07-100303City of Federal Way
Community Development Services
a P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: HANCOCK
Project Address: 28901 15TH PL S
,► ,
Mechanical Permit #: 07- 100303 -00 -ME
Inspection Request Line: (253) 835 -3050
Project Description: Replace furnace and gas water heater
Parcel Number: 516210 0280
Owner
Applicant
Contractor
MIKE HANCOCK
NORTHWEST PERMIT INC
WASHINGTON ENERGY SERVICES CO
28901 15TH PL S
1345 GULF ROAD
(WESCO)
FEDERAL WAY WA 98003 -3757
POINT ROBERTS WA 98281
WASHIES9710B 9/2/07
2800 THORNDYKE AVE W
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pp
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation .................... ........................5775.25 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Permit Issued on Friday, January 19, 2007
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 eder I Vyay.
Owner or agent: `W \ Date:
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Permit Issued on Friday, January 19, 2007
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 eder I Vyay.
Owner or agent: `W \ Date:
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THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 100303 -00 -ME
Owner: MIKE HANCOCK
Address: 28901 15TH PL S
FEDERAL WAY, WA 98003 -3757
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 v'7 % %
,
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Federal Way
RECEIVE
JAN 1 9 2007
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COMOHM7TIEVELOPMEerrSERVM 0,1TY f SF MF CO ME EL PL DE EN FP
33325 Bm M WA , WA 9 PO BOX 9 "S APPLICATION
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FEDERAL WAY, X 98063- -2
2W-835-2607- FAX 253-035 -2608
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The Obt is irweau ir+ed rntadnn — an in co late iicadon will not be accenfizL Please mint LAN or
SITE ADDRESS 28901 15th PI S, Federal Way WA 98003 SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 5 1 6 2 1 0_ 0 2 8 0 LOT gm (sJ)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
affa* sWa^v* p*eJor kaHf9 hod
TYPE OF PERMIT ❑ BUILDING O PLUMBING J(MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide deki&d desCrfwon of uvork k hided on tads hermit ontu)
Replace gas to gas Bryant 70 BTU furnace model # 315AAV3670 and 50 gallon gas to gas water
heater
PROJECT Ouvwr Last Name) W2AGwk
E PEOPLE INFORMATION
PROPERTY
OWNER
Lsje)i' .slto-
APPLICANT
CONTACT
LENDER
NAME Mike Hancock (253 ) 529 -1941
MAHMG ADDRESS am STATE,
28901 15th PI S Federal Way, WA 98003
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
WESCO
Melissa Croda
(206 ) 378 - 6649
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
2800 Thomdyke Ave W
Seattle WA 98199
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPTRATTON DATE
FAX NUMBER
2 Q_Q-3- 144 ?.3 -4
12 /31 /07
( ) -
CONTRACTOR'S REGISTRATION NUMBER (copy of e*M regUi ed with aaott appleatfoa)
EXPIRATION DATE
W A S H I E S 9 7 1 0 B
09 /02 / 07
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Northwest Permit Inc
Melissa Croda
(360 ) 945 -2787
MAILING ADDRESS
CITY, STATE, N
CELLPHONE
1345 Gulf Road
Point Roberts, WA 98281
( ) -
REIAMONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant Agent ❑ Other Oewnbe)
1 ( ) -
NAME 7 PRIMARY PHONE E -MAIL ADDRESS
Melissa Croda (360 ) 945 - 2787 melts @nwpermt.com
Pir RCW 10.27.0M, Lender Wormation is
revadred vr%*4 t o dud exceeds $3.000
NAME
MAQ.WG ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE SFR PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINSLERED BUILDINO? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /RzoUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAEEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EMOTING
. FT.
PROPOSED
$9. FT.
TOTAL
SO, FT.
BASEMENT
FANS
BOILERS
FIREPLACE INSERTS
FIRST
FURNACES
DUCTS
GAS PIPE OUTLETS
SECOND
o TES
HOSE BTBBS
ZOIYLNG DESIGNATION
THIRD
CHANGE OF USE?
a YES
FOURTH
NLCW ADDRESS REQUIRED? o YES ❑ NO
UP /SEPA/SU?
ADDITIONAL FLOORS (DESCRIBE)
a NO
PLATTED LOT? O YES ❑ NO
DECK (COVERED?)
a YES
o NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
son=
mOrom
TOTAL
TOrm Me
zvTac W
TTetN.W
••NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indkate number of each type of fbdure to be installed or relocated as part of this project Do not include existing
IfEcaAWCAL 5775.25
Value of Mechanical Work $
SHOWERS
AIR HANDING UNITS
EVAPORATIVE COOLERS
BBQS
FANS
BOILERS
FIREPLACE INSERTS
COMPRESSORS
FURNACES
DUCTS
GAS PIPE OUTLETS
BATHTUBS (OrIWSho CORD*
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (eammomsww
VACUUM BREAKERS
GAS LOGS
REFRIG. SYSTEMS
HOODS (commemwo
WOODSTOVES
RANGES
MISC (Desaibe)
1 QAS WATER HEATERS
o REPAIR
WATER CLOSETS abuetl
MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
o TES
HOSE BTBBS
ZOIYLNG DESIGNATION
ELECTRIC WATER HEATERS
I certW under penalty of perjury that the ir{fonnation f uidshed by me is true and correct to the best of my knowledge, and jUrther, that I
on authorised by the owner gf the above premises to perform the work Jbr which the permit application is made. I Jirther agree to hold
harmless the City of Federal Way as to any claim (including coots, expenses, and attorneys' fees incurred in the investigation and deperwe of
such claim), which may be made by any person, including the undersigned, and jUed against the City of Federal Way, but only where such claim
arises out gf the reliance of the city, Including Its gpicers and employees, upon the accuracy gf the irtfonnation supplied to the city as a part of
this application. r'
NAME /TITLE'^ v l DATE
(Slonatme) (IYHe)
RELATIONSW TO PROJECT ❑ Owner , Agent ❑ Contractor ❑ Architect ❑ Other
Bulletin #100 - January 1, 2006 Page 2 of 4 k -landoutsTermit Application
o NEW ❑ ADDITION
❑ ALTERATION
o REPAIR
o TENANT DdPROVZ=W
BUILDING SEIELL ONLY? ❑ YES o NO
BASIC PLAN?
o TES
0 NO
ZOIYLNG DESIGNATION
CHANGE OF USE?
a YES
❑ NO
NLCW ADDRESS REQUIRED? o YES ❑ NO
UP /SEPA/SU?
o YES
a NO
PLATTED LOT? O YES ❑ NO
muo PMuff REgumrs?
a YES
o NO
Bulletin #100 - January 1, 2006 Page 2 of 4 k -landoutsTermit Application