07-102095i
City Developra�nt Services of Federal Way
Community Mechanical Permit #: 07- 102095 -00 -ME
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 8355 -30550
Project Name: VARKEY
Project Address: 36323 8TH AVE SW Parcel Number: 779645 0420
Project Description: Installation of heat pump forexisting forced air furnace.
Owner
Applicant
Contractor
JOHN VARKEY
DR COOL INC
DR COOL INC
36323 8TH AVE SW
PO BOX 2322
DRCOOI *024QE 03 -10 -2008
FEDERAL WAY WA
SUMNER WA 98390
PO BOX 2322
98023 -7296
SUMNER WA 98390
Additional Permit Information
Mechanical Valuation ................... .........................6'135 Over the Counter Permit?..... ...............................
Mechanical Fixtures
Air Handling Units .................... 1
*MIT EXPIRES-Sunday, April 19,
the occupancy 0Ya use be in' � an 1 ` ha.law -,,rU. artd
andthe City of Federal Way.
Owner or agent:
Yes
THIS CARD IS TO REMAIN ON -SITE "
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 102095 -00 -ME
Owner: JOHN VARKEY
Address: 36323 8TH AVE SW
FEDERAL WAY, WA 98023
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 C� Date z
Cl" op
federal Way RECEIVED PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO EL PL DE EN .FP
333258TH AVENUE SOUTH . Po 97,/ A P P L I C A T I O N
FEDERAL 07- FAX 98063-97109 1 9 200 7 7D
?53- 835• ?607• FAX ?S3.835 -2609
un�u!_dtt ederulm e
►'Y OF FEDERAL WAY
The following is re4WjW i0rp iK-?n -an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY • •
SITE ADDRESS L :3 ^ �' t SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # _ - _ _ — _ LOT SIZE (s])
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach aeparote page fw 1-w ft teed duaiptioN
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION 'RICAL /❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION. Provide detailed description of work included on this Permit onlul
Aca�AS %-A rz t- �•ff ^' - (� c� �� �,/ 4 ��,
r
PROJECT NAME (Name of Business or Owner Last Namelt L
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
COPY of eard ngrlrad
with ach aPpIliati a
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME..•. —.
APPLICANT NAME
OFFICE PHONE
y'L-
PRIMARY PHONE
CITY, STATE, ZIP
(25. '3) tt S
VAMP O AADRESS
CITY, STATE, ZIP
MAILING ADDRESS
� ✓, �.t ,
1
CITE ATE, ZIP �
E -MAIL ADDRESS
CITY FEDERAL WAY BUSINESS LICENSE NUMBER
-
� 5
� �j � �
(�OF
s PANY NAME
APPLICANT NAME
OFFICE PHONE
y'L-
LTV c; k
CITY, STATE, ZIP
(25. '3) tt S
VAMP O AADRESS
CITY, STATE, ZIP
CELL PHONE
CITY FEDERAL WAY BUSINESS LICENSE NUMBER
.
EXPI TION DATE
FAX NUMBER
(�OF
r
CONTRACTORS REGISTRATION NUMBER
EX TION ATE
E -MAIL ADDRESS
COMPANY NA � y
Or
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX.NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
NAME PRIMARY PHONE -MAIL ADDRESS
E
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE $_
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER I ❑ LAKEH VEN ❑ HIGHLII�
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ I-IIGHLINE
USE
VALUE OF PROPOSED WORK $,
SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
❑ TACOMA ❑ PRIVATE (WELL)
13 PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
PROPOSED.
TOTAL
~
S T.
S • . FT.
S . FT.
BASEMENT
9
FIRST
o NO
NEW ADDRESS REQUIRED?
o YES o NO
.SECOND °
UP /SEPA /SU? o YES
o NO
PLATTED LOT?
o YES 'o NO
DEMO PERMIT REQUIRED? o YES
o NO
THIRD 'y
ADDITIONAL' FLOORS (DESCRIBE)
DECK•(O COVERED OR D UNCOVERED ?) -"
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
s'°an +°
rnorosu
"T AL s907JW r
aor &i*oro+assr
roru.+7
" "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
indicate number of each type of fixture to be irwtalled or relocated as part*of this project: Do not include existing f xtures to remain.
MECHANIM
Value of Mechanical Work $ � 3 s (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES
BBQS . FANS GAS WATER- HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (commadq
COMPRESSORS FURNACES- RANGES
DUCTS GAS LOG SETS REFRIG.. SYSTEMS
BATHTUBS torTub /ShowterCombo) LAV.S (Bothroom Sbilra) URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS (rolleq
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS BUMPS
I certify under penalty of perjury that the information furnished by me is true and correct to the best of sny knowledge, and further, that I
am authorised 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.dgfense 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 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 ez DATE
(51 t e) (Title)
RELATIONSHIP TO PROJECT O Owner O Agent f�Contractor O Architect O Other
o NEW a ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO .
BASIC PLAN? o YES
n NO
ZONING DESIGNATION
CHANGE OF .USE? a YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU? o YES
o NO
PLATTED LOT?
o YES 'o NO
DEMO PERMIT REQUIRED? o YES
o NO
Bulletin #100 —April 2, 2007 .
Page 2 of 4
MandoutsTermit Application _