97-104263 N
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CITY OF FEDERAL WAY p, �., N pp ,,,. ..� uu PERMIT NO: MEC97-0346
33530 F i rs t Way South M tt,,,,,, H A I. ftp,„„ A L t...,,k If,.:. �,.,,', l 1. ,,,�.., ISSUED: 11/24/97
Federal Way, WA 98003 Mechanical Inspection Requests 253-661-4140 BY: FC2
253--661-4000 EXPIRES : 05/22/98
ADDRESS :32OO4 40TH PL SW
NO . : 73190-2650
PROJECT DESC_RIPTION:INSTALL HEW GAS LOG
F OWNER ____..____-.-. T- CONTRACTOR - -- _.---- T LENDER -- —
GLORIA TERKLANORPAC HEATING & A/C INC
3
32004 40TH PL. S.W. j 3414 "A" ST SE SUITE #102
FEDERAL WAY WA 98023 AUBURN WA 98002
931-0610 1
NORPAHA123M5 #
f y1 _ -
!!2 CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN IHE CITY OF FEDERAL WAY. TAX RATE = 8.25 *t*
PROJECT VALUATION 980 ! FEES:
FUEL TYPES.:GAS GAS FANS . 0 BOILERS/COMPRESSORS 1 Mechanical Permit* $ 32.00
GAS PIPING.: 30 ft HOOD • 0 0-3 TON 0 I MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0
GAS HWT....: 0 WOOD STOVES.,.: 0 15-30 TON...: 0
CONY 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 e
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 ( TOTAL FEES $ 52.00
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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
C%
OWNER OR AGENT L� )\%. DATE NI ' i/ ypJ__
FILE COPY o275,5'5-30G
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TO INSTALL NEW GAS LOG
. . LENDER •......
NO. : 8ESCR I P r- .1.' EONTRAC TOR ----'"-°""'"
PROJECT D
IING & A/C INC
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a.................. 1 No0pAc II" SHIEE 1102
f. OWNER .....-..........
3414 "A" ST SE .311.-.3.,.....JarAnta....4 A...:=3.-.14'....- T
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1 GLORIA TERkLA
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AUBURN WA 98A°'
1 32004 401N Pt. S.W.
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I OERAL WAY NA 98023
931-0610
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L._,,... ,,,,._ $11 coio It itot, , .____,_..„...".. ,,,,,:„ 144041104* , 114.,..,,, ....,,,,...,..,_,,,,,, jicis virus isE,ii ..,,,,F.,ELE.s..E:ritat:Ec.....;:r7.1,:.:TAx_ 11:_it , 8 75 s",„ .... .,,,..-:
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1 Mechanical ssoPerlitici ft:., ; 20-..40
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'"''4-- LUATION 980
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00luiy
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I PW°rECT VA GAS FANS 11 , 0 ' 01 I . \ .. 0 \- ,
FULL TYPES.
•.---...- v 345 mg...tt-7
ft HOOP , ,,, - , itiN....., Itt
GAS PIPING.: 30
FURIVIOOL..: 0 DucTleRfotts*-.— !.'. ; A$.30, . 0.
GAS NWT • 0 WOOD ST "4 a-%pi....
CONY BURNER: 0 ih nr ...t 0 tot lai t.,--0
rim,„,if- .". *****
BRO • 0 .„..
MISc.....i-iIiiis FM. row
ioTAL LIES
GAS DRYER..: 0 AIR HANDL.11- m- 0_ am GROUND: 00
SA MZIAM 4 A,-
-AAWC"4 AA,
SIZI,VMM5.44...
RANGILOGS....: 01,upply
id syste;11:11:°:°°°°°0 °CM": 0 ONDERGROUND.•
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I. ..........s 1., rr. c...4 1.„x..rt.vi-Irnt...i.le.v.—i...ce--0.r.,,,check valve? .6,-y-es....(.....i.t4.0...,„ii.;,..y:.e.s.........
/)5 _ Datth,enit-
I Does the water'7"-4----.
1--- -1, !
;main a Pressure Redu• i. ,ping , _
0* \\-/5 I water expansion tankrequired o$n Hot Water lank.
Inspection Record: Mechanical Rough-ir 171\-55
MECHANICAL I INA; I
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I CEATIlY 1141 INIORNA,POW1°K f, L CITY Of 117/1011 lloY ALOVIALAINIS WILL IA
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OWNER 4 ilGtOr 7 -
FIELD COPY
crry of G BUILDING DMSION
• EO 33530 First Way South
```` Federal Way,WA 98003
v v �y f.. -ry (253)661 4000
Rte' <.� Fax(253)661-4129
APPLICATION FOR I16IXAL PERMIT
G>,+BUILDING DEPT.�i
MEG` 7 - 03'14;'
PARCEL # Single Family[D7 Multi-Family 0 Commercial 0
SITE LOCATION
Tenant/Owner (%/C) T i' lc^ K/ Phone q3 9 6/ 5 /
,34
Address/City/State/Zip 3//a � `� 4'6 PA_ S ccs );.c1 r<L� (;c),r CG}s9
Nature of Work '-Lha T`t- - ) 4"1.,5 1 C, e_r/0.,:,�C.' Project Valuation:$ `J c_,cJ
APPLICANT r
Name l) .c� 0 1 /Y�l fR
s/00', --5 CC)rt. 5
Address/City/St/Zip /3 &o U / C S ? Sr, A-i- .'"iti ti 13 ?:5geteci
Contact Person (.)`c-U 1 Ct 1• (5 r' Phone ` j b Fax
I
MECHANICAL CONTRACTOR/
Company Name l)�t✓c k 6 -P l/ / '� ch .5 C. �k 5
Address/City/St/Zip /c-36":‘' / C 5 7`' D /(_C:40 ti Zd7 5` 2/447
Contact Person 1 ,6-6- C` Cc-L/\ ` 5 4.' '1 Phone ,33-- 1>c, Fax
State L&I Contractor Registration# \)4.-C. 1----) 4.' 7 c/-5 6 6 fi 1:3 Exp.Date (/'-d7 - 7
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type(gas/other) V .) Gas Dryer Air Handling<=10,000cfm Fuel Tanks:
Length of gas piping jc.:3(/ ' Range Air Handling>=10,000cfm Above Ground
Film<100K BTU's Gas Log Unit Heater Underground
Furn>100KBTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
.....m:i:i...... .............................i:i:x............
............................................ .....................
................. ..............................................
............................................ .....................
BBQ's Wood Stoves A/C TONS r`Fi taF tfnitMiiiiit:]:]>`'s»?>i:i:i::>:'>`>?::?i*i:i*.K
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 `—u' '"�— Date ��' % {
/
Mac-HALT
Revisrn 8/26/97 •