07-101536of Federal Way �('� 1
Community Development ervices Mechanical Permit #: 07- 101536 -00 -ME
P.O. Box 9718
Federal Way, WA 98063 -9718
` Ph: (253) 835 -2607 Fax: (253) 635 -2609 Inspection Request Line: (253) 835 -3050
Project Name: SKEETE
Project Address: 2415 SW 325TH ST
Project Description: Replace 60 BTU gas to gas furnace
Parcel Number: 638660 0190
Owner
Applicant
Contractor
FRANCES SKEETE
NORTHWEST PERMIT INC
WASHINGTON ENERGY SERVICES CO
2415 SW 325TH ST
1345 GULF ROAD
(WESCO)
FEDERAL WAY WA 98023 -2546
POINT ROBERTS WA 98281
WASHIES9710B 912!07
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation .................... ........................4271.25 Over the Counter Permit? ...................................... Yes
�t
Mechanical Fixtures
Furnaces .................................... 1'
lb j�� �
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 101536 -00 -ME
Owner: FRANCES SKEETE
Address: 2415 SW 325TH ST
FEDERAL WAY, WA 98023 -2546
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 ate �� �Q
07 1 'L/ ` 5 a.1
Federal WaWS C, PERMIT:
tioQ� SF MF CO CEL PL DE EN FP
COMMUN]TY DEVELOPMENT i�
33325 '8TH AVENUE SOUTH • PO BOX 9718 Gl J
FEDERAL WAY, WA 98063.9718 NO Y �� P L I C AT I O N T°
.253. 835.2607• FAX 253. 835. 2609 1^
iLi0U1. f.111NiTCdP.IllltOpu. com Q e
The following is
SITE ADDRESS
ASSESSOR'S TAX /PARCEL #
- an incomplete application will not be accepted. Please print legibly (in ink) or type.
SUITE /UNIT #
LOT SIZE (s])
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
iAttaoh separate page for t-ohy tgal deswip6mg
PROJECT • ' •
TYPE OF PERMIT O BUILDING 13 PLUMBING HANICAL
11 DEMOLITION 0 ELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM
included on
PROJECT NAME (Name of Business or Owner Last Namel
PEOPLE •- •
PROPERTY NAME PRIMARY P ONE
OWNER
CI STATE ZIP
CONTRACTOR
COPY of cud regahed
blth eec applle.tloa
APPLICANT
PROJECT
CONTACT
LENDER
COMPA NA E
APPLICANT NAME
1
OFFICE PHONE
LINO D
TY, ,
Z
E -MAIL D SS
1 D SS
CITY, ST ZIP t�
U
CELL PHONE -
COMPA NA E
APPLICANT NAME
1
OFFICE PHONE
PHONE
V-j
CELL 'HONE -
) -
1 D SS
CITY, ST ZIP t�
( -
CELL PHONE -
CITY O EDERAL WA BUSINESS C E NUM
1
TIOV DATE
FAX NUMBER
2 2�
G
� c
CONTRACTOR'S REOISTRATI N NUMB>
EX
O D TE
E -MAIL ADDRESS
k'i
C MP Y N
AP LITr NAME
r'
OFFICE PHONE -
lr
M ING.ADDR
PHONE
STTE, ZIP
CELL 'HONE -
ELATIOON HIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant t ❑ Other
( -
PRIMARY PHONE - E -MAIL ADDRESS
NAME
Per RCW 19,27 095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE PROPOSED USE �J
EXISTING ASSESSED /APPRAISED VALUE $_ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
BASEMENT
T
o REPAIR o TENANT IMPROVEMENT.
BATHTUBS iorTublsho rcombo)
FIRST
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
SECOND
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS Roneq
THIRD
SINKS
WASHING MACHINES
HOSE BIBBS
ADDITIONAL FLOORS (DESCRIBE)
o YES o NO
UP /SEPA /SU?
DECK (O COVERED OR O UNCOVERED ?)
o NO
PLATTED LOT?
o YES o NO
GARAGE 0 CARPORT q'
DEMO PERMIT REQUIRED?
o YES
o NO
NUMBER OF FLOORS
67Q8'n110
PROPOSED
TOTAL
TOTAL E7DSTDJO Sr
TOTAL PROPOSED Sr
TOTAL Sr
* *NEWHOMESONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of facture to be installed or relocated as part of this project. Do. not include existing fixtures to remain.
Value of Mechanical Work $ `� �� 1 • (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (commerdai)
COMPRESSORS FURNACES RANGES
DU.CTSF :.;: GAS LOCI SETS REFRIG. SYSTEMS
PLUMBING
o ALTERATION
o REPAIR o TENANT IMPROVEMENT.
BATHTUBS iorTublsho rcombo)
LAVS iBathroomSinks)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS Roneq
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
o YES o NO
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 claim), which may be made by any person, including the undersigned, and filed against the City of Federal 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.
NAME /TITL DATE -7 ltl
(Signature) (Tit e) '
RELATIONSHIP TO PROJECT. o Owner gent Contractor Architect o Other
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT.
BUILDING SHELL ONLY?
o YES ❑ NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin # 100 — January 1, 2007 Page 2 of 4 Wiandouts\Permit Application