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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