00-104793City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: JACOBS
Mechanical Permit #:00 -104793 - 00 - ME
Inspection request life: 253.661.4140
(3:30pm cut-off for next day inspections)
Project Address: 31252 27TH SW Parcel Number: 150310 0100
Project Description: MEC - Install new gas furnace and add 3 gas outlets (for future dryer, BBQ, & range)
Owner
Applicant
Contractor
Paul & Carol A Jacobs
NONE
A SUPERIOR HEATING COMPANY INC
31252 27TH AVE SW
Gas Piping
FEDERAL WAY WA
Number of Gas Outlets
1307 S CENTRAL AVE UNIT J
98023-7810
NONE
KENT WA 98032
Mechanical Valuation..........................................1829 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description
Quanti
Desai tion
Quanti
Descri flan ..:
Qiianti "
Furnaces
Gas Piping
20
Number of Gas Outlets
PERMIT EXPIRES March 17, 2001, IF NO WORK IS STARTED.
Permit issued on September 18, 2000
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 ac ordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: Olf
y"'U Y 1441Y
471-7-)Ae)
i'�pS
s�
CFFYoR G
PARCEL #
SITE LOCATION
Tenant/Owner
SEE 18 2000
�e e f Ur I COi --HAL WAY
BUILDING DEPT.
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
Cnb
BwmiNG DrvmoN
33530 Fust Way South
Federal Way, WA 98003
(253) 661-4000
Fax(253)661-4129
MECA) - f �;
Single Family 4 Multi -Family ❑ Commercial El
Phone ZL &Ul - N411
Address/City/StateOp
Nature of Work 4-rl4o, rte%, IwL& s rumaGo, d� 6 lb`5dy"Project Valuation: Sft 9.�a
APPLICANT
Name
'((6y
0
Address/City/St/Zip )� �� - /4M I I �� CJYI/J f to
Contact Person J-1- yr �.L y���* Phone 663-4-50-202 Fax 453 -9�'- (55O
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip �/v i/�i� r�wi I W wrr � I --A i. VV 9: LAJW� f u v�
Contact Person ,3`�%1 Phone gyp ^ 95D q
State L &I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
NO
Fax04�9 ` 4/ �3 $
Exp. Date
Fuel other
Air Handlin
< =10 000cfin
Fuel Tanks:
Length of gas piping1
Air Handling>
=10 000cfin
Above Ground
um <100KBTU
Ons LoR
Unit Heater
Un and
Fum>100KBT[Ps
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Cony Bumer
Duct Work
A/C
TONS
Other
Wood Stgy,
A/C
TONS
DISCLAIMER I c=*, under penatty ofpajury, that tbe information finnished by me is to and correct to the best ofmy knowledge and fiadierthat I an authorized by the owns ofthe above premises to peefoan the work
forwl permit appflcation is made. I fu Cher agree to save Mess the City of Federal Way as to any claim (including casts, acpeaaes, and adomeye fees incurred in investigation and defense of arch daimX which maybe
made by any person, including the undeisiW d, and tiled against the City of Federay Way but only where such da® arises out of fire reliance ofthe city, including its officers and employees, upon the accuracy ofthe
infomurtion supplied to the city as a pyt of this appHca%n.
Owner/Agent
MawApe
Rave 1/7/99
Date q11910 0