS:2300 S 284TH PL
NO.: 422220-0220
PROJECT DESCRIPTION :CHANGE OVER- NEW UNIT - NEW WATER/ HEAT
p= OWNER _____________________________________________________ CONTRACTOR
KEVIN STUCKEY NORPAC HEATING & A/C INC
2300 S 284TH PL 3414 "A" ST SE SUITE 1!102
FEDERAL WAY WA 98003 AUBURN WA 98002
931-0610
NORPAHA123M5
LENDER
Sts
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX
FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE
= 8.25
f#�
PROJECT VALUATION
3476
FEES:
FUEL TYPES.:GAS ?
FANS..........: 0
BOILERS/COMPRESSORS
Mechanical Permit*
$
63.00
GAS PIPING.: 0 ft
HOOD..........: 0
0-3 HP......: 0
NEC PRMT ISSUANCE...
$
20.00 i
FURN<100K..: 0
DUCT WORK.....: 0
3-15 HP.....: 0
GAS HWT....: 1
WOOD STOVES...: 0
15-30 HP....: 0
CONV BURNER: 0
FURN>100K.....: 1
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
TOTAL FEES
$
83.00
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
Water Line OK ----------
Mechanical Inspection Notes: .........................................
f
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 THE INFORMATION FURNISHED NY ME IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL BE NET.
I
OWNER OR AGENTDATE
--------------------------------------------------------- -`' 1-��--------
FILE COPY
CITY OF G
— •
REcE,,Y V
City of Federal Way
33530 First Way South ,
Federal Way, WA 98003
(206)661-4000 Qyv t = t�L��,ht vvA
ButLD 6E-Pl
APPLICATION FOR MECHANICAL PERMIT
PARCEL it- `d
42X — Single Family
SITE LOCATION:
Tenant/Owner:
Multi -Family o Commercial ❑
Phone:
Address/City/State/Zip:
Nature of work: Project Valuation: $ Z�A-1 Lo.
APPLICANT:
Name: QDP- Pala �ranQE) c-ly0 61Q, colp IT, cyN j ( N s
Address/City/St/Zip: 34)q h a 3e -*I Dd) ra l .lm I�Ja 19my-,
D Q31-0,047
Contact Person: Q L x- Phone: -1�' � OLO 1 Fax.
MECHANICAL CONTRACTOR:
Company Name:14
Address/City/St/Zip:��
Contact Person: t Phone: (v Fax.."C✓1_ 1
State L & I Contractor Registration #: Exp. Date: U
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) ii,5
Gas Dryer
Air Handling < = 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10,000cfm
Above Ground
Furn <100K BTU's
Gas Log
Unit Heater
Underground
urn > 100K TU;
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
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 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 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/ ant: - �- Date: