04-104487 •
City of Federal Way Mechanical Permit #: 04 - 104487 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)83527000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: EVANS
Project Address: 821 S 299TH PI Parcel Number: 515160 0060
Project Description: Remove existing gas furnace and replace with 60,000 BTU furnace.
Owner Applicant Contractor
Christopher D Evans &Debra D Evans PERFORMANCE HEATING&A/C INC PERFORMANCE HEATING&A/C INC
821 S 299TH PL 7649 S 180TH ST 7649 S 180TH ST
FEDERAL WAY WA KENT WA 98032 KENT WA 98032
98003-3749 (425)251-0356
Mechanical Valuation 5145 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Furnaces 1
PERMIT EXPIRES May 2,2005.
Permit issued on November 3,2004
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: /7;;V-2--4:9C2
• CHIS CARD IS TO REMAIN ON-SIT&
CITY OF 111111 Community Development Inspection I ecord
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104487-00-ME
Owner: CHRISTOPHER D EVANS
Address: 821 S 299TH PL
FEDERAL WAY, WA 98003-3749
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
❑ Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date
,�` ,c; 1173-1.F.RECEIVED • • Q ._ - 1 0 `-1 7' `1
Federal Way PERMIT
COMMUA77YDEVELOPMENfSERV10E�� SF MF AO EL PL DE EN FP
33530 FIRST WAY SOu7H N.
Po BOX 971N1 U V 0 3 2004
FEDERAL WAY,WA 98063.9718 C AT I O N r.
253-661-1115.FAX 253-661412.9_ /
waw.ciluo/feaeralwau.cont, Y OF FEDERAL WAY
B
G
The ollowin• is re•aired inn loj-maD> on-an Inco •lete a.•lication will not be acce•ted. Please •rint le.ibl (in ink)or . .
PROPERTY INFORMATION
SITE ADDRESS g at S g act\ "-r-lCte SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# S \ G ` C7 C - Q a COQ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I) Pk(-0- NOCK-K-- a PIC21— 1({-- 56%) 5 J ti
(Attach separate page for lengthy legal desoipcon) marl a rl i&'e (.1...i.(I 74 0 O/
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING JiiECHANICAL
0 DEMOLITION o ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
4 C iDVD hill .' 1,irtee,Ce
Romer t e e,O/ 'e r
PROJECT NAME(Name of Business or Owner Last Name)
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER 5 E
'''',,__)S (A53)6Ol-1 -3302-
MAILING S 11 6DDV 1 c/ A PIace RESSCI i EJ.ZI-P-i WAI . 1v\ W3
CONTRACTOR C MPANY NAME APPLICANT NAME
1 � " OFFICE PHONE
rwc i Ce l-te i Y� Todd avaki-s ( a-S/ -6354
MAILINGp�.1SS S I s CITY.. STATE,ZIP agDia CELL PHONE -
635-6
CITY OF FEDERAL WAY BUSINESS LICENSE"N MBER iI�GJVtnJ./1N11-1 --�EXPIRATION DATE `FLAX NUUM-BE�Rn61 R
4C- vJ-• _oo L/ V -k B L / 31l o (q� 057 - 09-8-6
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
P l_ F OtIA Lrte'. Q -L2 /4aq / CS
APPLICANT COMPANY NAME , c'O'C05 APPLICANT NAME OFFICE PHONE
MAILING ADDRESS t CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant p�Agent 0 Other(Describe) ( ) -
CONTACT NAAQE -OarCk s PRI ARY PHONE
T1 (+ 1 _ 0
3s1, E-MAIL ADDRESS
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES O NO
WATER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY.* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
__
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not Include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ 5148
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG SYSTEMS
BBQS FANS HOODS(commr..1) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS 1 FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Showorcombo) SHOWERS WATER CLOSETS(Toad)) MISC(Descnbe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sulks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 arty claim(including costs, expenses, and attorneys'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. J
NAME/TITLE ��p"/�J DATE /J 2/04
(Si a ure�) 1•(��` (Title)
RELATIONSHIP TO PROJECT 0 Owner gent 0 Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—March 30,2004 Page 2 of 4 k\I landouts—Revised\Permit Application