07-101031gg City of Federal Way
ortiMunity Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: HILLS
Project Address: 2152 SW 322ND ST
'l
Mechanical Permit #: 07- 101031- 00 -NfE
Project Description: Replace gas to gas furnace and heat pump
Inspection Request Line: (253) 835 -3050
Parcel Number: 932430 0020
Owner
Applicant
Contractor
MICHELLE HILLS
NORTHWEST PERMIT INC
WASHINGTON ENERGY SERVICES CO
2152 SW 322ND
1345 GULF ROAD
(WESCO)
FEDERAL WAY WA 98023
POINT ROBERTS WA 98281
WASHIES9710B 9/2/07
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation .................. ..........................13119 Over the Counter Permit?....... ............................... Yes
Mechanical Fixtures
zrnct�> ......................... '',
THIS CARD IS TO REMAIN ON -SITE
CITY OF 4A Community Development Inspection Record
S
Federal,Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 101031 -00 -ME
Owner: MICHELLE HILLS
Address: 2152 SW 322ND ST
FEDERAL WAY, WA 98023 -2516
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 - 2 —p
f CIT1�{ OF
-federal Wa
COMMUNITY DEVELOPMENT
33325 8T" AVENUE sOUTH PO X9718
FEDERAL WAY, WA 98063 -97 1 8
253 -835 -2607• FAX 253 - 835 -260�C
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SITE ADDRESS 2152 SW 322st
.(D OLD
PERMIT SF MF CO ME EL PL DE EN'_FP
PLICATION To
an incomplete application will not be accepted. Please print leaibiu fin ink) or tune.
ASSESSOR'S TAX /PARCEL # 9324300020
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
WtOch separate Page fur Wngdiy legal descnptloN
PROJECT • •
SUITE /UMT #
LOT SIZE (sp
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 6eMECHANICAL
❑ DEMOLITION —.IELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION /Provide detailed description of work included on this Dermit onlu)
Replace a Bryant gas to gas 90K BTU furnace - Model #315AAV48090 and a Bryant 3 ton heat pump
- Model #286ANA036
PROJECT NAME (Name of Business or Oumer Last Name) F-'r,er
PEOPLE • ' •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME
Michelle Hills
PRIMARY PHONE
(253 ) 835 9
- 159
MAILING ADDRESS
2152 SW 322st
CITY, STATE, ZIP
Federal Way, WA 98023
PHONE
COMPANY NAME
WESCO
APPLICANT NAME
OFFICE PHONE
(206 ) 378 - 6608
MAILING ADDRESS
2800 Thorndyke Ave W
CITY, STATE, ZIP
Seattle WA 98199
CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
.Q - Q -3- 1 9 4 Z -3 4-B L 12 / 31 /07
FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE
W A S H I E S 9 7 1 O B 09 /02 /07
COMPANY NAME
Northwest Permit Inc
APPLICANT NAME
Melissa Croda
OFFICE PHONE
( 360 ) 945 -2787
MAILING ADDRESS
1345 Gulf Road
CITY, STATE, ZIP
Point Roberts, WA 98281
CELL PHONE
( ) -
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant VAgent ❑ Other (Describe)
FAX NUMBER
( ) -
NAME PRIMARY PHONE E -MAIL ADDRESS
Melissa Croda (360 ) 945 - 2787 melissa @nwpermit.com
Per RCW 19.27.095: Lender iriformation is
required (jproject value exceeds $5,000
NAME
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
EXISTING USE SFR
EXISTING ASSESSED /APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
M-------
PROJECT FLOOR AREAS
AREA DESCRIPTION
MUSTING
89. FT.
PROPOSED
89. FT.
TOTAL
SQ. FT.
BASEMENT
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
FIRST
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
SECOND
❑ NO
ZONING DESIGNATION
THIRD
CHANGE OF USE?
o YES
❑ NO
FOURTH
UP /SEPA /SU?
o YES
ADDITIONAL FLOORS (DESCRIBE)
PLATTED LOT? o YES ❑ NO
DEMO PERMIT REQUIRED?
DECK (COVERED ?)
o NO
GARAGE 0 CARPORT ❑
NUMBER OF FLOORS
P2OPOB�D
TOTAL
TOTAL, eueTa"a W
TOTAL PAOPOSM eP
ToTac eP
" *NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
number of each type offature to be installed or relocated as part of this project. Do not
AMCHANICAL - 13,119.00
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub /Shower combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Sinks)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (CommeMal)
RANGES
GAS WATER HEATERS
to remain.
REFRIG. SYSTEMS
WOODSTOVES
I heat pump MISC (Describe)
WATER CLOSETS gniet) _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
MISC (Describe)
I cert(fy 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. 1 further agree to hold
harmless the City of Federal Way as to any claim tincluding 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 4f the reliance 4f 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 DATE
(Si re) mt1e)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑
FOR OFFICE USE ONLY
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP /SEPA /SU?
o YES
❑ NO
PLATTED LOT? o YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
o NO
Bulletin #100 - January 1, 2006
Page 2 of 4
k\Handouts\Permit Application