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CITY OF FEDERAL WAY PLi ' 1.1: I NO: MEC96-0076
33530 First Way South VI E C VI H 1.C et L. PER k :. " iSSuED: 04/22/96
Federal Way, WA 98003 Buildinn Tn^pe'tion Iter iec;tc 4140 BY: FC2
661-"4000I EXPIRES: 04/16/97
ADDRESS*`::_?05 SW 306 H PL_ '
NOW : 416730-0310
PROJECT DESCR:T PTION:11VAC - GAS PIPING ,,kfAl ssx^umsv-mmcr.;rxmac:rmacmaawmt:a�mammcaesecraaeuoaca..�::rcxracw:sI 1 II).
r4WkER � ORA . ' EHDER ><�_x••rP.x:�����rv:;::uu„<x:�:�_�,..>rr:,:::.::��.-x���sar.>t��.:�_=1
1 PAMALA BUCK ' I 1'1' ' ; I
I 2205FEDERAL
SWAL WAY
PL 34 k, Illi 1 ��
FEDERAL WAY wA 46[123 V
I 874-1370 \ Ilk
A 41%, lille -
T{ .,. m aa^zxa^wm asamrxr�m. s:raxer ; rc-.rc:-c:muc-meartus:rsunr.»ttrr.ssasc:xxcaxsromrm.umrrc:es,ssrcv¢mm:,,cx:
:. vax x,: av ax.ccemrx: naa ! aawm at . : an
at +; 4 ,Afir t' `' le ' ' II& SALES TAX FOR PROJECTS NITNIN INE CITY Of FEDERAt NAY TAX RATE - 8.25 es*
1e. ,s..r.:r:zas:aur_crmr.-.=, ) .. \ t»we"n:, ;u oxxamaraexe.asq:aearan.au:.:xm::,�eaer:a-.:srmx:.:.msc:•rxjwa c:crcx- :sv a:>-:te a....,.....aa,cec ..:v....,e. :,.�.n:scraas:nac>.snr..ru.•.r^x;cecmuu:�xy
( PROJECT VALUATION ? 1�� �_� � �, FEES.
FUEL TYPES.:GAS GAS FA + ,. , .t = ,ermit* $ 28.00
GAS PIPING.: 60 ft Po� 9 .. • "I UANcl $ 20.00
FURN<100K.,: 0 DNI` 4S41 f 1
I1 CAS NWT... 0 0 , 1
CONY BURNER: 0 FU v ! _,+ g' L
I \,"
120 • 0 MIS( 0 ',� z, 0 u T.
GAS DRYER..: 0 AIR HA' t'' J ' AH. , 1
RANGE 0 <.1,1),(H',,,\,,. � I "-:.1i, � VE GROUND: 0 w 0(7
1 1
1/4 \
GAS LOGS,..: 0 > 10,000 ., - 0 I UNDERGROUND.: 0 TOTAL FEES $ 48.C( 1/1.0m msm,=rx-:sr:x=r arms o.,011,.rxr G•mm;a1K'umx�.csmR.....,.:awmxc:._xxm,^w-atans:...nrcrTmazu wr.:xn rcrurr.R,...c.-:Yxxrauamsbcw xz:cur,;mrr�macrs:anxW zriv ^.�clt'es:::.r 4.MmAwax ua3lrcc Y':ssmm YlC: �
.1
Does the eater supply system contain a Pressure Reduction Device or Check valve? (} Yes (} 110 (If "Yes' then eater expansion is requ 1Will
w� . ,,,i_
W 1
Inspection Record water Line Ot Mechanical Inspection Notes: fe6 t-5C` t2ekii7- 70 CC4../oc--
</�1�TOf S /i(/jL./Z -0,2 iDai i 574 2 5 /' rr7 L i �wec - -.--
GAS PIP,NG OI' AAl Date By j/ ")3- ' 4 An/
.i...a.an:�s:x:-aa.»:-.-..-.. ..::::.. ..,.:�,+: :e+ar6aARE•c-::.:'F'.`�: :...,..0:xs:ae.ar.:^:arx.u:.yrz no:eas:c•:c::c ecnarmzsm-_. as.r:.c.:r. •.......r:...»n.z:nw:.,.mwrmw:.+r....-w s.z,.ns......a5....._. .>;xc'_.._... ...,,... .. _. .,. _....,.-..... K . .,,.
PERMITS EXPIRE 180 GAYS AMR ISSUANCE IF NO NOR IS STARTED. RESIDENIIAI. AND GRADING PERMITS EXPIRE ONE. YEAR ATTER 6ATE OF ISSUANCE. 0'3' (
I CERTIFY 101 1N1ORMAIION IURNTSNL6 BY NE IS TRUE AND CORRECT 10 101 I 1 01 MY tNONltl .l. ANDTHE APPLICABLE CI1Y Of FEDERAL WAY REOUIREMENIS Will RE MET.
OWNER AR AGENT }. , , _ ` _ / r DATE `�i l J /! Ak 4
vop\
FIELD COPY
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•
CITY OF FEDERAL. WAY PERMIT' NO: MEC96-0076
• 33530 First Way South tillIr.C.:. 1,.,, Ali t''' 1.:: c�1:7'�I ,,,,,, P Eft$""'h 1... „,11,.. ISSUED: 04/22/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661--4000 EXPIRES : 04/16/97
ADDRESS: 2205 SW 306TH PI._
NO. : 416730-0310
PROJECT DESCRIPTION:HVAC - GAS PIPING
F. OWNER -------=-• __ ::----- _.. __ _ w, CONTRACTOR __-- LENDER .-_-.--_ _.
�
PAMALA BUCK NORDIC HEATING, INC. .---+»---�
2205 SW 306TH PL 3411 C ST. NW BAY 8 I
FEDERAL WAY WA 98023 AUBURN WA 98002 1
874-1370931-0503
r
___ NORDIHI0998J i
=ts CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 #32
PROJECT VALUATION 735 1 FEES:
FUEL TYPES.:GAS GAS FANS • 0 BOILERS/COMPRESSORS Mechanical Permits $ 28.00
GAS PIPING.: 60 ft HOOD • 0 0-3 HP • 0 1 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP.....: 0
GAS NWT • 0 WOOD STOVES. ,.: 0 15-30 HP - 0 1
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 1
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 I
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1 TOTAL FEES $ 48.00
I
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:
t v
GAS PIPING OK Date By
� f
.
_ .. -- -. -._____a
�_.. ... _-___.___.._..._.__. _ns�n: __� ........ _............_..._........._.._r.-sem_.- =____
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 INFORMAT ON FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
(ER OR AGENT .._�_L ,. _...� / / ! - _4 __ _ DATE 1-112Z19&.
VA
FILE COPY
City of Federal Way
ITY OF F \� L- 33530 First Way South 7 h. C-'(p -- 0---09k •
--- - Federal Way, WA 98003
-- -- Fel—E) (206)661-4000 '
WFW ECEINIED
APPLICATION FOR MECHANICAL PERMIT
1�/ APR 2 2 1996
PARCEL if I / 6 2 3 0 - 03/0Single Family X Multi Family 0Sp Coal 0
+t UILDING DEPT.
SITE LOCATION: p
Tenant/Owner: r 7 m n L A eBu c Phone-
\<- P 7 q - 137 0
Address/City/State/Zip: 2 2 0 5 5\A/ 30 Co PL 'Rk_.- wpk .1W
Nature of work: (3AS Pi et N (=, Project Valuation: $ 3 5 "*-'
APPLICANT:
Name: NORDIC HEATING, INC.
3411 'C' St N.E. Bay 8
Address/City/St/Zip: A»hiirn WA 98002
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
A.
Company Name: 'vO K D,CIA �I �N�
Address/City/St/Zip: C1 S �- fl�
Contact Person: Vtc.1\N2- b (--)0 % L-,kO 1 1372_ 93 - 0503 q3( 073�)
Phone: Fax:
1\i010 -kl 099'63-
State L & I Contractor Registration #. Exp. Date.
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) CC_-I--15 Gas Dryer t G,./4,„d f Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping (00. Range I 4..6-L..// Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's&t Gas LoI g 04/l-aT Unit Heater Underground
Furn >100K BTU's ., Fans Boiler BTU/H Miscellaneous
Gas Hwt `'-li
/' ! Hood Boiler BTU/H Other _
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves
A/C
TONS
Atat tlntt Caunv
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 oft 'nformation supplied to the City as a part of this application.
k....
Owner/Agent: /�� 2teA
(-t4 Date: GL