98-102762 CITY OF FEDERAL WAY c It PERMIT NO: MEC98-0168
33530 First Way South PI I:;:" R,..: hi et N."1.. icet L. '"E.'rt.il.1 T ISSUED: 07/23/98
Federal Way , WA 98003 Mechanical Inspection Requests 253-661-4140 BY : FC
253-661-4000 EXPIRES: 01/18/99
ADDRESS: 32626 50TH PL SW
NO. : 873219-0930
PROJECT DESCRIPTION:HVAC - GAS TO GAS FURNACE AND 3-TON A/C UNIT
f= OWNER -- -- - T CONTRACTOR •- --- LENDER --
PAMELA KEENAN P NORDIC HEATING, INC.
32626 50TH PL SW 1 3411 C ST. NW BAY 8
FEDERAL WAY WA 98023 t AUBURN WA 98002
661-5872 � 931-0503
1 NORDIHI099BJ
1_ .. ----------- _, -
sst CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 XXX
r '
PROJECT VALUATION 4000 j FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 1 Mechanical Permit* $ 63.00
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 I TOTAL FEES $ 83.00
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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
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS ST.' ED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND 'ORRECT TO T 1 KNOWLri.E AND THE APP TY OF FEDE L WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT / DATE
FILE COPY
CITY OF frDERAL WAY PERMIT NO: ME.C98-0168
,
3353 First, Way southI
MECHMNICML PERH , ,4T , _ ISSULD: q7/23/98
Fedetal Way, WA 98003 Mechanical Inspection RequeAs 23 -k.,61 10, BY: FC
253-661 400U EXPIRLS: 01/18P)0
- PDORESS:32626 501H PL SW •
40. : 873219-0930
OROJECT DESCRIPTION:HVAC - GAS TO GAS PIM E AND 3-ION A/C ONI1 maorus,.. .........,...,,
,
0#11ER ..... .
...,. ., .................... . ....... , _ oNTR ( milli stsmssaoszsumsor.-awanum .. .mummuy
NORA RERAN NORDIC HEATING, INC
32626 50TH 14. SW 3411 C SI. NW BAY 8
IfEAERAI WAY WA 9.8023 1 AUBURN WA 9800: i
1 E i 661-5872 I. 931-0503
NORD11110998,1
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. _ ^,.Igi=11,eigall.a...R,6° Alan.,Z.Z....;;;'("tll
iACTe114;:it*L'E'"7Arl '44S't"ili=7E4 '°-11 CODE 1732 19" IIIIIIIAS SALES
!A!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!.:. TAX KATE 1125 iS'
........,..--.......„ ......
6ROJECT MUTATION 4000
FUEL TYPES.:4A$ ' ? FANS
GAS PIPING : 0 11 HOOD
I
.: 0 Pr'ILET,S iCONDESSOIS
: 41/ )-31 "1. ... 1 FUS:Zh:rilcaliSreArn.t.. : 2691:0000
11"(1"1":
1 DUCT WORK,v..*1 U 345 ION..,4 0
1 GAS NT r
16k- - 11"11AVES—'' 4 IS3(/ II
"—I ,
-
CONV BMW: 0 meg 100f * 0 10'" 1441..-t 0
880........: 0 NIS(' • 1 L,o I)N. ..,: Il
GAS DRYER.,: 0w 1 ui
AIR RADIX OhITS Ll, Ai
' r% -,—,--
RANGE ' 0 v (.10,000 (H1: 9 Amt ',ROD: 0 ,
GAS LOG ...: 0 ) 10,000 OM: 0 ONDER‘ROUND.: 0 2,. 5-1 5'6 TOTAL FEES $ 83.00
.
. ==.4.ar.u.m.m,=-.mumut,amstau,um
' C6-.) -- MC"WU"UMW.SUSS=4.0*W*X.4111.6AMO4M,,,,,M . .......7774—rznirod on Hot Water lank)
IToW1We't:te7;U;i4y7s "ni'ai'n"aa-P7essure reduction Device or Check valve? ( ) Yes ( ) No (If 'Yes" then water expansion tank
1
IInspection Record: Mechanical Rough-in Date Cs Piping _______ Date
MECHANICAL FINAL 004e 441,1 Itt,-- /0-f-ti,e) . ,
,
IIS EXPINI 180 DAYS MIER ISSUANCE IF NO PORK IS ST D. i IN si Y UM 1
AD Iht APPt II 91 ILO( AI NAY XIQUIRENENIS VIII. At
A CERINY IN( INFORNATION IttiNISNED NY Nt IS IRUI. AND (I 0 _,, v ,,,_ Ntl.
(/..)
INNER OR AGENT „ `... i
FIELD COPY
City of Federal Way
CITY OF G 33530 First Way South
• Federal Way, WA 98003_ (206)661-4000
1/
14 Gqg_ j (/> Qw�� '`+�afPL/CAT/ON FOR MECHANICAL PERMIT
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`rr ° DGEDREAPLT
PARCEL it' � C�� � (�'l? 3c Single Familyo
9 Multi Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: P CLA Com- rPhone�� �s �(c(-
)) . 7-_)
Address/City/State/zip: "j G�.(ri S� • e-- S/ J (---r7---0-‘4/4 V 7X O-- -3
Nature of work: (--1 - cuRN.A-CE-I' Lr`i1
��il Project Valuation: $
i(A(C., CC.) 7) —17W, S
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:: , ,iw
Company Name: , V 41 -1 i ( WN---Ttl?-__ ��`"� �1
Address/City/St/Zip:
CD ( t( S p`T' z 4 f,
Contact Person: - � 1----e (j Phone: 1g "l v� Fax:
State L & I Contractor Registration #: b ► , Exp, Date: I Z'0
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) r/--- Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling > = 10,000cfm Above Ground
Furn <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
BBC1's Wood Stoves A/C TONS 3otat hitt Otitit><*i
DISCLAIMER: I certify under penalty of perjury that the information furnis• • •y e is true a.correct • •. 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. rther agree to sa ml City•f Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which ma . made by any pers• u'he undersi ned,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 em• •gees,upon ar• information sup.lied to the City ea a part of this application.
KOwner/Agent: / - -
41111111° Date:
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