08-100659City of Development S Mechanical Permitl . 08- 100659 -OO,ME
• Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: I I 835 -3050
Project Name: KING COUNTY HOUSING
Project Address: 30534 5TH AVE SW =-
1
Project Description: Replace existing heat pump system with anew electric'fiirnace.
Owner Applicant
HOUSING AUTHORITY OF KING GLENDALE HEATING & A/C
15455 65TH AVE S 12462 DES MOINES WAY S N�4
SEATTLE WA SEATTLE WA 98168 -2,66
98188 -2534
Additic
Mechanical Valuation ..................... .......................4837.88
ech
Furnace ............................ 1
1 Number:
A/C
& 2 11 /2/09
Q
F OWES WAY S
WA 98168 -2266
6 v
.... ............................... Yes
THIS CARD IS T MAIN ON -SITE I
CITY OF 1A Community Develop nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 100659 -00 -ME
Owner:
Address: 30534 5TH AVE SW
FEDERAL WAY, WA 98023 -3914
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 �i Q
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEI
r-kkml way FEB Z008. P RMIT
C0� SF MF CO ®EL PL DE EN FP
FSDBRAL WAY/IPA • F EDs� I CATI O N
25935.7807•
The foilmoing is required ti %rant i+on - an incomplete application will not be amWted. Please Print legibly (in ink) or bile•
ASSESSOR'S TAX /PARCEL # -L2- _ .Q_ b I -Lt-- -
LE(i11L DESCRIPTION (e.g. Aam Estates. Lot 1)
�n�P�F�wa�v�as+Wmru
TYPE OF PERMIT O BUILDING ❑ PLUMBIN4 b-cm KICAL
0 DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 13 FIRE PREVENTION SYSTEM
DESCRIPTION 0j7W Bled v�, descri!� ��ption -�".I
of Mork
M(a� r�
PROJECT NAME (Name of or Owner Last Namel
PROPERTY
OWNER
NAMED
NAME
iJ V
OFFICE PHONE
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( ) -076)-
MM M ADD
1
S4
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W A D {�
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CONTRACTOR
PROJECT
CONTACT
LENDER
COMPANY NAME
POr ACW 19.9 %098:
L Ww I#U&ratatioa is roqubad VrRjkt value escoWs $8,000
NAME
APPLICANT NAME
OFFICE PHONE
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l'B/nu
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ADD
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C . BTA
y
CELL PHONE
PROD
REFAZONSHIP TO
Tenant Agent Other
IV OWN
o Architect 0 0
#7
ofoo
- Oa
CnY OF FEDERAL Y BUSUIESS LICENSE NUMBER
EKPM71ON DAZE
FAX
CONTRACTORS REGISTRATION NUMBER
EXPMMON DAZE
-
E MAIL ADD
Get O
a D?
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NAME PRIMARY PHONE E-MAIL ADDRESS
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POr ACW 19.9 %098:
L Ww I#U&ratatioa is roqubad VrRjkt value escoWs $8,000
NAME
MAHING ADDRESS
CITY. BTATE, ZIP
'
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l'B/nu
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i
I /rim
PROD
REFAZONSHIP TO
Tenant Agent Other
IV OWN
o Architect 0 0
#7
NAME PRIMARY PHONE E-MAIL ADDRESS
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EXISTING USE PROS USS
EXISTING ASSESSWAPPRAISED VALUE $ VALUS OF PROPOSED WORK $
SPRngM3 ERBD BURDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/RZOUD -0? o YES ❑ NO
WATER SERVICE PROVIDER o LAK1MVEN O HIOBLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ MG11 INS ❑ PRIVATE (SEPTIC)
1[r
POr ACW 19.9 %098:
L Ww I#U&ratatioa is roqubad VrRjkt value escoWs $8,000
NAME
MAHING ADDRESS
CITY. BTATE, ZIP
PHONE
EXISTING USE PROS USS
EXISTING ASSESSWAPPRAISED VALUE $ VALUS OF PROPOSED WORK $
SPRngM3 ERBD BURDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/RZOUD -0? o YES ❑ NO
WATER SERVICE PROVIDER o LAK1MVEN O HIOBLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ MG11 INS ❑ PRIVATE (SEPTIC)
1[r
AREA DESCRIBTION
EEIST1190 PROPOSED 'DOTAL
09. FT. 90. FT. 89. FT.
BASEMENT
BBW
FANS
QAS WATER HEATERS MISC (Describe)
FIRST
FIREPIACE INSERTS
HOODS (C...dw
COMPRESSORS
SECOND
RANGES
DUCTS
GAS TAG SETS
THIRD
O NO
ZONDIG DESIdNATION
ADDITIONAL FLOORS (DESCRIBE)
CHANGE OF I=?
OYES
ONO
DECK (O COVERED OR O UNCOVERED?)
OYES O NO
UP /SWAISU?
GARAGE D CARPORT D
O NO
PLATTED LOT?
O YES O NO
NUMBER OF FLOORS
ssma
rsoewm
torn,
Tnn¢sarrM
rorerreornrssar
ramw
••NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE !$
Indicate number Qf each type of f fixture to be installed or relocated as part 4f this pnojeck Do not Include existing jixtunes to remabt.
of Medtanical Work
1, i , (4 _Off OFBID OR ES umm MUST Be INCLUDED WIIHAPPUCA170M
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBW
FANS
QAS WATER HEATERS MISC (Describe)
BOILERS
FIREPIACE INSERTS
HOODS (C...dw
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS TAG SETS
REFRIG. SYSTEMS
BATHTUBS 1,.T b /sh..c..w IAVS m-ftoamsinw
DISHWASHERS RAINWATER SYST
DRINKING FOUNTAINS SHOWERS
EIiCTBIC WATER HEATERS SINKS
HOSE BIBBS SUMPS
URINALS MISC (Describe)
VACUUM BREAKERS
WATER CLOSETS tn+ko
WASHING MACHINES
- - I cwwAI under pau4► of ply that dw tNbnnat1onjhrhie1 d by me is true and correct to the bast of sw iawv[edge• and Jiuther, that J
am authorised by the owner of the above pr ssises to pedWa the uwrk jbr which the permit gppttcatien is shade. t Jiuther agree to hold
harmless the city of Federal Way as to any claim *whoding Ong", vgwwes, and attorngp' fsas incurred in the investigation and de*nw of
such dais k% which wag be made by any person, including the undersipmsd. and.l a against the City of Federal Way. but only where such daish
arises out of then of the city. including its gAlcsns and employee, upon the accuracy of dw iNbrnation supplied to the city - a Fart of
this application.
NAME /TITLE TE log
RELATIOIQ9W TO PROJECT O Owner O Agent Contractor o Architect ❑Other
f Vw.. # ,L y;r
O NEW ❑ ADDITION
O ALTERATION
c IWAM O TENANT -- evzanw
813"ING SHELL ONLY?
OYES ONO
BASIC PLAN?
O Y=
O NO
ZONDIG DESIdNATION
CHANGE OF I=?
OYES
ONO
NEW ADDRESS REQVUM?
OYES O NO
UP /SWAISU?
O YES
O NO
PLATTED LOT?
O YES O NO
D=90 PMUM UZitED?
O YES
ONO
Bulletin *100 - April 2, 2007 Page 2 of 4 _ mHandoutAPertnit Application