02-105139City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:02 -105139 - 00 - ME
Inspection request line: 253.835.3050
Project Name: HAYES�41
Project Address: 33012 48TH 3W Parcel Number: 802950 0460
Project Description: MEC - Gas to gas furnace changeout
Owner
Applicant
Contractor
Alan D Hayes
PERFORMANCE HEATING & A/C INC
PERFORMANCE HEATING & A/C INC
33012 48TH AVE SW
7649 S 180TH ST
7649 S 180TH ST
.FEDERAL WAY WA
KENT WA 98032
KENT WA 98032
98023-3310
1 (425)251-0356
Mechanical Valuation..........................................4387
fii iia _ Quahti
Furnaces 1
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
PERMIT EXPIRES May 17, 2003, IF NO WORK IS STARTED.
Permit issued on November 18, 2002
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 accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: ��� Date:
Oiha Z_
` RECEIVED CONSTRUCTION PERMIT APPLICATION
�L PPLICATION NUMBER: 0;?—
NOV 1 $ 2002 APPLICATION.NUMBER:—
APPLICATION NUMBER:
CITY OF FEQERAL WA.I� sh
**The fB" pjG Mpifed I formation —Please print (i ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
zO.ERTV O.MATION
p
4ITE ADDRESS: A¢( 5-6d ASSESSOR'S TAX/PARCEL #: p O
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECTINFORMATION _.
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 1�5,u4/uAot G,;4f}W 1C_ ou
- �
' PROJECT NAME: /7I¢ y E- S gC5' t Dj_�-I/GE
PROPERTYOWNER: I NAME:
C�r•I,rre7[�1r.J�i
APPLICANT:
PEOPLE INFORMATION
A L-A-� #4 IES
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
33oiZ y8-fk Aue s(,✓
DAYTIME PHONE:
(2S3 ) 918 --�832_
L-A. Te o?
NAME:
lef 4wc�
DAYTIME PHONE:
(yZt ) LS 1
-03-54 '
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
I
W 4' 0 0f4 t,.+ W
032—
(y),s )zrt
-a356
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
,/
(copy of Card required) 1! Q
C ,/�
�} I > 0 1� �
0 7 /
l Z�� 3
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( ) -
E-MAIL ADDRESS: ,
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
'TETATLEn RIITLnTNP TIIIRARMATTC
EXISTING USE: EXISTING BUILDING ASSESSED/ APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $�
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
- FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT'
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL,
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) '
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) �_ FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTOR(S) SUMP(S)
%TSCI ATMFRICTGNATURE RLC
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 the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attomeys' fees incurred in the
investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of
Federal 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.
NAME/TITLE: C6✓l �'� DATE:
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOK 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 2S3-661-4129
www.cit)(offederalway.com
RECEIVED PERMIT APPLICATION
CITY OF
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
Federal Way OCT 0 g Z018 253-835-2607 + FAX 253-835-2609 + permitcenter(Dcityoffederalway.com
COMMUN�pZ7��Y-3
EWAY
PERMIT NUMBER S _ / _ F
l TARGET DATE
SITE ADDRESS
SUITE/UNIT #
32001 32ND Ave SE
110
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 3419
Commercial
2 1 5 4 6 5_ 0 0 1 0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING IN FIRE PREVENTION
NAME OF PROJECT
NORTHWEST ADMINISTRATORS
ADD AND RELOCATE SPRINKLERS FOR NEW WALLS/ CEILINGS.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
STERLING REALITY ORGANIZATION
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
600 106TH AVE NE #200
CITY
BELLEVUE
STATE'
WA
IF
98042
NAME
PHONE
FIRE SPRINKLERS INC.
253-826-0099
MAILING ADDRESS
E-MAIL
CONTRACTOR
1524 45TH ST E
CITY
STATE
ZIP
FAX
SUMNER
WA
98390
WA STATE CONTRACTOR'S LICENSE #
FIRESI*988RJ
EXPIRATION DATE
12 31 2018
FEDERAL WAY BUSINESS LICENSE #
20-05-100633-00-131-
0-05-100633-00-BLNAME
NAME
PRIMARY PHONE
CHRIS SMITH
253-826-0099
APPLICANT
MAILING ADDRESS
1524 45TH ST E
E-MAIL
CHRISS@FIRF.SPRINKLERSINC.COM
CITY
STATE
ZIP
FAX
SUMNER
WA
98390
PROJECT CONTACT
NAME
SAME AS APPLICANT
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigationand def of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such tial arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to a city as a art o is application.
SIGNATURE: DATE 10/09/2018
PRINT NAME: CHRIS SMITH
Bulletin #100 – January 29, 2016 Pagel of 2 k:\Handouts\Permit Application
ir'
VA
MECHANICAL PERMIT LUE OF MECHANICAL WORK
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commercial)
BOILERS FURNACES HOT WATER TANKS (pas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VA LUE OF PLUMBING WORK
PLUMBING PERMIT
# of
Stories
Additional Information
Naw BmLDnra
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
Indicate how many of each type of ftxture
to be installed or relocated as
part of this project. Do not include existing res to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (Head sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
T0TAL A3U11;*NG "
DRINKING FOUNTAINS
SINKS (Kitchen/Utiity)
WATER HEATERS (Electric)
4
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
# of
Stories
Additional Information
Naw BmLDnra
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
COMMERCIAL
XYes ❑ No
[]Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FASWIENT
FIRST FLOOR (or Mobile Home)
f; --------------------------------------------------------- ----- ------------- .------------. ----
SECOND F,00
COVERED ENTRY
------------- --- -- _- ----
DECK
GARAGE ❑ CARPORT ❑
--------------------------------------- ----------------
OTHER tdescribe) .
Area Totals EXISTING PROPOSED TOTAL.
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
Naw BmLDnra
ADDITION
COMMERCIAL — REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
S uare Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
T0TAL A3U11;*NG "
110,511 SQ FT
COMMERCIAL
4
"< .
TENANT AREA ONLY
10925 SQ FT
LIGHT HAZARD
T.I.
1
PRoaacT AREA ONLY
10925 SQ FT
LIGHT HAZARD
Bulletin #100 —January 29, 2016 Page 2 of 2 k:\Handouts\Pennit Application