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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
IGAS PIPING `
Date By
MECHANICAL ROUGH-IN
Date By ,4/J' tf"g'
MECHANICAL (OTHER) J}/1,,q L
Date T-7 '76, By 9v r,/I
....................
...................
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
-Date By
7 GWB - 2ND LAYER
`Date By
SUSPENDED CEILING
Date By
...................
.....................
...................
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date 7- W'> By'/�i'/�
OTHER
Date By
OTHER
Date By
CD01 93
t
s
CITY OF FEDERAL WAY PERMIT' NO: MEC96-0153
33530 First Way South t r, ,� iir"'.,:•; 1,,,. �' �I"N�". :: :. 'iii L. P . h'p'�`"al ::..,•1,,.
y .. .,�, ,, ISSUED: 08/07/96
Federal Way, WA 98003 Building Inspection Requests 661- 4,3 0 BY: FC
661-4000 EXPIRES: 08/01/97
ADDRESS:33710 28TH AVE SW
NO. : 255700-0520
PROJECT DESCRIPTION:HVAC - GAS TO GAS FURNACE CHANGEOUT.
r OWNER -• -__. _._ _.�_ CONTRACTOR ---------------• -- / LENDER
ERIKA JURPIK 3 NORPAC HEATING & A/C INC
33710 28TH AVE SW 1 3414 "A" ST SE SUITE #102 (
FEDERAL WAY WA 98023 AUBURN WA 98002 (
f
NJA ( 931-0610
I NORPAHA123M5 1
,
1--:__..___..--_-__._ ___.- . .. _----..
;t2 CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 XXX
a=_-'... .- ----- ------------ ---------- _..... .......---•--._._._._.__.......__.__.._..__.
PROJECT VALUATION 1594 1 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS l MEC PRM1 ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 1 Mechanical Permit* $ 44.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 1
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 (.
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 1
BBQ • 0 MISC • 0 5+ HP • 0 1
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS s
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 ,
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1 TOTAL FEES $ 64.00
--.. ..- ____--aa .. .. .. -------t^=tars----- -• ._ ac---1---_..___ _....=ata _. ..
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
I..- __.__.....__ _..-.__ .._..
PERMITS EXPIRE 180 FTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INF TIO FU BY E 1S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT -- -.. _-- DATE ___...V71 76'_._.
FILE COPY
City of Federal Way
CITY OF r—s 33530 First Way South
Federal Way, WA 98003 P i
WFTEJV
(206)661-4000 MEC TIO D I5 2)
APP
l )
8 e ? MECHANICAL PERMIT
^`'\ PARCEL It ( S S��iC p 1996Single Family Multi-Family 0
Commercial 0
FEDERAL W
°II-BBUILDING DEPT. AY
SITE LOCATION: L
Tenant/Owner: tAZ'/A Cu g-tY K
Phone:
Address/City/State/Zip: ' /0 Ave Si..)
Nature of work: ?AS A9 Ic/WWACR c%1,6,- 2 o...T /S,.z7/ 3_
f ProjPrt_Valuation: $
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
� / / /�
Company Name: AV oie ''C /v ,4l79 f ,Q!' lugrX,77.:9 11
/ 4 •
`Address/City/St/Zip: 3L/(L/ /q Sr S� 5_,-, r.a Ata/.� ,,,,0 5800a
Contact Person: 7)n"E (jOE6v, (ao&) 93/- oG'a °G) 93( °6'/ '
Phone Fax:
State L & I Contractor Registration #: 'JOg PA f-14 /013Ms Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Y Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling > = 10,000cfm Above Ground
rn <100K BTU's Gas Log 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 S
1#Jolt ICcsttrg........._.................:.:::
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 de . c e 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 Cit including its officers and em•I• ees,upon the accuracy of the information supplied to the City as a part of this application.
Owner/Agent: i Date: 5/ 7/ , 1,