96-101600 q(io foi000
CITY OF I F DI RAI., WAY I T NO: ME(96 -0109
33530 F i rsi Way South 11 E ari A 11 I C A L rs)C'' 1111 i I IUED: 06/11/96
Federal Way, WA 9800:3 Building Inspection Requests 661 -4140 BY: FC2
661-4000 EXPERL(3: 06/05/97
•ADDRLSS:2837 S 2851N PL
NO. : 730320-0J10
PROJECT DE`,3CRIPTION:HVAC - ELECTRIC TO GAS CHANGEOUI OF FURNACE, NWT, <100 11 Of GAS PIPE.
------ --- - CONTRACTOR -- -
SHEILA DAHLGREN -----'''''''"1"w—""'- LENDER
"'"''''"-----------y. .
HORPAC HEATING & A/C INC
Z837 S 285TH PL 3414 "A" ST SE SUITE 1102
FEDERAL WAY WA 98003
-8758
AUBURN WA 98002
94E
931-0610
NORPAHA123M5 I
i
4.. ,mt 2,n- alttat i
sit CONIKACHE. PLEASE USE LAM , , ,, - , , 4 MN' SALES lAX IN PROJECTS WITHIN TUE CITY of It Di YA1 W . Itci PAH
,— 14. ,•I, *,.*
pRo jEcT VALUATION 3047 4,,,„ i i ...6"1. —,.....,,, --,—.--,...„—..,.....— --..F.Eu,
. .
FUEL TYPES.:GAS 7 FANS ,: ,,,p. Si ER i , • ' -..
NEC PRMI ISSUANCE... $ :0.00
.e .
GAS PIPING.: 99 ft HOOD Mechanical Permit* $ 63.00
.•.!,
FURNclOOK..: 1 DUCT WORE...,, -,'-' 15 '••••••
GAS HW1 • 1 WOOD itors--.-.-.,-;",-• .. p .,, , ,11111 '..-• 'te'4" 2-1,,,V
ri,, , ,14,, P. - - - :04,d e —o' -- :4140 °11111.1"t
CONY BURNER: 0 ' , ., t". ' 4, -5 NP 0. 1 ,
, ; 4 . , Iv_
8130 • 0
GAS DRYER..: 0 AI' . • , I - .`" L' K• . ,._.....,_.
RANGE • 0 ;:1,_,1 i- , 0 •,,, , , -,, AMIN
GAS LOGS...: 0 ' .
10 i
, ,,,, , RG D.: 0 . .. I TOTAL TEES $ 83.00
,•-'• 0,; •-,
t
Does the water supply system contain a Pressure R4:dlti"C "i'onI-4'D'euy4ic"e':7C.'"hem"c;271've-rilic""Y;s""0 No (If *Yes* then water expansion tank i.:r'egu—i're-d—On'Ho't-li;;;-"*-1; ) "'"'"'"1
Inspection Record Water Line fir Mechanical Inspection Notes:
GAS PIPING 06A4 DatoieBrok.__
H Dr_ 6yi_ lb [ . 1
__ __... . -mat,' -
•
PERMITS EXPIRE 180 DAYS AIM !Stalk!. II NO WORK IS STAMEN. IIESEDENIIAL AND GRA c
I CERTIFY 111 !WNW/ION IIIKNISIND 31 ME IS IRK AND CORRECT TO THE DISI OF NY tN:DILIICEDCPE"(111N1101'111t1XPAPIRP11.°Kr114YELARCIAIYHOL{ 1644EDEIL101 NtIS1YSIMAKEOOLIREPIENIS WILL BE NET.
OWNER OR AGENT DATE _ .././. (
_
--..... 1
,
,--------"-----------
FIELD COPY
g,a.
CITY40FFEDERAL WAY NO: MEC96-0109
33530 First Way South M .;.: 4,.....,.qf... '"'''11�I"°� ,�G..((I.": '°' i l,.... $',..'E. "h�. '"'�1",. ,. ,,, .. ISSUED: 06/11/96
Federal Way, WA 9800'3 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 06/05/97
ADDRESS :2837 S 285TH PL
NO . : 730320-0310
PROJECT DESCRIPTION:HVAC - ELECTRIC TO GAS CHANGEOUT OF FURNACE, HWT, (100 FT OF GAS PIPE.
--------_..._.-_F: CONTRACTOR ------ --------- - =-= ==T_ LENDER - ._ - _
SHEILA DAHLGREN ! NORPAC HEATING & A/C INC
(2837 S 285TH PL 1 3414 "A" ST SE SUITE #102
FEDERAL WAY WA 98003 1 AUBURN WA 98002
1
946-8758 g 931-0610 s I
NORPAHA123M5
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 3047 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 99 ft HOOD • 0 0-3 HP • 0 ) Mechanical Permit* $ 63.00
FURH<100K..: 1 DUCT WORK • 0 3-15 HP • 0
GAS HWT • 1 WOOD STOVES,..: 0 15-30 HP • 0
I CONV BURNER: 0 FURN>100K...,.: 0 30-50 HP • 0
BR • 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 J TOTAL FEES $ 83.00
1 �
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: _.__.•_..__.__.______.____ _.__. .,__._...__..._._..____
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 BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT Act17,... �ti ,c�-� x DATE 6:1j_:_:�6
_.__..
CE C MDV
City of Federal Way
CITY OF r- 33530 First Way South
Federal Way, WA 98003ON
(206)661-4000 \L � —a(o 9
vid=4->-
APPLICATION FOR MECHANICAL PERMIT
PARCEL it Single Family ® Multi-Family 0 Commercial ❑
SITE LOCATION: C� r-�
Tenant/Owner: S kQk\-� C'e-1N Phone: `4(6' l c- B
Address/City/State/Zip:
, 8.3'1 5 • d esS
Nature of work: IO \\E � C.O'net
uAGcm, Project Valuation: $ '10L t 0(7;
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name. N� �C.R_� Vk'et��d CO1 VkorAY\q
Address/City/St/Zip: 1N CIS ' .. b7
Contact Person: %.KC*- � Phone: C\3k`Clot() Fax:
State L & I Contractor Registration #: No9%."'PRtlika3YY15 Exp. Date: ` f f '
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) (Y'� Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping t,r'1c S .DCO. Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's 'AD,C0C) Fans Boiler BTU/H Miscellaneous
Gas Hwt bcix 'c Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves A/C TONS Total Unit Oatiii€> > «
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/Agent: ,-4I- L -• Date: 6`-k` `�
•
CITY OF !".." `
• EO
BUILDING DIVISION
', ^ '/ 33530 1 ST WAY SOUTH
FEDERAL WAY, WA 98003 661 -4000
CORRECTIONNOTICE
ADDRESS: � PERMIT #: 96.--()/0/
VIOLATIONS OF CITY AND/OR ST•TE LAWS ARE LISTED BELOW:
711G6 O/ 0 5� .�G� L),�o 4 5 To A' /1;17,1L
T� ihrT4'L 41,e1 5010 ••'A 5erCilin 6=1 bvi fi V �1?/:✓ _ 2 1-e,,e l/_�
Z) JA,STN2,47 T.d riti 1,471,77
YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661-4140 FOR
RE-INSPECTION.
DATE INSPECTOR FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE