07-100290City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: RILEY
Project Address: 31421 50TH AVE SW
Project Description: Replacing gas furnace
Mechanical Permit #: 07-100290-00-ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 189870 0080
Owner
Applicant
Contractor
THOMAS RILEY
JAKE SAUNDERS
COOLTEC HEATING & AC LLC
31421 50TH AVE SW
COOLTEC HEATING & AC LLC
COOLTHA949D4 (3/24/08)
FEDERAL WAY WA
10111 S TACOMA WAY SUITE D -2
10111 S TACOMA WAY SUITE D -2
98023 -2007
LAKEWOOD WA 98499
LAKEWOOD WA 98499
Additional Permit Information
Mechanical Valuation ................. ...........................5000 Over the Counter Permit ? ...................................... Yes
Mechanical Fixtures
Fumaces .. ..............................
PE,
IT EXPIRES Sunday, January 18,
I her
the
use will! be
Owner or agent:
z
the City of Federal Way.
a
9
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 100290 -00 -ME
Owner: THOMAS RILEY
Address: 31421 50TH AVE SW
FEDERAL WAY, WA 98023 -2007
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 �r Date —C % %
G
CITY or
Federal wa�r ti PERMIT
sii�`N `t SF MF C EL PL DE EN FP
COMAIUNITYDSVSLOPIIBIY7'SSRV! �A
3332S 81W AVBIVUS SOUTH • PO BOX 9718 �4
2S3 11 607YFAX ?53 9(7��1�8'(_11 ��` �QGAPPLICATION
WW W.C11llOifCdCtf/ill /QU.W(li 8y \``►
The following is re wired tt4formation - an tnco fete a piication will not be acce ted. Please printlegiblu in InAq or tg ge.
/�
PROPERTY q
SITE ADDRESS 31 � I I 5 Ql A SW W / r VV • 1 ?45 SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # _ _ _ _ _ _ - _ _ LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Altair reparatr page far lengthy leyat duoipNonJ
PROJECT • •
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit oniu)
i�clo L t!7 GAS U A CE
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
S
C,,jTt�AO' °P�
CONTACT
LENDER
NAM e P' "r PHONE
MAILING ADDRESS CITY, STATE, ZIP -
5/4,v ' A li ) Lc "
COMPANY NAME
APPLICANT NAME
APPLICANT NAME
OFFICE PHONED
CI STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect 0. Tenant Agent ❑ Other (Describe)
FAX' MBER
( -
MAILING ADDRESS j_
, STATE, ZIP (�
CELL HONE
I
K /
)
-
CITY OF FEDERAL WAY BUSINESS LICENSE
MBER EXPI TION D ATE
FANUMB
L f -B L
CONTRACTORS REGISTRATION NUMBER lcopy of card required with "ch application)
c�,GT�,A�
EXPIRATION DATE
COMPANY N E
APPLICANT NAME
OFFICE PHONE '
MAILING ADDRESS
CI STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect 0. Tenant Agent ❑ Other (Describe)
FAX' MBER
( -
, STATE, ZIP
EXISTING USE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSEWREQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
80. FT.
BASEMENT
FANS
HOODS (commerrtaQ
WOODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (Deacnbe)
SECOND
FURNACES
GAS WATER HEATERS
THIRD
GAS PIPE OUTLETS
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
SHOWERS "
WATER CLOSETS (.&4
MISC (Deacribel
DECK(COVERED ?)
SINKS
DRINKING FOUNTAINS
GARAGE O CARPORT O
SUMPS
RAINWATER SYST
NUMBER OF FLOORS
umuo
rsorosM
TWAL
LAVE Bathroom SW.4
VACUUM BREAKERS
ELECTRIC WATER HEATERS
'-NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of
Value of Mechanical
of facture to bl installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDU G UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (commerrtaQ
WOODSTOVES
BOILERS'
FIREPLACE INSERTS
RANGES
MISC (Deacnbe)
COMPRESSOR
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
PLUMBINCr
BATHTUBS (or Tub /Shower combo)
SHOWERS "
WATER CLOSETS (.&4
MISC (Deacribel
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVE Bathroom SW.4
VACUUM BREAKERS
ELECTRIC WATER HEATERS
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 elainq, which may be m de by dny person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance oft city, inc di its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME /TI E 11I DATE G
RELATIONSHIP TO PROJELT Q Owner ❑ 4 " ontractor O Architect O Other
Bulletin #100 January 1, 2006 Page 2 of 4 MandoutsTennit Annlication