97-100230CITY OF' FF'Dt.-VAL. WAY
3353o Fir -;f, W,vv Sotit.h
Fecce: r,il Wzty, WA 9,800'3
661-4000
ADDFESS :337'210 9114 AVE 1; linit-, I
NO. - 1)'r?64800140
PRO31"IT'l ION .IVAC-MOVING 10 1 WORK
OWNER ...... .............
DR. EPIAN fILBERI
3371.0 910 AVL S STE I
FEDERAL WAY WA 98003
tri flNIfRITCifIRS, PI
PROJECT VALUATION 3000
FUEL TYPES.:? f ANS.
GAS PIPING.: 0 ft, 1100t,.,
FURH100K..: 0 out I Web.
GAS IIN]—.: 0 0 5 Q
(0mv Bump: U 1UP
BBQ......... 0 misc..
GAS DRYEE..: 0 AIR NAND
RAIN[ ....... JJ f:10.000 0
GAS LOOS.... 0 10.000 C 0
M C C r, 111011 F -11f -t IC ri L V% C rk 11-11 f r',
t3iii.k1l.rig ln�pecti.oti 661 -4140
HOPPA( IffAIING & A/C IK
3414 *A* ST SE SUTIL 1102
AU09 WA 98002
qrl /CN-fv
PLRM11 W)-. MLC97-0U24
01/22/97
BY : F' -C2
01/1.6/98
I Aik
�r�
ABOVE GROUND: 0
UNDERGROUND.: 0
Does the water supply systea contain a Pressure Reduction I)Ae 0
Inspection Record Water Line OK Hecham ik HT
GAS PIPING OK Date
PIRRIIS EXPIRt IN HYS 0119 ISSUANCI It NO KKK IS SIARItO. RLS1KNIIAt AND 0460G P1q,14Ih 1XPJ91 09t YLM N119 fk31t Of ISSRX(f.
I (ERIffy IfIlf t1ffow-110N IORKSKID BY tit IS 1RUf Aft LORK10 II! 131, ttllil Ot MY tROW1.1,01A Ak�i- IRL APPLI(ABI.I. ;LIfY (A ffbt-Phl PAY P1.011(thINIS MILL BE fiLl.
OWN[P OF ACANI di..,r�DAIS l Z, - '
TOTAL ILLS
$ 74.00
a ter expansion tank is required on Not Water 130)
FIELD DOPY
SETBACKS & FOOTINGS'
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING'
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH -IN
Date By
..................
GAS PIPING
Date By
MECHANICAL ROUGH -IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL'
Date By
BUILDING FINAL
Date By
OTHER
Dated By
OTHER
Date By
CDO193
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661--4000
ADDRESS:31720 91'H AVE S Unit:
N0.: 926480---0140
PROJECT DESCRIPTION:HVAC-MOVING DUCT
;= OWNER
DR. BRIAN FILBERT
33720 9TH AVE S STE
FEDERAL WAY WA 98003
1.
WORK
Bui1din<T inspection RequesL-s 661 -'+140
CONTRACTOR
NORPAC HEATING & A/C INC
3414 "A" ST SE SUITE #102
AUBURN WA 98002
931-0610
-- NORPAHA123M5
:s: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES
PROJECT VALUATION 3000
FUEL TYPES.:?
?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
0 ft
HOOD..,.......:
0
0-3 HP......: 0
FURN<100K..:
0
DUCT WORK.....;
1
3-15 HP.....: 0
I 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
I GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS---------
RANGE......:
0
<:10,000 CFM:
0
ABOVE GROUND: 0
9 GAS LOGS...:
010,000
CFM:
0
UNDERGROUND.: 0
PERMIT NO: MEC97--0024
ISSUED: 01/22/97
BY: FC2
EXPIRES: 01/16/98
LENDER
(
I
0
TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 tst
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If
Inspection Record Water Line OK _ Mechanical Inspection Notes:
GAS PIPING OK Date .......... BY
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT
OWNER OR AGENT
FEES:
MEC PRMT ISSUANCE... $ 20.00
Mechanical Permit, $ 54.00
i
9
i
TOTAL FEES $ 74.00
9
"Yes" then water expansion tank is required on Hot Water Tank) -------------------
j
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s
t
------__.-----_-
p
RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MEI.
FILE COPY
DATE Z..-,%,....
City of Federal Way
CITY OF 33530 First Way South
_ ® Federal Way, WA 98003
(206)661-4000
IVE
APPLICATION FOR MECHANICAL PERMIT
:SAN 2 i ldJ!
PARCEL #' f;g-ty(")i; ttDrWAY Single Family C1BULL TNU=
SITE LOCATION: 33 7.2o < `5,40%OF
Multi -Family ❑
Glomi'{ y 18wo.3P_
Tenant/Owner: 41ZAR-1s Phone:
Commercial
Address/City/State/Zip: « ��i s ��� �� ,�vs' f /�fvus t!�'.�iGoC
.a¢ cit oT � c*c c
Nature of work:-���v-�` E- Project Valuation: $
�3 Lc ut *.uv G3.aw� 0/
APPLICANT:
Name: - /YC) r i✓�_ /�fa�7'i its i ii 1`/tti /4 c��Y,�-,•r,
t� �I,�
Address/City/St/Zip: —3`1 / v / .S'7— SC iS' /OL
Contact Person: -' -y'C""s LfeL IPhone: 6AG� Fax: 2X/ -06 y Z
MECHANICAL CONTRACTOR:
Company Name: NL>Pl �c ��cr�r�,.r /I`�r•C car<�: i7e �ls.v
Address/City/St/Zip: _19 1 q
Contact Person: v t ^ Phone: 2 3 % -Uc f o Fax: 2 3/ -01 t0 7
State L & I Contractor Registration #: �S �� `� Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling < = 10,000cfm Z
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10,000cfm
Above Ground
Furn <10OK BTU's
Gas Log
Unit Heater
Underground
Furn > 100K BTU's
Fans
Boiler BTU/H
Miscellaneous
Boiler BTU/H
Other
tConaHwtHood
v Burner
Duct Work
A/C TONS ,_,t
Other
Wood Stoves
A/C TONS
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the beat 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 Concluding 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 orgy 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. -
,l r
Owner/Agent: z-���>�� - �*"i Date: ,A 2 Z �7