96-101250 . .,, q&, /o/a5O
c ITV OF F E.[ARAL WAY -",..J1114 hu.. ilL(196-0(rd:
:'19530 F i rst Way South 11 fi.:7 IC WI 11 I CAI PL RM r ISSAJED: 05/08/96
Federal Way, WA 98003 Building 1tGpection Request. ; 661 -4140 BY: FC2
661 -4000 EXPIRES: 05/02/97
ADDRESS: 767 SW :3 / [H SI
NO. :: 7 29804-0260
PROJECT DEscP.I P LION:MECO • GAS PIPING 50', GAS FIREPLACE
I SUSAN BROWNING NORDIC HEATING, INC. I
I
1 167 SW 337TH ST 3411 C Si. NW BAY 8 I
I FEDERAL WAY WA 98023 AUBURN WA 98002 I
I
111161-0512 931-0503
NORDIH10938J
1st COMIRACIORS/414§1 USE 0E01 . '.•7"-I' ' t "Y::::,t, At.'1_1106 SALES FAX TOR PROJECTS VITRO IRE CITY OF FEMME WAY. LAX RAIZ : 8.25 **S
I PROJECT VALUATION 560 i:0,4,1e4eNokreank FEES:
I FUEL TYPES.:GAS ? FARS._ ..,.: 0 IL.111-3/COMPRESSORS- 11§:1W144,7 , Mechanical Permit* $ 24.00
1 GAS PIPING.: 50 ft HOOD..., .,: 0 A- , 4P . . u +2..v0,4b4krz . .... ,„w,,,,, , ,, '' ; .77 , - ' ,.-. :ONCE... $ 20.00
1 FURN<100k.,: 0 DUCT WORT. .....: 0 1-1' UPg--
,,,,,
I GAS NWT • 0 WW1 tT0VP,.. ' 0 lgi '0 ift ._: '
BBQ NIit*.v, , * --Alppl.. -2 ,,,g
I CONY BURNER: 0 fUNN:t44. ,,,.- 0 30 ) ,
', . 0 --=.--- — ----
I - n t -,--44
,,,, .,,, t, hp. ..,., 0
GAS DRYER..: 0 AIR 044C1 irls TOEI TAW.S.------- -1104$0*
RANGE • 0 <:10,, 1 ,-,. -, . .110,1 tROND:
GAS LOGS • 1 > 10,11. , ' ‘ , OTIOIRGkOUND.: 0 TOTAL IEE S $ 44.00
l,,...„.„,..—x,x,r..., ,,x,m,—r.-ur=,wn.,t--=Pv,,r,4v,vnrmt.tr::,,lcg,m,,mn.,mmvr.w, ,--r:m..,,,..7.Amet: La.m:,,,,.....-Axnnpnva.,:mmrsyscrov4.3.amt,11,..4,,agt.tunain:Nesmsr=letm.nr-opasm,r=====m==—umr,,s=.mmargmr.m=r,tvom,..
es the water supply system contain a Pressure Peduction Dewice4()%eck valve? 0 Yes I) No (If 'Yesthen water expansion tank is required on Hot Rater Tankl
I Inspection Record Water Line or mechaniclogpect. n otes:
1I
GAS PIPING Ok Datee; By ..
1 ,
MMUS EXPIRE 180 WAYS AfIfR ISSUANCE IF NO WORX IS SIARIFO. ktS1011111A1 AND GXAOING PERMITS EXPIRE 06 YEAR AMR OAR (4 ISSUANCE
I CERTIFY INE 10100011011 19k .0 BY NE J 1kUf AND COPOEC1 10 INE VLSI UT RY tkOVIIOCI AND INT APPIIIME CITY 01 FIDLEAL WAY kEOUIRENENIS VIII IN. Ntf.
-I----) '-i' -,, : / "7
AWHEP UR AGftli ( ) 14\ ' '''/,e. t,L-N.., DATE )/C./
/ 67
FIELD COPY
.._____——_—__.______—a-IAA—--....-1,.... ..--_,--1 . • .•,_
..
CITY OF FEDERAL WAY � „„ PERMIT NO: ME 96 00 8
33530 First Way South N�,�'N E. '��,�, N"'�1IIp1''il r4i .1�'�., i '''tt N,.,,, P N,,.. ..,'ti.�''"� I ,,,I RISSUED: 05/08/968
Federal Way, WA 98003 Building Inspection Requests 661-.4.1.40 BY: FC2
661-4000 EXPIRES: 05/02/97
ADDRESS : 767 SW 337tH ST
NO. : 729804-0260
PROJECT DESCRIPTION:MECH - GAS PIPING 50', GAS FIREPLACE
r= OWNER =- - _ __ _--y CONTRACTOR _.---------.------------=.-_-_.. --- __ - :; LENDER ............___-__,.-___ :.:::-.. _. -- .- _
SUSAN BROWNING NORDIC HEATING, INC. 1
767 SW 237TH ST 3411 C ST. NW BAY 8
FEDERAL WAY WA 98023 AUBURN WA 98002
661-0512 E 931-0503
} r NORDIHI099BJ
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
--- .. - - - - ==::=-::__.:= -__- --- _- _.... - --------------- 1----- -- -- --__
PROJECT VALUATION 560 I FEES:
FUEL TYPES.:GAS ? FANS 0 BOILERS/COMPRESSORS Mechanical Permit* $ 24.00
GAS PIPING.: 50 ft HOOD • 0 0-3 HP - 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK 0 3-15 HP • 0
GAS HWT 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBO 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 ¶ TOTAL FEES $ 44.00
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)
� I
Inspection Record Water Line OK Mechanical Inspection Notes:
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 IN NATION FUR .ED BY ME TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _.. ____ DATE _.. oL j
•
FILE COPY
IP
City of Federal Way ./,7D7 S-;<K
CITY OF r' 33530 First Way South 121
• _ E171Federal Way, WA 98003 pi C`�
(206)661-4000 ��G. i1
uv Ry EIVED
APPLICA TION FOR MECHANICAL PERMIT
MAY 0 81996
WAY
PARCEL it. Single Family A Multi-Family C0 BUILDINGAL E/gR rcial 0
SITE LOCATION: /
Tenant/Owner: 1' �:.'►1 l aFtOL'd.' 4 f of y 64� / _ q }/ Z
Phone:
/-r
Address/City/State/Zip: 7 4' 7 64t) 3 3 A�'7 Y4-0 4.4 1.L /4)6 V , L.,...; Ft ?.610() .-- 3
Nature of work: t 5 fN44----G( GIR-9J4i4 cr-r= 'F 0--A-.S fjli)`-✓ Project Valuation: $ 54Uc7
APPLICANT:
NORDIC HEATING, INC. 1
Name: 3411 'C' St N.E. Bay 8
Address/City/St/Zip:
Auburn, WA 98002
Contact Person: D I e w Phone: ,-1/--(/'7 C 3 Fax: 9 /-°-C 3
MECHANICAL CONTRACTOR:
NORDIC HEATING, INC.
Company Name: 3411 'U' ISt N.E. Bay 8
Address/City/St/Zip: Auburn, WA 98002
��1(-1c Phone: f a'% -Cl`)c'� /
Contact Person: ,3 Fax: J "7/-0 5` 5
State L & I Contractor Registration #: ' A/Or2(J //1' c 7 GI' 8 :1 Exp. Date: /k7 i 7
(Card must be presented) -
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping St' i Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log //I-V.4'0/40 `r Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves
A/C TONS 7> >' `>'>Y '::: >:>z>#»?.»»»>:'::« : >:_ :>
otal#Int Oaztnl~
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 es a part of this application.
Owner/Agent: F 1--;� 7 z.--,) Date: 5 /�26