98-104069 IIIIIPMIOIIIIIIIINIPIIIIMIPOIIOIPIIIIIMOIIIOIMMMMIIIMIMMMIMMIOOMMMIIMPIIIIIMIIPIIIMIIIIIPIIIOIIIIOMMPIIPIIIIOIIOIIOMIMPIMIOIIMOOPW
CITY OF FEDERAL WAYI� p... PERMIT NO: MEC98-0256
33530 Fi rst Way South NE.0:,,,. HA �"6Ii .. ... LA L il: !I;::..Hi,(I' ..... if ISSUED: 10/23/98
Federal Way, WA 98003 Mechanical Inspection Requests 253--661--4140 BY: FC
253-661-4000 EXPIRES: 04/20/99
ADDRESS: 2914 SW 337TH ST
NO . : 954280-1700
PROJECT DESCRIPTION:HVAC - GAS TO GAS FURNACE CHANGEOUT
= OWNER - ----- CONTRACTOR - - ----T- LENDER --------
BETTY GOODRICH 1 NORDIC HEATING, INC.
2914 SW 337TH ST s 3411 C ST. NW BAY 8
FEDERAL WAY WA 98023 , AUBURN WA 98002
253-927-7108 ¢ 931-0503
1 NORD1HI099BJ
**t CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 :::
PROJECT VALUATION 1175 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* $ 36.00
FURN<100K..: 1 DUCT WORK • 0 3-15 TON • 0
GAS NWT • 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 $ 56.00
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
MECHANICAL FINAL Date
[ --
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FU HED 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 C, — DATE JD -2 '_qg
FILE COPY
CITY OF" FEDERAL S:.ou „�F"", B°1 ., ..� PERMIT t?IdUL Mk 9 f`U%56
33530 First Way Soot t► Al PERili
Fede r•a1 Way„ WA ?0UO3 I°Iech:.an.i (_al I i1`;.p,ic t: i C,r) Reque.,Is, 2...JJ-,,(i1. 4 I.40 BY: I (_.
253-661 -4000 CXP1t.ES: OA /2U/99
ADDRESS :2914 SW 337 FFI ST
NO. : 9542E10 -1.700
PROJECT DESCRIPTION:HVAC - GAS TO GAS FURNACE CHANGEOUF
f= owe w.,las .:.CCm;..==azaa:ii:iSszwAttamistakmxu=ssssi. Su*a mx.4===mitA CONTRACTOR •=mmc==mxsasalanya wa=•=assttm=v=aa_.rr V5 IENDER m wag=a<=:ama=ma.ram*=ma45*Za tu _•osoaawasm am mm.
{ BETTY GOODRICH NORDIC HEATING, INC.
2914 SW 337TH ST 3411 C SI, NW BAT 8 ,...
FEDERAL '4AY WA 98023 AUBURN NA 98002
253-927-7108 931-0503
RORDIHI099DJ
�9::I:A-S:.:.'".::Aaet':::..'.F,'i'YD.I.YSRYStICI�S.:IIQ:.dC9t:YtSMO1f. Y .' 'Mv. :sas'(:. 3.,.... e;�i......,.._>.._:., r. .z..: Y::�..C.:.._<.a:c(5Saaa za:srcmSFzdm�ua'n5Aam,.4.x:ayo _aLs....a xa:�r.'a:v.as,Y n..::ta:d:.staS5•___# _Lits VraS_=p?a'".efs".a::aza:..
'U CONTRACIOU, INCASE VS EACMTiON CON 1132 MIEN REPORTING SALES I11X FOR PROJECTS NIIRIN TRE CITY OF TIME VAT. TAX RATE ' 8.25 sxx
tat¢.'i:a,a V*ZV G.:,,C.aal II+r:.=%04im aMGQ=1521,2A .WMIX,'amm*V"ams::Yaie n$t RaSt ttsSSC'"r_ 1 4141fi=MISSIV is6•s:CiCiII S Is:;=M+Gt4..UM=c:a?:s M:=Z..:s.z:tt^s Geis tauS5::::i R::Zt5,:..:.a1MWS=MA4 t:Ca+`Zm:.a.swtnw-JC =sag.-.,Sq iWt5ARas•PtUr.
1 PROJECT VALUATION 1175 FEES:
FUEL TYPES.:GAS ? FANS0 a°110PS/50MPRW44 ..;" j,- IAC poi ISSUANCE... 4 20.00
GAS PIPING.: 0 ft NOOD........, i r, 0-3 TON.....: 0 Mechanical Permit, $ 36.00
FURN<100t;..: 1 DUCT NBI '.....: n 3-1; 1 N. ...: v
GAS HOT • 0 WOOD.STOVES.. . 0 15-30 111U. .• ti
CONY BURRER: 0 FUR$)lOUr .. : ti 30-50 TON...: {<
BBQ • 0 MISC.. .. • 0 50A ,UU - 0
GAS DRYER..: 0 AIR HANDLING OHM IPEL IONIC
RANGE • 0 (_10,000 CIt<- 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROHND.: 0 TOTAL FEES $ 56.00
1:,tswcs:am:-sx amrtnsx:sx:aamsMUIVNI A.C,S;;5.:snar vawaz.:ar:.::.,a.cXLi.sssssma::sx.K-:tuaaxx¢.'xcti+cacr:rs.7ssaa:$555 xasam5a5 V M,X=.5 taxa.::ttatta Asxax -zs:aaaeS_s_mmr:.:rcwxxxasaiasarm>xx:v::Asms...aSa,....:re:;; .St ass=,.555.5
1 Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If 'Yes" then water expansion tank is required on Hot Water Tank)
iInspection Record: Mechanical Rough-in ____ __..______,.,_ Date .____.____.._ Gas Piping ._.__...___._.._____ Date ___..___.._..
MECHANICAL FINFt I/ ..._____...,_ Date ./.Q/4S��g-
C...:�a,::3�5Y':.�A3.^.45.".. '.Oaf\:.tL:'d1C.A:'::.':,i.C':LUti5V5Si'.`.« .ro.v`.W.Y_sR:L:.':5.5 w 5SFf::7^.�Sst5sYXstZSSaZ':miLSY1�t5*GCCa4Vt5Ii5(flit t.aS 5ratS'2:'G®]OS�i S.'SSCS'S.Am�SS3S2S4 Zt sn.z aana 5fl5a.VYdRg1:CSAiA^.1.�.':®IA S:CG::.'55 S(5ia::i :'=i2:�]:tom.&S.^.'«
PE111115 EXPIRE 180 PATS AFTER ISSIANCE IF 10 NUR1 IS STAR11$.
I MIRY 101 1NFORNA1I011 F --8 If IN IS TRUE AO (MCI 1O INC ITN 01 MY CNO1LLKI 6ND UtE APPLICABLE CITY Of I t OF t At VAT REIWIRENENTS NILE 8E ItT.
72
i!NNEP O WAN! ..F.,__.4.1i1,....--7---)._ . _..,._ _.... i.,/
Mit i .......>>- C 1�
`
FIELD COPY
CITY OF G BUILDING DIVISION
• E� 33530 First Way South
W Federal Way,WA 98003
V V (253)661-4000
,.4 0 I V E."1.) Fax(253)661-4129
0C11.3 -'APPLICATION FOR MECHANIC . PERMIT
Federal Way Business License number: rt _'
CITY UILDING DEPOF FEDERALT
MEC 98 - ,,/�
PARCEL # Single Family[V Multi-Family❑ Commercial❑
SITE LOCATION
Tenant/Owner /PA g 1 /M 2 s 6-o 6 'r,JG 11 Phone
/ c -/7 '-t
Li
2 c? /
Address/City/State/Zip /`� J(4) 33 S7 ,L<' `c'0i4 ' C-C4,2
Nature of Work 44-iUr4-CL-- c`l/l Ad c--cci f ( 9 /mss ) Project Valuation: $ 1j 1 75
APPLICANT
Name
,
Address/City/St/Zip
Contact Person Phone - Fax
MECHANICAL CONTRACTORAA
Company Name Aid e h/C f'/e ---/I✓Vy 7T—A1 .
Address/City/St/Zip 7717// e 5 ?— AIL- AI g /1,)&vnN / W4 < C/ 002—
Contact Person 2"4--) tk tW C A- Phone g?/ ^47Sv Fax
State L&I Contractor Registration# A) )/ - D / / / O%-/ 61 Exp.Date 7
(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>=10,000cfrn Above Ground
Furn<100K BTU's i/ 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
..........................................<RRC's Wood Stoves A/C TONS 7Titfd iEi> is> >........<
.............
DISCLAIMER:I certify,under penalty of perjury,that the information furnished by me is true and correct t„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
Mrcu.APP
Revrsm 7/29/98