07-100888City of Federal Way
Community Development Services M is J ermit #: 07-100888 -0041 E�
P.O. Box 9718
Federal Way, WA 98063 -9718 1 �., I' �;➢
Ph: (253) 835 -2607 Fax: (253) 835 -2609 is Inspection Request Line: (253) 835 -3050
Project Name: CTM GRANITE BUILDING
Project Address: 1710 S 344TH ST Parcel Number: 212104 9018
Project Description: Installation of (2) gas furnaces, (2) A/C units, (3) gas unit heaters, (4) restroom fans and
ducts, diffusers and grills.
Owner
Applicant
Contractor
PAVEL & ELENA MARCHIS
NOR PAC HEATING & A/C INC
NOR PAC HEATING & A/C INC
ELENA MARCHIS
3414 A ST SE SUITE 102
NORPAHA123M5 9/13/07
4722 POPPYWOOD DR
AUBURN WA 98002
3414 A ST SE SUITE 102
LAS VEGAS NV
AUBURN WA 98002
89147 -5659
Additional Permit Information
Mechanical Valuation .................. ..........................22000 Over the Counter Permit?....... ............................... No
CITY OF
-Federal Way
THIS CARD IS TO REMAIN ON —SITE a `
Community Development Inspection Record
IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 100888 -00 -ME
Owner: PAVEL & ELENA MARCHIS
Address: 1710 S 344TH ST
FEDERAL WAY, WA 98003 -6851
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 I Approved
By �jf Date %By Date 5 Ll t_ j B Date G
RECEIVED
Federal Way -�-;'
coarMuNmDevecoFMe�vrsEnvIcES'i PERMIT: U Z�O7 $F MF CO ME LPL DE EN FP
33325'8*" AVENUE SOUTH • PO BOX 9718 L I C AT I O N
FEDERAL WAY, WA 98063.9718 ,A�� p"D��p TD
.253.835.2607• PAX253.83S -20TY OF FEDERAL�IAF V =-
wwwalipffedemlwam m BUILDINGS DEPT.
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY •, •
SITE ADDRESS 17 10 V-3 y y`s`h S T SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # --2- Z C�7 y - C3 LOT SIZE (s])
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT INFORMATION
TYPE OF PERMIT D BUILDING O PLUMBING (�IMECHANICAL
❑ 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 Name) . V y l %CA. "I t
PEOPLE •- •
PROPERTY
NAME PRIMARY PHONE
OWNER
CONTRACTOR
COPY of —d required
with eeeL epplleetioo
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
COMPANY NAME
-
OFFICE PHONE
> >J
MAILING ADDRESS
Arz-
CITY, ATE, ZIP
MAILING ADDRESS
CELL PHONE
CITY, STATE, ZIP
E -MAIL ADDRESS
010, -
-y t r
/
3 � _
a5-�J SiI - cd v
.
FXPIRATIDN DATE
E -MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
svL..��'
OFFICE PHONE
> >J
MAILING ADDRESS
Arz-
CITY, ATE, ZIP
CELL PHONE
CITY OFFEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
.. - _ •� -_
/
3 � _
a5-�J SiI - cd v
CONTRALTO 5 REGISTRATION NUMBER
FXPIRATIDN DATE
E -MAIL ADDRESS
C
7
COMPANY NAME
APPLICANT NAME _
/OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
O Architect o Tenant ❑ Agent p Other
NAME PRIMARY PHONE E -MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender i,;jormation is required ifproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER
SEWER SERVICE PROVIDER
PROPOSED USE
VALUE OF PROPOSED WORK $.
O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? O YES O NO
• LAKEHAVEN o HIGHLINE O TACOMA O PRIVATE (WELL)
• LAKEHAVEN p HIGHLINE ❑ PRIVATE (SEPTIC)
m.
" I
Indicate number of each type of fixture to be installed or relocated as part of this project. Da not include existing fixtures to remain.
Value of Mechanical Work (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 Icemmerd.4
COMPRESSORS FURNACES RANGES
i/ DUCTS'
GAS LOG SETS - -REFRIG. SYSTEMS .
PLUMBING
BATHTUBS (orTui /shower comma) LAVS pwthv m Skk�) URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS (roneq
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
I certgg 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 flied 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 /TITLE
RELATIONSHIP TO PROJECT o Owner ❑ Agent %%Contractor O Architect D Other
DITI.ON
o ALTERATION
o REPAIR D TENANT IMPROVEMENT.
LY?
o YES o NO
BASIC PLAN?
D YES
o NO
N
CHANGE OF USE?
o YES
o NO
.77
UIRED?
o YES D NO
UP /SEPA /SU?
o YES
D NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
I
i
_ Bulletin H100— January 1, 2007 Page 2 of 4 MilandoutsTermit Application