07-100415City of Federal Way
Community Development Services Mechanical Permit #: 07-100415-00-ME
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 inspection Request Lille: (253) 835 -3050
Project Name: ALCANTARA
Project Address: 30304 29TH CT S Parcel Number: 798380 0280
Project Description: Replacing gas furnace and 50 gallon gas water heater
Owner
Applicant
Contractor
JIMMY ALCANTARA
COMPLETE HEATING & A/C
COMPLETE HEATING & A/C
ILLUMINADA ALCANTARA
15627 SE 178TH ST
COMPLHA036J3 2/5/08
30304 29TH CT S
RENTON WA 98058
15627 SE 178TH ST
FEDERAL WAY WA 98003
RENTON WA 98058
Additional Permit Information
Mechanical Valuation ................. ...........................3925 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
�SO'T
a
R THIS CARD IS TO REMAIN ON -SITE
C1 of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 100415 -00 -ME
Owner: JIMMY ALCANTARA
Address: 30304 29TH CT S
FEDERAL WAY, WA 98003 -4871
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 000— ct_� Date z� �—
Aedetat way PER I T
comMUNmofivfiLOPalfixrsExv�cfis�p SF MF CC; 6MEL PL DE EN FP
333158*" AVfiNllfi SOUTfi • Po BOX 97i8/•� N 2 5 20 7 �-
2�83' -2 a z7 APPLICATION °
. aeR,II,,.�anCITY C?F FEDERAL WAY
BUILDING DEPT.
The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS �'L- SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # _ - LOT SIZE (sf
LEGAL DESCRIPTION fe.g. Acme Estates, Lot 1)
IAltach separate PWAo kVft k9al desoiphua/
PROJECT INFORMATION
TYPE OF PERMIT O BUILDING O PLUMBING MECHANICAL
Q DEMOLITION Q ELECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Pr_ode detailed description of work included on this permit onlu)
PROJECT NAME (Name of Business or Owner Last Name) Y-f L
PEOPLE •- •
PROPERTY
NAME PRIMARY
OWNER
CONTRACTOR
COPY of card requlrod
olth each appIl"O..
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
C MPANY NAME
; HONE
MAILING ADDRESS /,�. t �
CI i STATE, ZIP � ��'n �� �'}
,� - Al ADDR S
C MPANY NAME
- -�^� �%"
rrJ L L /v� —'
APPLICANT NAME
OjFF PHONE' /_ ,� ,,
( "/� �J'�(J
CITY, STATE, ZIP
I NG AD RESS `
STATE, IP ^ ^�
CELL PHONE/ /
CITY-OF PEDERAL WAY BUSINESS NUMBER
P DATE
NUMBER
pq)LICENSE
^s��TION
1
}/FA.+(X
(�j_ �// jh(-(7
C TRACTORS REGISTRATION NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
COMPANY NAME -
APPLICANT NAME -
OFFICE PHONE
c % —
MAILING
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
o Architect o Tenant O Agent o Other
FAX NUMBER
( -
NAME PRIMARY PHONE E -MAIL ADDRESS
NAME
Per RCW 19.27095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? o YES o NO
WATER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE o _PRIVATE ISEPTICI
Indicate number of each type of frxture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ ��� C (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICA77OA7
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUC(S
BATHTUBS ("Tub/shower Combo(
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACEINSERTS
�•E /� FURNACES
GAS LOG SETS
LAVS (Bathroom Sinks)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GGAS PIPE OUTLETS
AS WATER HEATERS
HOODS icommerci4
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (.a q
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
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 fired against the City of Federal Way, but only where such claim
arises out of the reliart a of the city, including I so cers and employees, upon the accuracy of the information supplied to the city as apart of
this applicatio
NAME /TITLE �-� DATE / J
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent INContractdt � ❑ Architect ❑ Other.
a NEW a ADDITION
o ALTERATION
a REPAIR ❑ TENANT IMPROVEMENT.
AREA DESCRIPTION
EXISTING
' S . FT.
PROPOSED
S . FT.
TOT".
S . FT.
BASEMENT
-•
ZONING DESIGNATION
FIRST
CHANGE OF USE?
o YES
o NO
SECOND
o YES a NO
UP /SEPA /SU?
THIRD
o NO
PLATTED LOT?
o YES o NO
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
o YES
o NO
DECK (❑ COVERED OR D UNCOVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
axisruo
PROPOSED
TOTAL
TOTAL EXIST RO Sr
TMAL PROPOSED BF
TOTAL SF
*`NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of frxture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ ��� C (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICA77OA7
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUC(S
BATHTUBS ("Tub/shower Combo(
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACEINSERTS
�•E /� FURNACES
GAS LOG SETS
LAVS (Bathroom Sinks)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GGAS PIPE OUTLETS
AS WATER HEATERS
HOODS icommerci4
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (.a q
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
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 fired against the City of Federal Way, but only where such claim
arises out of the reliart a of the city, including I so cers and employees, upon the accuracy of the information supplied to the city as apart of
this applicatio
NAME /TITLE �-� DATE / J
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent INContractdt � ❑ Architect ❑ Other.
a NEW a ADDITION
o ALTERATION
a REPAIR ❑ TENANT IMPROVEMENT.
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES a NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
t
Bulletin #100— January l; 2007 Page 2 of k\HandoutsTermit Application