97-104154r_•ITY_ Of FE DE`'RAI WAY PERMIT NO: MEC97-0331
:43530 Fi. rpt. W::ir Sough M C I N I CA 1.... P ERM .
Federal Wiy, WA 98003 Mectiaraa.cal Tnspar,ct.ion Requests :53-66', BY: Fc,2
f.w —fc�a1 MUCIC) . E -VP IFIL : O5/1.0/98
•s�I3T?FtLSC�:31CIS ';W 342ND ST
e NO.: :'94451--OU50
PROJECT :DESCR IPT ION: fURNAHCE CHARGE 0111/ A/C AND 3 RETURN AIN DUCTS
OWNER
TIN JOLLY
3108 SW 342ND ST
FEDERAL NAY WA 48023
253-814-0820
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ttt CONTRACTORS, Pum ful IOCAT
}ra::ts^r:tr_raesnsx:3+.—_m.:: ............
CONTRACTOR
PEPFORMANCE HEATING L A/C INC
7641 a IE01H
KLNT WA 48032
251-0356
PFRFOHAbOR1
LENDER
A, urtw=G-.CaaGY3r4..^a.:j='L'Pr;iwVa-.'_.....Laam:v. css z¢
1132 MR14 REP%TING Sf1E.ES TAX FOR PROJECTS VITRO INE CITY Of FUERA NAY. TAX RATE = 8.25 :n
FEES
PROJECT VALUATION
804
TV", I'Yal . .. i1
1#84....... _.
FUEL TYPES.:GAS GAS
FANS..........:
11
10ILUS/COMP#FSSORS
Mechanical Permit* 108.00
GAS PIPIK .: 0 ft
FOOD..........:
O
1,..3 1«M,..... 3
� pRM1;,1� KE... ' 20.00
FURN<t00K..: 1
NKT WORK.....:
0
:3-15 TON....:
UNP'.r >;R!
GAS HOT....: 0
NOOO S1+WC
l 5s-30 T1N „
CONV �1RNER.
O
TV", I'Yal . .. i1
1#84....... _.
0
MISC . ,;
GAS DRYEF..:
0
AIR N€NIV1",'+IQPP
'OEL 1ANC,--------
RAHGE...... :
0
040,000 ":1-
ABUVf 6l;01111[� it
GAS LOGS.. , :
0
> 10.E
UNP'.r >;R!
TOTAL FEES
$ 128.00
s:,::waxuxs.-xs a.ammex.im cass •.x+acxax ..ar n..::.:rz.: :. ., .��,�,.:xsssesc:xm.wtursa.::R`aaarx:smaxaaaza-acac_.s:ac-u¢as-x..:m.�xn.._ac�r;.:smxs.. �.c:c.:ancffiau
Does the nater ly system contain a Pressure Reduction Device or Check ? (}Yes 1,) H {!f 'Yes" then nater expansion tank is required on Not Nater Tank}
Inspection P# rd: Mechani�,al Rough -in Date _._...___..._ Gaf}pin9 ......
MECHANICAL � IMAL Q ,..__ �.,..- Date tom- �- q 7
PERMITS FXPIRE 180 MYSINSWISWE IF 00 NOR[ IS STARTER.
I CERTIFY INF INFORMATION F TRUE AN CORRECT TO THE LEST
. OWNER OR AGFN1
Date
:'�xGr.:.9ex;:.:CAmscasaa:rY ssxxa:x acx azz-^az:smrss�xzzr>s.-.":sssnas�x. a:
Of) THE APPLIU41, CITY OF FESERAt MAY ROUIR MfNIS WILL VL MET.
FIELD COPY
/ i _ l Z _ '/ 7
CITY OF FEDERAL- WOY
33530 Fi rs t Way South '� i } ;::: ��., ,,.,� 7''°''r �i�N ::;�: �:M.: ��,... F" P"
Federal Way, WIC 93003 h1echan:ical Insp>ectiori Requests 253-661-43.40
253-661-4000
A DDRESS:3108 SW 342ND ST
NO.: 294451-0050
PROJECT DESCRIPTION:FURNANCE CHANGE OUT/ A/C AND 3 RETURN AIR DUCTS
OWNER
TIM JOLLY
3108 SW 342ND ST
FEDERAL WAY WA 98023
253-874-0820
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN<100K..: 1
GAS NWT....: 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
CONTRACTOR
PERFORMANCE HEATING & A/C INC
7649 S 180TH
KENT WA 98032
PERMIT NO: MEC97-0331
ISSUED: 11/12/97
BY: FC2
EXPIRES: 05/10/98
251-0356
PERFOHA150RT
__s CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY.
---------------------- -----------------------_---------------
8842
GAS FANS........... 0
ft HOOD........... 0
DUCT WORK.....; 1
WOOD STOVES...: 0
FURN>100K.....: 0
MISC........... 0
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
BOILERS/COMPRESSORS
0-3 TON.....: 3
3-15 TON....: 0
15-30 TON...: 0
30-50 TON...: 0
50+ TON.....: 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
TAX RATE : 8.25 :x:
FEES:
Mechanical Permit* $ 108.00
MEC PRMT ISSUANCE... $ 20.00
TOTAL FEES
$ 128.00
------------------------------- -----
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 Wat
Inspection Record: Mechanical Rough -in
Date --,-------- Gas Piping ---------------- Date _.
MECHANICAL FINALDate _-------__--
i
----------
PERMITS EXPAIRE
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 NAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT
—------------------------- DATE
FILE COPY
City of Federal Way p2Fc,M ED
CITY OF 33530 First Way South
- Federal Way, WA 98003 1,997
(206)661-4000
;Al- WAY
EPT.
APPLICATION FOR MECHANICAL PERMIT,
PARCEL # !q-f`4z_; t - CY-7SC Single Family `Q Multi -Family ❑
SITE LOCATION:
6? --C) r--`)5/
Commercial ❑
Tenant/Owner: T(N� '� K��J� .�C�II y Phone: ZCS�_,) �97-r -CXPzD
Address/City/State/Zip:
Nature of work: FQSP JA4-G C-µ1IQE- �r �.JC. 1 3 ';ZNa !:�0LIV5> Project Valuation: $ 431042, - 00
APPLICANT:
Name: ��E
Address/City/St/Zip:
Contact Person: Phone:
MECHANICAL CONTRACTOR:
Company Name: PEFUf�Nutin►CrFTil�;.-� l�Nf�+FZ �r�rvi�+ 1�itrUL�
Address/City/St/Zip: 7w`'tI t`�� �y�. =-EN4� wA . 'rtY0.52-
Fax:
Contact Person: 'K M TE"-t'�- Phone: ` zls� Fax: K
Z � D'�� ms) Z�1 -0Zev
State L & I Contractor Registration #:�FC�f-th.I `�' Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
/t,¢, Gas Dryer
Air Handling <
= 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling >
= 10,000cfm
Above Ground
Furn <1OOK BTU's
Gas Log
Unit Heater
Underground
Furn > 100K BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
�77 TONS
Other
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 fincluding costs, expenses and attorneys' fees
incurred in investigation and defense of such claim), whit 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 ofilllcers and erpployees, upon the accuracy of the information supplied to the City as a part of this application.
O%arner/Agent: i 1-�- '%�r� +.£:�_.. Date: may iL-°)