07-101613City of Felopm iNay Mechanical Permit #: 07- 101613 -00 -ME
C,�immudity bevelopment Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: RICKETTS
Project Address: 5330 SW 315TH ST Parcel Number: 321020 0050
Project Description: Change out existing heat pump and furnace
Owner
Applicant
Contractor
JEFF RICKETTS
DICKS HEATING AND A/C INC (GENERAL)
DICKS HEATING AND A/C INC (GENERAL)
5330 S 315TH LN
1516 45TH ST E SUITE 200
DICKSI *214DH (7/5/07)
FEDERAL WAY WA 98023 -2034
SUMNER WA 98390
1516 45TH ST E SUITE 200
SUMNER WA 98390
Additional Permit Information
Mechanical Valuation .................. ..........................12000 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Compressors .... .............................., '1„ Furnaces...,....... ............................... 1
w;
PERMIT EXPIRES Saturday, March 28, 20,09
I hereby c
the occu
Owner or agent:
be in accordance vuith the lawns, -rules and reg latlaris of the- State cif Washington
I ederal Way.
QDate: 3 — c)- /01'0':
THIS CARD IS TO REMAIN ON -SITE -
CITY OF Community Development Inspection Record-.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 101613 -00 -ME
Owner: JEFF RICKETTS
Address: 5330 SW 315TH ST
FEDERAL WAY, WA 98023 -2034
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 %//0/1)7
` RECEIVED
Federal Way MAR 2 S 2007 PERMIT
COMMUNnYDEVELOPMW SERVICES
33325 Bn� AVF,NUE SOA • 7 � pLI CATI O N
FEDERAL WAY, WA 980 91 1 �F F E b E RA
253 - 635- 2607• PAX 253- 535 -26OU LDING DEp.
wwu�.cLLuo/federaluxiu.com
The -following is required injbrmation - an incomplete application will not be
SITE ADDRESS r f f r
ASSESSOR'S TAX /PARCEL # 3- -
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I)
0 -1 -10- u-Lj
SF MF CO ME �L PL DE EN FP
rted. Please print leoiblu rut inid or tune.
SUITE /UNIT #
LOT SIZE (s-fl
(AU-h separate rage.- L-Wthy keam desood -V
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
PROJECT NAME (Name of Business or Owner Last Nam I e) G F;:4'Pj7r
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME A 00 t nPRQdARY PHONE X-3
�q
MAILING
DO- ADDRESS �� 3l S" `7 � G /n"� =�� 1
COMPANY NAME
(
APP NAME
ornCE PHONE
OFFICE PHONE
MAILING ADD
!
5L
:
CITY, STATE, Z P
%
CELL PHONE
6D
( -
FED /g�7/ r►
�$0
�F DTAY
IRATION D
-
! YL /C�S
RELATIONSHIP TO PROJECT
1,
FAX NUMBER
NTRACTOR'S REGISTRAMN NUMBER
( y o requiW
with each application)
MON DATE /�
/ /o 2.
COArNY E
(
MAILING ADDRESS
APPLICANT NAME
OFFICE PHONE
I[/ (T1..
( -
MADING ADDRESS
CITY, STATE, ZIP
/CELL PHONE
l � -
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant
❑ Agent
❑ Other (Describe)
NAME ( PR0NARY PHONE E -MAR. ADDRESS
PerJiCW 19.27 09$J 'renatrWannation is
required tfprgiectvalue exceeds $5;000
NAME
MAILING ADDRESS
CITY. STATE, ZIP
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKFHAVEN ❑ EIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER p LAKEEEAVEN ❑ HIGELINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
SQ. FT.
TOTAL
S . FT.
BASEMENT
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
FIRST
1.
URINALS
AIR HANDLING UNITS
PROJECT
FLOOR
AREAS
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
SQ. FT.
TOTAL
S . FT.
BASEMENT
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
FIRST
1.
URINALS
AIR HANDLING UNITS
SECOND
GAS LOG
_1 -/REFRIG. SYSTEMS
BBQS
THIRD
HOODS (commerman
WOODSTOVES
BOILERS
FOURTH
RANGES
MISC (Describe)
COMPRESSORS
ADDITIONAL FLOORS (DESCRIBE)
GAS WATER HEATERS
DUCTS
DECK(COVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
mosTm
moms®
turd,
tornc.m mmw
vori5soro mw
+pxnr.W
* *NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of jixture to be installed or relocated
part this project Do r Dt
existing fixtures to remain.
MFXHANICAL
Value of Mechanical Work $
. '�
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
1.
URINALS
AIR HANDLING UNITS
EVAPORATIVE LERS
GAS LOG
_1 -/REFRIG. SYSTEMS
BBQS
FANS
HOODS (commerman
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
BATHTUBS (or Tub /Shower combo)
SHOWERS
WATER CLOSETS (Tbllet) MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS (Bathroom smka)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I certM 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. p
NAME /TITLE �41_1&DATE a O
(Signature) Mde)
RELATIONSI�P TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Other
Y
Bulletin #100 —January 7, 2005 Page 2 of 4 k\Handouts\Permit Application