98-101444 E R
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CITY OF FEDERAL WAY pp �. �� p'I ,�+� ;�pp N p � u PERMIT NO: MEC98-0094
33530 First Way South M E.��.. H il"'°'li !I'''! .,•N.. L•.il''"'�i !I,•.• ii„•,,W 9�';,. . .. „ . ISSUED: 0 4/2.4 9 T3
Federal Way,, WA 98003 Mechanical Inspection Requests 253--661--4140 BY: FC
253-661-4000 EXPIRES: 10/20/98
ADDRESS : 2512 S 299TH ST
NO . : 768220-0200
PROJECT DESCRIPTION:HVAC - REPLACING GAS FURNACE AND ADDING AIR CONDITIONING
OWNER - . ��. CONTRACTOR ==_ • ,... ..... __;-- LENDER
LARRY BELLACH PERFORMANCE HEATING & A/C INC
2512 S 299TH ST 7649 S 180TH
FEDERAL WAY WA 98003 ( KENT WA 98032
( f ,
253-941-6639 425-251-0356
PERFOHA15ORT
*'* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 "*
PROJECT VALUATION 6000 ° TEES:
FUEL TYPES.:GAS ? FANS.....:,...: 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 1 Mechanical Permit* $ 81.00
FURN<100K..: 1 DUCT WORK • 0 3-15 TON....: 0
GAS HWT • 0 WOOD STOVES...; 0 15-30TON.. .: 0
CONV BURNER: 0 FURN>100K 0 30-50 0
•
BBQ • 0 MISC • 0 50+ TON.....: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS I
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 101.00
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 Water Tank)
s (
Inspection Record: Mechanical Rough-in Date Gas Piping Date
MECHANICAL FINAL Date
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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 WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT r�" � ""'( 6� DATE `1Y;°41`912
FILE COPY
9E, /O / ,'
CITY OF FEDERAL WAYPERMIT NO: MEC98-0094
33530 First Way South MECHt) to, I (.1:A L PLRIIi ISSUED: 04/24/9H
Federal Way, WA 98003' Mechanical frv.-:..pect ion PoquerAs 253-661 4140 BY: FC
253- 661 4000 EXPIRES: 1n/2a/90
ADDRESS:2512 S 299111 ST
NO. : 768220-0200
PROJECT DEL-;CRI P r HVAC REPLACING GAS FURNACE AND ADDING AIR CONDITIONING
LARRY BILLA01 PERFORMANCE HEATING & A/C INC
2512 S 299TH SF 1649 S 180111
FEDERAL WAY WA 98003 KENT WA 98032
1
253-941-6639 425-251-0356
PERFORA1544...
*st CONTRACTORS, PLIAS! USt 1.0.A1100 CODE 1732 KOEN 10011111A, SALES fAX 101 PROJECTS 11110111 IR CITY OF FEDERAL WAY. 1AX RATE = 8.25 *t*
PROJECT VALUATION 6000 •,•
' FEES:
FUEL TYPES.:GAS ? FANS *
,A*A"--$ 80 RS N" 4' ,44', %-.4 la V iv,e.1"' - ircrer $ 20.00
AN, 1 - - . 7.1'.
GAS PIPING.: 0 ft. HOOD— ••• 174 i].* 11" nit' $ 81'88
.tAA,
FURN<100K..: owl ruiw vtvtpt5 m „t
4244,
GAS HWT • 0 WOOD STOBES.,„*„; - , oN„
CONY BURNER: 0 FuRmori 0,14 0- , 0BBQ
• 0 ..
GAS DRYER..: 0 AIR HAW'S; IS fE -1144*
RANGE • 0 <:10,000 NEN: "AVE GROUND: 0
GAS LOGS...: 0 > 10,000 IF$ 0 4i'A' UNDERGROUND.: 0 TOTAL FEES $ 101.00
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Does the tater supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If 'Yes' then water expansion tank is required on Hot Water Tank)
Inspection Record: Mechanical Rough-in Date Gas Piping Date
MECHANICAL FINAL IP:)Af!;5 Dat 5 -1-6g g 6---
PER8ITS EXPIRE 180 DAYS Al lift ISSUANCE IF NO WORE IS STARIED.
I CERTIFY THE 111fORNAIION FURNISHED DY NE IS IRK AND CORRECT 10 IN BEST Of NY ENOWLEDGI AND MI API)!ICAINE CITY Of FEDERAL WAY REQUIRENLIITS WILL III NJ.
OWNER OR AGENT / DII!F ‹\
FIELD COPY
CITY OF BUILDING DIVISION
• ED 33530 First Way South
\>\> ` Federal Way,WA 98003
r (253)661-4000 •
Fax(253)661-4129
APR 2 4 199? APPLICATION FOR MECHANICAL PERMIT
CDERAL VV1
l'f BUILDING DING DEPT A
MEC - oo Vv l
PARCEL # Single Family El Multi-Family❑ Commercial❑
SITE LOCATION/ �j {� ( 1
Tenant/Owner '•-�-�1 y '� ' ` l Q" l3 L� L c,q C / Phone 2C3 - q� /
Address/City/State/Zip 25 I 7 5 41/f � �e��=�`'�`" L'L'0-}( , LU 6 . l g O I
Nature of Work re "� Cris Y�(-'1fJ77 � /94> /4OD'3 Project Valuation: $_e(-'"0
Pie COdUr4":.-1' 15
APPLICANT •
Name 5? L
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name ,7/ '( 7/ 77A/ (r
Address/City/St/Zip 764/1 -J69, /8o 74-
4 �C w 32
Contact Person rXeK Phone yzS ZS"� D?5 Fax LI2 S ZSl -026)
State L&I Contractor Registration# FER CdAT/9 /5-01. T Exp.Date y-z� �S'
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type(gas/other) 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>100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C /, TONS Other
BBQ's Wood Stoves AIC TONS Ata U t C`
DISCLAIMER:I certify,under penalty of perjury,that the information furnished by me is hue 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.
is
Owner/Agent " / Date 124
i
APP 02 '�
Rm srn 8/26/97