07-101802A
City of Federal Way Mechanical Permit #• • 07- 101802 -00 -ME
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3060
Project Name: COPE
Project Address: 34904 23RD AVE SW Parcel Number: 176110 0490
Project Description: Replace gas furnace. r -°
Owner
Applicant
Contractor
CHAD & HOLLY COPE
PREMIER HEATING & AIR
PREMIER HEATING & AIR
34904 23RD AVE SW
3520 MILITARY RD E
PREMIHA950MG (7/7/07)
FEDERAL WAY WA 98023 -3119
TACOMA WA 98446
3520 MILITARY RD E
TACOMA WA 98446
Additional Permit Information
Mechanical Valuation .................... ........................2736.87
Mechanical Fixtures
Furna , ......................................
I her
the
Owner or ag
use Will be in
N
, April 4,
0
and the City of Federal Way.
FINALE:D
THIS CARD IS TO REMAIN ON -SITE
ti
cirYOF Community Development Inspection Record.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 101802 -00 -ME
Owner: CHAD & HOLLY COPE
Address: 34904 23RD AVE SW
FEDERAL WAY, WA 98023 -3119
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
Date —7►
RE��iv�o
07- � � D
-� _ _
- Federal Wa
y APR o 4 2007 PERMIT SF MF C ME L PL DE EN FP
CObfl&WM DEVELOP?AW SERVICES
333258"A VENUESOITIfl'ADBOJr0,'LI CATI UN
FEDERAL WAY, WA 98063 -9718 �E0E /
253 - 835,2607- FAX 253 -83S -2609 A(IrCD(NQ EP1
www.cttu ro
offederalwau.m
i7m following is required iq ormation - an incomplete application will not be accepted. P legibly (in ink) or type.
PROPERTY • •
SITE ADDRESS L4 q o 2 d Q Vj SUITE/UmT #
ASSESSOR'S TAX/PARCEL # S D - 0 --l-- 0! LOT SIZE (sf
LEGAL DESCRIPTION (e.g. Acrne Estates, Lot 1) C1 D2 O jq a d D
PROJECT •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGugz= NG ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descript(on of work included on this Permit on(al
Ae D ]Ore 5GAS -('arzna C Iess 41Aa ri 1D0, 000 81-u
PROJECT NAME (Name of Business or Owner Last Namel f R pe m (� #e a l / u ((� Lo fo
•
PROPERTY
OWNER
CONTRACTOR
�� b
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
�
APPLICANT NAME
eer\ kk)aur'x
PRIMARY � �� S
- 3 5a 3
MAILING ADD
9 D q
�3' A�� 5�
CITY, STATE, ZIP
e e(ea
Wjq
E -MAIL ADDRESS
CITY OF FEDERAL WAY BUSIN
C MPANY NAME
Re lee,
APPLICANT NAME
APPLICANT NAME
eer\ kk)aur'x
OFFICE PHONE
(,:Q)530
-3361
MAILING ADDRESS
RELATIONSHIP TO PROJECT
Cr1Y, STA , ZIP
'(`a-corna A 9944G
CELL PHONE
(a5 ) L4
- `7b
CITY OF FEDERAL WAY BUSIN
CENSE NUMBER
EmmmnON DATE
FAX NUMBER
(a53 ) 548
- 73
CONIRACTOR'S REGISIRATSON NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
PRerrix
m is
0-7&7 1007
PQe ; 2N;eaf C fML.cO
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MADING ADDRESS
CrtY, STAIR, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
t
NAME j ,' PRIMARY PHONE -MAII. ADDRESS
e
NAME
Per RCW 19.27.098:
lender (rdormation is required (f prgject value exceeds $8,000
MAMING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE $
BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAHEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIItED? ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT
AREA DESCRIPTION
EXISTING
. FT.
PROPOSED
. FT.
TOTAL
. FT.
BASEMENT
SHOWERS WATER CLOSETS Moeq
ELECTRIC WATER HEATERS
SINKS WASHING MACHINES
FIRST
SUMPS
BASIC PLAN?
SECOND
o NO
ZONING DESIGNATION
THIRD
CHANGE OF USE?
❑ YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
UP /SEPA/SU?
❑ YES
DECK (❑ COVERED OR ❑ UNCOVERED ?)
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
GARAGE ❑ CARPORT ❑
❑ NO
NUMBER OF FLOORS
Tory.
TOTAL s09100ST
mMrsorosmee
IDEAL
"NEW HOMES ONLY" NUMBER OF BE ROOMS ESTIMATED SELLING PRICE $
Indicate number of each type ofJb1ure to be installed or relocated as part of this project Do not include existOWJbdures to remain.
A(ECHAMCAL //� p
Value of Mechanical Work $ A 7 3 �P ,, o M COPY OF BMUM ESMIATE MUST BE INCLUDED WfM APPUCATYOM
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (commeresu
COMPRESSORS �_ FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
BATHTUBS (or Tub /Sho rCombn)
LAVS (saU�wSwce) URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS WATER CLOSETS Moeq
ELECTRIC WATER HEATERS
SINKS WASHING MACHINES
HOSE BIBBS
SUMPS
I cerdA under penalty of peijurlh that the Information furnished by me is true and correct to the beat of my knowledge, and further that I
am authorised by the owner qF the above premises to perform the ww for which the permit application is made. I further agree to hold
harmless the CUM of PW-W Way as to any chain ymludbig coats, expenses, and attorneys' foes incurred in the investigation and dgFense qF
such claim), which may be made by any person, including the undersigned, andJiled against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its gUicers and employees, upon the accuracy of the bVWmadon supplied to the city as a part qF
this application.
NAME /TITLE
LiJ lc� Lc�a.4�
RELATIONSHIP TO PROJECT o Owner o Agent 110contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
❑ NEW o ADDITION
o ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES a NO
BASIC PLAN?
❑ YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP /SEPA/SU?
❑ YES
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO