01-101282 City of Federal Way Mechanical Permit #:01 - 101282 - 00 - ME
Commm�ity Development Services
iii
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: LAPELLA
Project Address: 30809 28TH St Ade S Parcel Number: 092104 9222
Project Description: MEC-Install gas furnace,hot water tank and gas piping.
Owner Applicant Contractor
Arthur&Katherine Lapella NETCLERK,INC HILL HEATING&A/C INC
30809 28TH AVE S 880 DUBUQUE AVE S 10906 D ST E
FEDERAL WAY WA SAN FRANCISCO CA 94080 TACOMA WA 98445
98003-5104 (253)537-1355
Mechanical Valuation 6000 Over the Counter Permit Yes
Mechanical Fixtures
Descriction Quantity Description ' = Quantity Description Quantity
Furnaces 1 Gas Piping 1
11. PERMIT EXPIRES September 30,2001,IF NO WORK IS STARTED.
Permit issued on April 3,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. �p� ,IOwner or agent: %:1"--o`-eG.79Date: 't- 3 —0 /
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BUILDING DIVISION
" t� 33530 FIRST WAY SOUTH
FEDERAL WAY,WA 98003
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� Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License Number:8460 1 ^�
MEC_.1_�---J 12-c
PARCEL#unknown _----____ Single Family ® Multi-Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner Art Lapella Phone 253_941-9479
Address/City/State/Zip 30809 28TH AVE S Federal Way WA 98003
Nature of Work install_os furnace_i_gas p�ina hot water tank. it is a comalete heat sy: Project Valuation:$6000.00 _--
APPLICANT
Name
NetClerk Inc
Address/City/State/Zip 720 Dubuque Ave --_ South San Francisco ST 94080
Contact Person Jackie Phone 253-537-1355— Fax 253-537-8092
MECHANICAL CONTRACTOR
Company Name Hill Heating/Blue Dot Services
Address/City/State/Zip 10906 D Street East Tacoma _---_ ---___ WP 98445
Contact Person_—__---__ --_ Phone Fax_---
State L&I Contractor Registration# W U. Ajc Q p 1�i—__---_--_--Exp.Dater _3F!OZ
(card must be presented)
MECHANICAL UNIT COUNT
Fuel Type(gas/other) Gas Dryer Air Handling<= 10,000 cfm Fuel Tanks:
Length of gas piping Range Air Handling>= 10,000 cfm Above Ground
Furn< 100K BTUs Gas Log Unit Heater Underground
Furn> 100K BTUs 1 Fans Boiler BTU/H Miscellaneous
Gas Hwt 1 Hood Boiler BTU/H Other <Descr>
Cony Burner Duct Work A/C TONS Other<Descr>
BBQ's Wood Stoves A/C TONS e 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 that I am authorized by
the owner of the above premises to perform the work for which this application is made.I further agree to save harmless the City of Federal Way as to any claim
(including costs,expenses,and attorney's 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 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 A442:411--"' Date: 02/15/2001
MECH.APP
REVISED 1/7/99