99-104510V
CITY OF FEDERAL WAY
33.530 Fi I -St Way SoLithHF_C"P4P41C.ML FACM141T
Federal Way, WA 98003 Mechanical Inspection lleqt,jests 253-661-4140
253-661 4000
ADDRESS: 321-30 27 1` ti 00E SW
NO.: 873180--0680
PROJECT DESCRIPT ION :NVAC - GAS TO GAS FURNACE CHARGEOUT
OWNER... ARIDA
TOM/DEBBIE PITIER
32130 271H AVE SM
FEDERAL WAY WA 98023
253.952,2131
CONTRACTOR......... . ..........
PERFORMAKE HIAIING & A/C INC
7649 S 180TH
KEPT WA 98032
425-251-0356
PERFOMAISORI
LENDER
q *1 - I C�j
L
PERMIT NO: MEC99-0411
ISSUED: 11/24/99
BY: FC
EXPIRES: 05/21/00
.......... .......
92:1 CONTRACT ;+, ftUA 61, ktv� Cob[ 1737 WA ILPORTING SALES TAX FOR FRWECIS VIIIIIN TIE CITY or rtKL4L MAT. TAX RATE = 8.25 ae
PROJECT VALUATION 1707 FEES:
FUEL TYPIS.:GAS FANS...... ..... 0
OR" M[(H PERMIT FEE f 63.15
GAS PIPING.: 0 ft HOOD..... 0 O j TO;!
FURCIOOK..: I NI(T WOPW 0
GAS HMI....: 0 Wo—Pr, STOi,V', 0 15-'110 1!)o. 0
CORV PARER: 0 F1jRH.,100r,_ ... C 30-50 li:h_. Cl
BBQ......... 0 MIS(....... ..: 0 50 0
GM DRYER..: 0 AIR HANDLING UNITS f0ft I`ANfS___1____
RANGE......: 0 (710,000 (FM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 10,000 (f": 0 UNDERGROUND.: 0 101AL FLP4' 63.15
Does the water supply system contain a Pressure Reduction Device or Check valve? Yes No (If 'Yes" then water expansion tank is required on Not Water Tank)
Inspection Record: Mechanical Rough -in Date __ Gas Piping Date
MECHANICAL FINAL Date 1:7-2-41
PERMITS EXPIRC Rim MYS At FIR IMJUAKE If #0 vott Is SIM110.
I CERTIFY Iff IR ORNATIOW fUROISHED P tit. 11� nuf ANO cmia To ta Ksi of NY unaw ANY is appt icaea my of Ftm, M. WAY REQ111REMENTS MILL. K NET.
OWNER OR A(ANT _._ ` DATE 'I
FIELD COPY
CITY OF FEDERAL WAY •
33530 First Way South P1111';;: 11°1 al ��� � :;�!':: �� ;, �,.^� ��� F`1 1f.., " H :..E: T"
Federal Way, WA 98003 Mechanic. i Inspection Request's 253-661-4140
250-661-4000
ADDRES5:32130 27 ril (-AVE SW
NO.: 873130-0680
PROJECT DESCRIPTION:HVAC - GAS TO GAS FURNACE CHANGEOUT
OWNERCONTRACTOR=________-_=____=___=-____-=___________ _____= LENDER
TOM/DEBBIE PITIER PERFORMANCE HEATING & A/C INC
32130 27TH AVE SW 7649 S 180TH i
FEDERAL WAY WA 98023 KENT WA 98032 I
253.952.2131 ; 425-251-0356
PERFONA15ORT
___ ...__....-- --- -------------------
------------------- 1-„._,.-._--------
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN<100K : 1
i=s CONTRACTORS, PLEASE USE LOCATION CODE 1732 WN
1707
? FANS...... .;
ft HOOD.....,,;..; 0
DUCT WORD; O
-'IT''^S/COMPRESSORS
0
i T
PERMIT NO: MEC99-0411
ISSUED: 11/'24/99
BY -. FC
EXPIRES: 05/21/00
TING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 Ut
FEES:
MECH PERMIT FEE
$ 63.15
GAS HWT..... 0 WOOD STOVES
,.
CONV BURNER: 0 FURN>10CK...,. 2 30-50
BBQ......... 0 MISC.......... 2 50+ TON.,.... 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TWS---------
RANGE...... : 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM; 0 UNDERGROUND.: 0 � TOTAL FEES $ 63.15
6
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 M IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT---- DATE ----- y —9t -------
FILE COPY
Crr of G BUII DING DIVISION
• EDL_ 33530 First Way South
Ay Federal Way, WA 98003
(253) 6614000
wY"c Fax (253) 6614129
NOV 2 4 199., APPLICATION FOR MECHANICAL PERMIT
vI Y i-tuLLHAL WAY MEC
BUILDING DEPT.
PARCEL #
SITE LOCATION
Single Family A Multi -Family ❑ Commercial ❑
Tenant/Owner ""t *i�h ��i��� Pi Phone LU y -Q 213 1
Address/City/State/Zip
3Z. 13
L
Z 7�`� A l/C
.I—t��� Ct-1, y . u• yq, Y.� L L3
Nature of Work R C
E"
64 5
r;<r n 4 r tc
Project Valuation: $ I y / `' 7
APPLICANT
Name
Address/City/St/Zip
Contact Person —
MECHANICAL CONTRACTOR
Phone
Fax
Company Name ���� /,'/✓C L: /'��$//.(JC
Address/City/St/Zip ZE2' 9 50. 1,2d f s' - �L�-' 1, c,vA- 9' c 321
Contact Person </11'('- b�7 ck/-C_ Phone X25. 2S'I'03So� Fax 1)7/
State L & I Contractor Registration # �� FOf� l 5 U K % Exp. Date _2,? 'Z` e
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of as piping
Range
Air Handling > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
Wood Stoves
A/C TONS
DISCLAIMER I certify, under penalty of perjury, that the information famished 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 pemtit application is made. I further agree to save harmless the City of Federal Way as to any claim (mcluding costs, expenses, and attorneys' fees incurred in investigation and defense of such claire), 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" appfi,�ation.
Owner/Agent
Date /I- -
MP.cm.APP -I l•
u 1A
Re ED 8/26/97