98-104008 9$-/0 y0 0 8-
CITY OF FEDERAL WAY ,,, „. w,,, „w, PERMIT NO: MEC98-02'49
33530 First Way South !:;;..�....,. i�°' ��' . .. �,..,,.�'i"!II . �""'k!:;..! ''�ti ' 1 II ISSUED: 10/20/98
Federal Way, WA 98003 Mechanical Inspection Requests 253--6.61-4140 BY: FC2
253-661-4000 EXPIRES: 04/17/99
ADDRESS: 4007 SW 313TH ST
NO. : 873199-0730
PROJECT DESCRIPTION :GAS FURNACE CHANGEOUT
— OWNER -- - CONTRACTOR - T LENDER
JAMES DOOLEY NORDIC HEATING, INC. I
4007 SW 313TH ST ` 3411 C ST. NW BAY 8
FEDERAL WAY WA 98023 1 AUBURN WA 98002 I
a
`
931-0503 '
k
NORDIHI099BJ
**z CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 *2*
PROJECT VALUATION 1465 3 FEES:
FUEL TYPES.:GAS ? FANS 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 42.00
FURN<100K..: 1 DUCT WORK • 0 3-15 TON 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0
BBQ • 0 MISC • 0 50+ TON • 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 TOTAL FEES $ 62.00
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)
Inspection Record: Mechanical Rough-in Date Gas Piping Date
� 3
MECHANICAL FINAL Date
----------
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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 AGENTG�3 1 x74.2) DATE /Q '" -0--1.Y
FILE COPY
FY OF FEDERAL WAY
530 F 1. rs t. Way Sou 1 h
de ral Way, WA 9'3003
3-661 -4000
DRESS:400 1 SW 31 A ri-1 s r
- 1,1 . : 873199-0/30
A
MECHANICAL PERMI 1"
Mechanical. Inwection Pf-cille'..A ':. r...1 ,.,. .1 414U 38a-/) tic) 0 3
I.
°ERN I I NO: MEC98 -0249
ISSUED: 10/1201 ').i
BY: I C'',.'
EXPIRES: 04/11/99
PROJEC 1 DES( RIP1 ION:GAS FURNACE CHANGEOUT
I JADES DOOLEY f NORDIC ITIA1ING, INC.
4007 SW 31310 Si 3411 ( ST. NW BAY 8
1 FEDERAL WAY NA 98023 AUBURN NA 98002
1
I 931-0503 1
gikbal94
Is* WNW ii;14, PLIAif 4S1 LOCATION COIF 1717 HOEEPWI* SAUS IAX FOR MULCTS 11111110 TOE C111 OF FUME WAY. TAX NM : 0.21 Ilst
FROJECT VALUATION 1465
FEES:
FUEL TYPES.:GAS ? FANS Or 3'15 1
: 41 00110SIA000DISSORli EC NAT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft ITOOD......• : II 04 TOOL. : 0 Nechanical 'knit* 1 42.00
fURNIOOK..: 1 DUCT 1°41,.. : ION. . ;
1 GAS TINT.....: 0 WOOD STOYI1 : U 11'30 TOIL": 0
CONY BURNER: 0 'URN) r . 0 0
f 100 ...... -50404.,.: 0
PK - 0 141SC...., : 4 • 0
* tO
GAS DRYER...-. 0 AIR HANDLING WUtS wl tots,...
kANGE - 0 '7.10,000 ATM: 0 AVE GROUND: 0
GAS 1.06S...: 0 ) 10,000 Crlf: 0 UNDERGROUND,: 0 I01AL ILLS $ 62.00
1 Does the vater supply system contain a Pressure Reduction Device or Check valve? ( ) Ye, ( ) No (If 'Yes" then nater elansion tank is required on Hot Water Tank)
IInspection Record: Mechanical Rough-in ., ._ _ __. ____ Date _ Gas Piping Date
1
MECHANICAL rtmh, 4:....l....)fEN
\
IIS IXPIXt 180 DAYS AMR ISbUANCI If Nu V081 IS SIARTED.
(LIMY III INIORKA11011 FURNISHED NY Pit IS 'IRill AND CORRECT 10 TOE NISI Of MI INOHLEDGI ADD nil AMOICADLF CITY OF FINAL WAY R1001111MINIS WILL Pt $11. (/J
• N_
ICIER OR AUDI . ‘',,,k ,i ,e',// ,,, - DAFT /')
r
FIELD COPY
CITY OF G BUILDING DIVISION
• E�ERAl_ 33530 First Way South
�� Ay Federal Way,WA 98003 •
(253)661-4000
Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
MEC 98 -
PARCEL # Single Family 0- Multi-Family❑ Commercial 0
SITE LOCATION C,
Tenant/Owner POO�{- c Phone YO 7- 7e) /
Address/City/State/Zip yci0 >C L •�/ 3 S /
Nature of Work rcu/t 4 c c" C'4,47 2 ' %`= t (6;15 t' &As) Project Valuation: $ 7.64'6) IL/OS
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name A L)' /4, 7 ✓✓,
Address/City/St/Zip 71:(1/ S' ✓ "/ ,A.; /3 L'oft"' tAiA 7200 2_
Contact Person 71r_.1 Phone 75 3 05-03 Fax S C
C
State L&I Contractor Registration# �' -- Exp.Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type(gas/other) Gas Dryer Air Handling<=10,000efin Fuel Tanks:
Length of gas piping Range Air Handling>=10,000cfin Above Ground
Furn<100K BTU's • Gas Log Unit Heater Underground
Fum>100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
RRO's Wood Staves A/C TONS
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 Date / ` /( / "
MECrr.APP
REVISED 7/29/98