05-106259 City of Federal Way Mechanical Permit #: 05-106259-00-ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: HOUCK
Project Address: 32540 42ND PL SW Parcel Number: 873201 0570
Project Description: Change out existing gas furnace with new gas furnace.
Owner Applicant Contractor
KEVIN J HOUCK PERFORMANCE HEATING&A/C INC PERFORMANCE HEATING&A/C INC
PAMELA S HOUCK 7649 S 180TH ST PERFOHA 15ORT 4/29/07
32540 42ND PL SW KENT WA 98032 7649 S 180TH ST
FEDERAL WAY WA KENT WA 98032
98023-2649
Additional Permit Information
Mechanical Valuation 4300 Over the Counter Permit? Yes
Mechanical Fixtures
Furnaces. 1
CONDITIONS:
PERMIT EXPIRES Monday, June 5, 2006
Permit Issued on Wednesday, December 7, 2005
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) , Wf1((A,Id\-1
Way.
/1Owner or agent: Date: )2' " U�
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-106259-00-ME
Owner: KEVIN J HOUCK
Address: 32540 42ND PL SW
FEDERAL WAY, WA 98023-2649
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.
0 Mechanical Rough-in (4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By fi/f Date
1
6 .? 5 q
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Federal Way — —
COMMUNITY DEVELOPMENT SERVICES PERMIT SF MF CO Cf/�� EL PL DE EN FP
3353EDFIRST AWAY,WASOUTH PO BOX 18 APPLI CATI(C N:NG DEPT FEDERAL ; •
FEDERAL WAY,WA 98063-9718 ING
253-661-1115•FAX 253-661-4129
www.cituoffederalwau.com
1
The ollowi • is re.uired in orfnation-an Inco •lete a•.lication will not be acce•ted. Please .rint le•ibl (in ink)or . .
21 ZS ((�V 'j1 PROPERTY INFORMATION
SITE ADDRESS pLSU SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# cc 3_32-9 05-7 °- LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desmpson)
PROJECT INFORMATION ,�{{
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING IXMECHANICAL
❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit on1U)
PROJECT NAME(Name of Business or Owner Last Name) %/v v C-1
PEOPLE INFORMATION
PROPERTYNAME
PRIMARY PHONE
OWNER kc...„),
�{ / uULk ( Z(') ZY3 - Liz/y
MAILING ADDRESS , CITY,STATE,ZIP
isiio ti /P(- SW Fc.)- 1.4 wry Nit Y4- ?tai)
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
eet&F0(r kk c-c_ W''r c., -1-e) £.,..._s ( t/ZT) 2f ( - 03�,
MAILING ADDRESS ,STATE,ZIP CELL PHONE
7((i4( S. / c)1 k - v� '71�oz ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1t— i5 — C56ocN 112 66 - B L /Z./ 31 /o ( ) -
.CONTRACTORS REGISTRATION NUMBER(coPy of card required with each application) EXPIRATION DATE
_19eA 'o H-015-6Rif 4' '72 /07
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
SA"-e- Di) Cryrl4/c, r ( ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY�J`� (R{ A�)fi0_ !1 _ ��1� E-MAIL ADDRESS
f_jl Z/ /
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 -Re5- PROPOSED USE -._S �, 9�
EXISTING ASSESSED/APPRAISED VALUE $ F` VALUE OF PROPOSED WORK $ �_ Cy • n 0
SPRINKLERED BUILDING? ❑ YES .'NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES ZNO `
WATER SERVICE PROVIDER 'LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER *LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL _
BASE NT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT /
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW H ONLY.` NUMBER OF BEDROOMS E' MATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of th •rolect. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ l>00
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG SYSTEMS
BBQS FANS HOODS(commero,al) W OODSTO V ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS , FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or rub/showt,combo SHOWERS WATER CLOSETS(Toilet) MISC(Des be)
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 any 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. rf
NAME/TITLE •
fa, Ord G!' G,G DATE bcc 7�O
( ignature) (Title)
RELATIONSHIP TO • •• ECT ❑ Owner ❑ Agent )(Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\I landouts—Revised\Permit Application