00-104668Cityof umFederal Way
mun
Comity Development Services Mechanical Permit #:00 -104668 - 00 - ME
33530 Ist Way S
Federal Way, WA 98003-6210 Inspection request line: 253.661.4140
Ph: 253.661.4000 Fax: 253.661.4129 (3:30pm cut-off for next day inspections)
Project Name: CHURCH
Project Address: 29942 4TH S Parcel Number: 720535 0030
Project Description: MECHANICAL - gas furnace changeout in existing single family residence
Owner
Applicant
Contractor
CHURCH ROBERT B & SARAH E
PERFORMANCE HEATING & A/C INC
PERFORMANCE HEATING & A/C INC
29942 4TH AVE S
7649 S 180TH
FEDERAL WAY WA
KENT WA 98032
7649 S 180TH
98003-3622
KENT WA 98032
Mechanical Valuation..........................................2200 Over the Counter Permit...................................... Yes
Mechanical Fixtures
Descri ption
Furnaces 1
PERMIT EXPIRES March 7, 2001, IF NO WORK IS STARTED.
Permit issued on September 8, 2000
I hereby certify that the above information is correct and that the construction on the above described propert;
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washing
the City of Federal Way.
Owner or agent: Li!� ��'�r ®� � Date: p- 00
Fna�� aN�Lal
ca' G
vii fFiY
Gli BUILD NO DEPTWAY
Bt>IMWG Dn=orl
33530 Fust Way South
Federal Way, WA 98003
(253) 661-4000
Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
MEC
PARCEL # ` OD Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant(Owner Phone
Address/City/statemp
z 2!'q Z
Air Handlin
< —10 000cfm
Nature of Work A%',�
6 -If
Project Valuation: $
2! 2--00.
APPLICANT
Name
Address/Citytstaip 76' �' S� i�P� fes ` �e-7`
Contact Person At ,C e Phone � 25' 2,l ":9 33'� Fax 25'1 - 028 D
MECHANICAL CONTRACTOR 1
Company Name 5 ew► *oRGt cApAwr
Address/City/St/Zip
Contact Person Phone
Fax
State L & I Contractor Registration # Pe l Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel other �43
Cies
Air Handlin
< —10 000cfm
Fuel Tanks:
of gas pipingAir
Handling
> —10 000ef n
Above Ground
Furn <100K BTU's
Gas Log
Unit Heater
Undermund
Furn >100K BTU's
Fans
Boiler
BTU/H
Miscellaneous
On Hwt
I Hood
I Boiler
BTU/H
other
Conv Burner
Dud Work
A/C
TONS
Other
DISCI ADAER: I omtitj, undaparmlty ofpmjmy. Poet the infommtion Iimrishedby rne is hue and rnmed to the best ofmybwwle* and Su&a*M I am suPomiad by the owner ofPoe above premises to pmfom dm wodr
forwhidt permit application is made. I findrm este to save haradess the City ofpedaal Way as to any doim (mduding costs, weer es, and atfoamys' fm immed in hrvesBgatiar and defmme ofsueh datm� wbkhmaybe
made by any person, arduding Poe m and f9ed mainat Pos City ofpedmay Waybut only where mich dam arise out offt m i ofthe city, mdudmg fts ofcros and empleyees, wmtthe aomraey ofdm
Information supplied to Poc city as a part ofthis appliation.
D� 00
Owner/Agent///GJ Date 1q