99-104422-CITY OF FEDERAL. WA' , -'
33530 First Way S(.,,Utt)
Federal Way. WA )8003
253-661-4000
MECHANICAL PE"FkM1`f_
N P_ f.- h A ri i ca I I n s, p c� (- t, i n ri R F-, q i m s ts 2*1 5'_3 .6 6 A 4140
ADDRESS: 32617 16TI-I CT SW
NO.: 010453--0580
PROJECT DESCRIP'tION,,changeout, forgas furnace
OWNER
DANIEL JAMS
32617 16IH CT SW
FEDERAL WAY WA 18023
23S-661-2655
CONTRACTOR,...a--- ..... am --
PERFORMANCE HEATING& A/C INC
7649 S 18OTH
tENT WA 9803,
425-251-0356
9(q -1 CHIA t;)�
PERMIT NO: MLC99--U40.),
BY. FLF
EXPIRES: 05/14/00
LIREk ... W-: ... .....
SAKES TAX FOR PMECTS VITRIN 19 (1 1Y OF FEDERAL NAY. TAX RATE -- 9.25 t"
IN:
05,
r mom
f EIS:
NECH Pf9mil frF 83.25
TOTAL FEES $ 83.25
.. .. =.." ... ..... AZ ..... ... ..... ;11-9 Ar m- ...
Does the water supply systes 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 us Piping Date
HICHANICAL FINAL
PERMITS EXPIRE 180 DAYS AFTER ISSWE ir No mi Is STARTED.
I Ctilify INE INI'milom 11wolm, IN NE Is Tm AND CORRECT TO III LEST Of NY KNOVIEDGI AMP INE APPLICABLE CITY Of fLKRAI RAY REQUIREMENTS MILL 91 NET.
PLANER OR AGLNT DATE
FIELD COPY
tti COVIACMi PLEAS W LOCA III VIDE 173? Wj
PROJECT VALUATION
2300
FUEL IYPES.:GAS
FANS..... ,
L;,;: L
GAS PIPING.:
0
ft HOOD.
TO.",
f URN< 100K. .:
1
bUfT Ot
GAS HNT....:
0
WOOD STOVC,
CONV PURRR:
0
fURN>IO0t_..:
0
_�o I oii ... 1)
880.........
0
MIS(...........
0
sot 0
GAS DRYER_:
0
AIR HANDLING UNITS
FUEL TANKS - -
RANGE ...... :
0
(40,000 CF":
fj
ABOVE GPOUND: 0
GAS LOGS...:
0
> 10,000 Cf":
0
UNDERGROUND.: 0
9(q -1 CHIA t;)�
PERMIT NO: MLC99--U40.),
BY. FLF
EXPIRES: 05/14/00
LIREk ... W-: ... .....
SAKES TAX FOR PMECTS VITRIN 19 (1 1Y OF FEDERAL NAY. TAX RATE -- 9.25 t"
IN:
05,
r mom
f EIS:
NECH Pf9mil frF 83.25
TOTAL FEES $ 83.25
.. .. =.." ... ..... AZ ..... ... ..... ;11-9 Ar m- ...
Does the water supply systes 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 us Piping Date
HICHANICAL FINAL
PERMITS EXPIRE 180 DAYS AFTER ISSWE ir No mi Is STARTED.
I Ctilify INE INI'milom 11wolm, IN NE Is Tm AND CORRECT TO III LEST Of NY KNOVIEDGI AMP INE APPLICABLE CITY Of fLKRAI RAY REQUIREMENTS MILL 91 NET.
PLANER OR AGLNT DATE
FIELD COPY
CITY OF FEDERAL WAY
33530 First Way South I�h ", ," ;;r° " M: �:�.: r w... f`::AERMI ,,.�...
Federal Way, WA 98003 rlechanical Irns,p;ectiorf Requests 253-66-L-.4140
253-661-4000
ADDRESS:32617 16TH CT SW
NO.: 010453-0580
PROJECT DESCRIPTION.changeout for gas furnace
PERMIT NO: MEC99-0403
ISSUED: 11/17/99
BY: FLF
EXPIRES: 05/14/00
r= OWNER
CONTRACTOR=______— __=�__ _________________
______=___-¢=
LENDER =__-=___==____=___::_______-
___:.__.___•__: _ __.__
DANIEL JAMES
PERFORMANCE HEATING & A C INC
32617 16TH CT SW
7649 S 180TH
FEDERAL WAY WA 98023
KENT WA 98032
I
235-661-2655
425-251-0356
s
a
Sts
CONTRACTORS, PLEASE
USE
LOCP;TIO� CODE 17'2 BREI' RE"IM*ING SALES TAX FOR PROJECTS
WITHIN
THE CITY OF FEDERAL NAY. TAX RATE
: 8.25 3 *
PROJECT VALUATION
2300
�•,�a••�w•,N,
FEES:
FUEL TYPES.:GAS
FANS......... :
0
301E RS/COMPRESSORS �, a ,u
M ! A RIS FEE
$ 83.25
GAS PIPING.: 0 ft
HOOD........ :
O
0-0 TON.
E
"'M'
FURN<100K. : 1
DUCT -WORK
n
3 TON ' 'M TNg ����
,
.... ,
n ,
1:01N. �0 ��� � � ����a��T�r�Y��
� �.
GAS HWT.... . 0
WOOD STOVES...-
15 210
CONV BURNER: 0
FURN)100K.....:
0
?0-50 TON...: 0
�
;BBQ........: 0
MISC..........:
0
50+ TON....,: 0
i GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
--------RANGE......:
RANGE ...... 0
<:10,000 CF":-
0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
$ 83.25
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
MECHANICAL FINAL Date
Gas Piping ---------------- Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATIONN FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT--'//--`'`----------------------------------------------------- ;RTE
FILE COPY
CRY OF G
•
uM F rV
aR E e+ t1 V ®
NO Y 171999
bili Y Ur FclL-8AL VVAY
BUILDING DEp7.
APPLICATION FOR MECHANICAL PERMIT
BUILDING DMSION
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 6614129
MEC �f' -� 3
PARCEL # Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner )A iu/ ' L L,47-/ � ✓ 1—oz Es Phone 2
Address/City/State/Zip /d h c'D u rT L LL /��1���A C U�¢ C,(.) A- %��b Z 3
Nature of Work RC T—' 0 G41 i- -I-tZ/"- -'-- Project Valuation: $ Z , 3 u C'
APPLICANT NN
Name rl
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR
Fax
Company Name
Address/City/St/Zip ZZ
Contact Person' t� ��yO Phone �Z"Z3 / ' �'3 Fax
State L & I Contractor Registration # /�L �U/yA iSe� Exp. Date '22f
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T eas/other
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of as piping
Range
Air Handling > = 10 000cfm
Above Ground
Fum <100K BTUs
GasLog
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
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 permit application is made. I fluther agree to save hamtless 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
MP.Cn.APp
Revrsm 8/26/97
Date L I L