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98-104042 gt Ya y� CITY'OF FEDERAL WAY PERMIT NO: C9 —til 53 �� ,,. HI uu uu UU �� ,,ll � b y u I ME 8 2 33530 First Way South Ifs' !1;�;, M,« {I''"'lid, "' ..JI... �,. . ...r !I... it""'��I„'::.tl"'' , I! ..11„. 'll ISSUED: 10/22/98 Federal Way, WA 98003 Mechanical Inspection Requests 253-..661--4140 BY: KLC 253--661-4000 EXPIRES: 04/19/99 ADDRESS : 755 SW 301ST PL NO. : 506880--0040 PROJECT DESCRIPTION:HVAC - GAS TO GAS FURNACE CHANGEOUT F= OWNER == -- T- CONTRACTOR -- - LENDER -- ---- •- MARY JACQUES NORDIC HEATING, INC. 6 755 SW 301ST PL 3411 C ST. NW BAY 8 FEDERAL WAY WA 98023 AUBURN WA 98002 8 i 931-0503 NORDIHI099BJ I ----------- -• -- ---------- •------- -------- _ - - --- :E--- ;_= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 *** p--- -..- _ ------------------------- PROJECT VALUATION 1425 FEES: FUEL TYPES.:GAS ELE 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 i 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 MECHANICAL FINAL Date PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. I CERTIFY THE INFORMATION F SHED 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 ------- - - ---f� - DATE le—2-Z" FILE COPY Ad03 a13IA . 4' / ? ' 31V8 164 14 i A ',141641810418 AU A 1081411 JO All) 1111V)1140 JUL AAA 190111100) AN 40 IS1A 1111 01 1118801 ANV 11181 SI 1A Al 411S1114H 01111ANNAJNI 1111 141181) I 411 '1S SI IAN ON it t'AVASSI 4111V SAVA ORI maxi S114814 oleo 41,04 ses ---------- ale(' ------------- ul-q6noN le..luetpiN :pio)ag uowedsui (Vel Jelen 10$ U0 paiTAbai sI 40e1 uopuedia ialeo uaql .saA. IT) oN ( ) saA ( ) OAIEA 3)8q) JO a)plaq uoll3opas al0358J4 f UleplO) 11045AS Aldrins in Otil Sa0Q i 00'i9 $ S131 1V101 0 :'01400080\ ' 4 :NO 000101 < 0 :""S901 3V9 0 :010,169 3400V - --- 0 /41.1) 0(40 012> 0 . 191188 4111 $1011 0011011511 WV 0 :-83A84 S85 --,-----',,, -4-V*** 01 fOg , 0 I"•4**•**-)S111 0 • 0/18 # 410808 MO) p *',:,, leolforAi , ‘,.-.4 'Vials aos 0 • 1*4 SU9 0 .,'"V-li cf)E ,s-'' .0‘:r •" n I'M 1 :"•300t>101411 LIVS8 14108 .1 .,„0. $ illeifid Klrifil,014 0 ••'1031 E*0 *-0,12,*. 4008 14 0 :'95IdId SS 040Z $ —1)AVOSSI IASNoNsugO N )14 SWJJ 311 SA9:"31dAl 1301 :5331 SZ71 110111101VA 1)1t084 In SCA = 11VA XVI 'ANN 1W1 in AII3 1111 NIN1111 SIMfOld *01 XVI SINS 311I1104111 Kill ZE/t1610)1111111,01 1SAISAtli .SINI3VAIN03 las E0SO-1E6 I 1 Z0086 VA 11808(111 j E086 814 AVM 1831031 1 8 AU8 AA 'IS ) IIhE 14 ISIOC AS SSL I )111 9111111111 )I(1d0N S3110)ff MN 10039141/0 31014140J SO 01 SUB.- AMP:NO I.1 d I 2_1)B30 1)3 romd 000 -08890C : "ON "ld .1'31:0E MS cc/._ :SSlalak) be,/t, 1./9'0 :,-, •1 H I d X..1 0007 -T99-CSZ -)1.i :A;; (1,7t,.., l ' - cc: onbed 11011Dadsuf 1F)Tuvw)a14 E0086 VM 'AeM TI.•'-1 aPa4 F;c),/ .7,710 L 41111SST I TW\JV "lci -1VDINI-1i3W (1 400fi AM 4s-1 Ti OESEg Eco-86)]w :Ø4 t1W83d AVM it'd3a:3J 1() Al Ir) FT 1 SETBACKS & FOOTING$....: Date By 2 + Date By ............................................................................................... ................................................................................................ ................................................................................................. ................................................................................................ 3 FLUIiAMG131aQUN1Vl1QFI€ <> <>> >> Date By ................................................................................................. ................................................................................................ ................................................................................................. 4 Ski ................................................................................................. ................................................................................................ Date By .............. ..... . ...................................................................... ............... ....... ...................................................................... 5 FQTING/DQVIlN; OUT 13RA1N$: >` `.''' ':' Date By ................................................................................................ 6 ................................................................................................. ................................................................................................ Date By 7 SHEARWA Date By ... .. ............................................................. ......................................................................... 8 PLUMBING ROUGFfi N '' > > Date By ............1.�..qq.yy............................................................................... 9 ................................................................................................ .............................................................................................. Date By ................................................................................................. ................................................................................................. ................................................................................................ ........ ........................................................................................ 10 MECHAN[ ARtU43HN Date,>. :..............................::::::::By ::::... ........ ......:::::::� ................................................................................................. 11 F" EAMtNG Date By 12 .I.ISULA7`14N.. ............................................................................................... ................................................................................................. Date By ..................... .. ....................................................................... 13 GWB - 1ST LAYER Date By ............................................................................................. ............................................................................................. .............................................................................................. 14 GWB`',.;4ND` ' 'Y R>> >><:::> '::>:>::<:::>:>::_:>»>:» >::>:::>: Date By ................................................................................................. ................................................................................................. .......... ..................................................................................... 15 SUSPE[QED:OEILIN ::::>::::>::::>::::>::::>::::>::::>::::>:<:::>::::>::::>::::>::::>:::::<:::::: Date By ................................................................................................. ................................................................................................. ................................................................................................. 16 .................................................................................................. Date By ............................................................................................ ....................................... ..................................................... 17 P...UBEIGQRfCS: 11AL:>:>:::::::><:::::>:>::>:::>:::>:::>:::<:::<:> .........................:...:.................................................................. ................................................................................................ Date By 18 Date By 19 'BUILDING FINAL: iyYi�C lbw t /U / f Date By 20 Date By CD0193(Rev 4/97) CITY OF G BUILDING DIVISION • F� 33530 First Way South„ W FIN, Federal Way,WA 98003 (253)661-4000 Fax(253)661-4129 APPLICATION FOR MECHANICAL PERMIT Federal Way Business License number: SEP 2 2 ly 't MEC 98 - ( ( r')') EUE AL Y PARCEL # n. ) Single Family 1 Multi-Family 0 Commercial❑ SITE LOCATION Tenant/Owner `4."(It-1_ t/ A er-5 VL'-.4. Phone si Address/City/State/Zip .7 S Ste, 30 / /6- /"L r.) -Ci, i Nature of Work `1k4 6 C./FS- / /-5 zli4#//7-C€' ei )7C -C- ir- /�yG' Project Valuation: $ j APPLICANT Name Address/City/St/Zip Contact Person Phone Fax MECHANICAL CONTRACTOR Company Name ilUf)5�[) C. if/4'iiidt ¢NC Address/City/St/Zip y(( C S f A)-,C_ AV 6(4,47,1/ bill: /y Contact Person 15 t CA 3% fl«`?'4,11/ Phone 95 -Ci"---o' Fax ', State L&I Contractor Registration# ��G ' h l �4 ( 0 J Exp.Date / Y (Card must be presented) MECHANICAL UNIT COUNT Fuel Type(gas/other) Gas Dryer Air Handling<=10,000cfm Fuel Tanks: Length of gas piping / Range Air Handling>=10,000cfm Above Ground Fum<100K BTU's ✓ Gas Log -Unit Heater Underground Fum>100KBTU's Fans Boiler BTU/H Miscellaneous Gas Hwt Hood Boiler BTU/H Other Cony Burner Duct Work A/C TONS Other ................................................................... ................................................................... .................................................................. RRQ's Wood Stoves A/C TONS 'frrrii(riitC6aftz<s'<'->>>i»»s3's>`?'<;» :`' • 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 theI 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 - infonnation supplied to the city as a p of this application. Owner/Agent a's._ Y Date Mecn.Are ( ^ 1 i / Revises 7/29/98 (1 /`'"\ " `