95-101383 CITY OF FEDERAL WAY PERMIT NO: BLD95-0480
33530 First Way South MECHANICAL PERMIT ISSUED: 06/21/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 12/18/95
ADDRESS:28103 28TH AVE S
NO. : 231240-0020
PROJECT DESCRIPTION:NEN FURNACE AND GAS PIPING
OWNER
TWIN
�► � LENDER •
TWIN EAGLE DEVELOPMENT NORPAC HEATING & A/C INC
28103 28TH AVE SO 3414 'A' ST SE SUITE *102
IliEDERAL NAY WA 98003 AUBURN NA 98002
931-0610
4011PAN423M5
*st CONTRACTORS, PLEASE USE LACAI;0*CODE 1732 11E1 REPORTING SALES TAX FOR PROJECTS NITNIN TIE CITY OF FOWL NAY. TAX NATE = 8.25 ***
FUEL TYPES.:GAS ? FANS • 0 BOILESs/cP!PR€9SIIS t. FEES:
GAS PIPING.: 50 ft HOOD • 0 0-3 IP A. .. -- , z- :REE 111SSUANCE... $ 20.00
FURN<100K..: 1 DUCT MIRK R 0 3-15_HP.....; ,0. }' :: ..JEC L CE FEES.* $ 13.00
GAS HNT • 0 WOO) STOVES.... 0 15-30 HPC,....: 0 .
CONY BURNER: 0 FURIh100K.44. : 0 30-50 HP • 0 '
BBQ • 0 MI)C....... ' .: 0. ::�, *IP t-.N.
GAS DRYER..: 0 AIR OODL1N *ITS ;uFUEL 'VU*S -- -
RANGE • 0 (=10,000 RSM: 4. *OVE=SOUND: 0 ,-
GAS LOGS...: 0 ) 10,001 CFR: 0 ,,,,,. ,.a•, UNDERGROUND.: 0
TOTAL FEES $ 33.00
0 .m,.• 0111=MMUMUUMWMIL . ,..
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:
CAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NOM IS STARTED. RESIDENTIAL AIN GRADING PERMITS EXPIRE ONE YEAR AFTER PATE OF ISSUANCE.
I CERTIFY TE INFONMTIN FORUISNED IT NE IS TRUE ANO CORRECT TO TIE EST OF NY XNMLEIGE AND TIE APPLICANLE CITY OF FEIENAI. MY REINIRENEITS PILL E NET.
QWNER OR AGE4T' ...1..41,0,, ,...!....
%/L /.i DATE YJ /_,c
Of
FILE COPY
City of Federal Way
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION #: /31.-i3%.3 04/
SITE LOCATION Address 7/O3 ,..247 ae..)e
Tenant(if known) Lot# Assessor's Tax #
Building Owner Name Address
Eq IQ Q-‘0me.\-
City '�eZecCi l State Lk-AN.. Zip 92,70c,_2 Phone
Nature of Work I l ace) J cvS f \A _; O n
APPLICANT
Name(F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
Company N e
1301
\1
Address _
City cCt\o u` n State (.. A Zip ?ZOO a
Contact Perso Phone Fax l
bcx.uPk_teAu,\/_ 3/-O(o/0
Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No
c IA t-k-A 1a3 ms-
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
01 A
Please Complete Reverse Side el
• CD0492(Rev 4/93)
STRUCTURE Existing Use Proposed Use
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ,) . Residential ❑ New ❑ Remodel El Number of Units ❑ Deck
El Commercial ❑ Addition ❑ Garage ❑ Shed El Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability El Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
ticc -o,C 1- J C.. 3LFN R `Ji. S.E • 6&-. toe-
City Cl��k_tS`f\ State< 3 , Zip cie,,c 3
Contact
Phones, i -oc rd Fa?31 - c17
License # Expiration Date Verified 0 Yes 0 No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other) (
C7 Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons -
Length of Gas Piping , Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs f Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
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 Federal 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 oft v
application.
Owner/Agent: _ Ar.. _ / A ' • Date: 4,-4./- 95—
CITY OF FEDERAL WAY PERMIT NO: BLD95--0480
33530 Fi rst Way South MECHANICAL. PERMIT ISSUED: 06/21/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: EC
661-4000 EXPIRES: 12/12/95
ADDRESS:28103 28TH AVE S
NO. : 231240--0020
PROTECT DESC_RIPTION:NEW FURNACE AND GAS PIPING
= OWNER zaaanarm..sariasrama.......asnss=............assaa = CONTRACTOR aaaa!!s=aaasaaaaasas..ann=sar...aaa LENDER A■=a=======u=oaaaaaaaIIraRC!!?aaaaii!#annwnSia1
TWIN EAGLE DEVELOPMENT NORPAC HEATING I A/C INC
28103 28TH AVE SO 3414 'A' ST SE SUITE 1102
FEDERAL NAY NA 98003 AUBURN NA 98002
931-0610
NORPAWA123115
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Us CONTRACTORS, PLEASE USE LOCATION COBE 1732 MEN REPORTING SALES TAX FOR PROJECTS WITHIN TIE CITY OF FEDERAL NAY. TAX RATE : 8.25 :*
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FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 50 ft HOOD : 0 0-3 NP • 8 NEC PANT ISSUANCE... S 20.00
FURN(100K..: 1 DUCT WORK • 0 3-15 HP. • 0 REC APPLIANCE FEES.* $ 13.00
GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN)100K. • 0 --30-50 HP • 0
BBQ • 0 MISC........... 0 5+ NP...,...: O
GAS DRYER..: 0 AIR HANDLING NITS FUEL TANKS.•••w-----
RANGE • 0 <:10,000 OM: 0 AIOVE GIEOUND: 0
GAS LOGS...: 0 > 10,000 CFR: 0 UNDERGROUND.: 0
TOTAL FEES $ 33.00
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Does the water supply systen 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
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AO GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED NY NE IS TRUE AND CORRECT TO THE NEST OF NY KNOWLEDGE AND TIE APPLICAILE CITY OF FEDERAL NAY REQUIREMENTS WILL DE NET.
OWNER OR AGENT ___-__.._- ,.__Z„f. - _,.c :-,,,L__,— DATE
FIELD COPY