01-100023 City of Federal Way.
Community Development Services Mechanical Permit #:01 - 10002 - 00 - ME
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax 253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: ZIMMERMAN
Project Address: 32306 44TH1SW Parcel Number: 873202 0630
401
Project Description: MECHANICAL-Gas furnace changeout in existing single family residence
Owner Applicant Contractor
Donald J&Heidi M Zimmerman PERFORMANCE HEATING&A/C ELE PERFORMANCE HEATING&A/C ELE
32306 44TH PL SW 7649 S 180TH 7649 S 180TH
FEDERAL WAY WA KENT WA 98032 KENT WA 98032
98023-2408
Ihg,i/ no p oo .r,� �� 1-5 5
Mechanical Valuation 2200 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Furnaces 1
PERMIT EXPIRES July 2,2001,IF NO WORK IS STARTED.
Permit issued on January 3,2001
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: 7r/e. /l -✓(i.r— Date: /- -7 z°e/
CITY OF _- BUILDING DIVISION
33530 First Way South
En'A
AY Federal Way,WA 98003
VV
,--��-�.w,,�••• (253)661-4000
s.-v ---r‘,Ert Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
Y Ur rtLCriAL WAY i
BUILDING DEPT. MEC ^r lr - I a z3- t1 .
PARCEL# 7 3 202-0 3 0 Single Family Multi-Family❑ Commercial❑
SITE LOCATION
Tenant/Owner OA) 2 Al M L- Pvcipi Phone -06- 7GY //gy p
Address/City/State/Zip 32300 ‘/Y 74h PL S ) rP we,A( A)A-y wA - 9 p003
Nature of Work G Now, 'e ou S 71-;/-/1/�Cr Z LD
J `fProject Valuation:$ �
•
APPLICANT
Name Pe_r ri,$-74,14.,
Address/City/St/Zip 74 'p so. / 0 14 S7` //e (,(fD..32.
Contact Person /). ci vv C— Phone ' 2X/-°35".‘ Fax VI.'2f/"°28D
MECHANICAL CONTRACTOR
Company Name /2-e7145r7, /7f/9-
Address/City/St/Zip r? /9 yes . //'d t1"1 54- Ajeirt7 aid- tic 3
Contact Person a e U61/ <- Phone V2 Fax
Fax /2-sZ
State L&I Contractor Registration# 0/ / D Exp.Date y'287 o/
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type(gas/other) J g e)- Gas Dryer Air Handling<=10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling>=10,000cfm Above Ground
Fum<100K BTU's I Gas Log Unit Heater Underground
Furn>100KBTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BAO's Wood Stove A/C, TONS '�'fAt tf rfL'ot
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(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.
DO
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Owner/Agent -7 '" <'`i Date Z /
MrcaAPP
Revises 886/97