07-102496City of Federal Way
Community Development Services Mechanical Permit #: 07-102496-00-ME
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: JONES i
Project Address: 33308 12TH AVE SW Parcel Number: 926496 0540
Project Description: Add A/C to existing system
Owner
Applicant
Contractor
LENEE JONES
DR COOL INC
DR COOL INC
3308 12TH AVE SW
PO BOX 2322
DRCOOI *024QE 03 -10 -2008
FEDERAL WAY WA 98023
SUMNER WA 98390
PO BOX 2322
SUMMER WA 98390
Additional Permit information
Mechanical Valuation ................. ...........................4055 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Air Hing Units ............ ...... 1.
PfatAIT EXPIRES_ Thursday, May 7, 200
the occuparl ,d `tf a use wilt be in apcprdance`�il the laws,` rules and
400�,421� �d the ity of Federal Way.
i� Owner or agent: `
FINALED
w
z
` THIS CARD IS TO REMAIN ON -SITE ..
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Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 102496 -00 -ME
Owner: LENEE JONES
Address: 33308 12TH AVE SW
FEDERAL WAY, WA 98023 -5302
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
N. By
Date
By
Date
By
Date U_4;�
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CKY OF
Federal Way -Q -� �- a �"
PERMIT SF MF CO E EL PL DE EN FP
'COMMUNITY DEVELOPMENT SERVICE
3392E ETN AVENUE SOUTH • PO 90Y 9718 �� 2g�7p P L I C A T I CJ N
FEDERAL WAY, FAX 98063-9718 -260 M
253- 835.260?•FAX 253.835 -2609
unrw.ciurofletieruhriay.mm ��„�
�,DEFiAL
The following is req� u wan incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS t I %' t/�- L� t SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach sepatnte page f- lengthy legal description)
• • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROD T D�W PTION (Provide detailed des c tion of work included on this permit only)
PROJECT NAME (Name of .Business or Owner Last Name)
PEOPLE •- •
PROPERTY
MARY
OWNER
CONTRACTOR
COPY of eerd required
with each appiicatlon L—•rJ
APPLICANT
CONTACT
LENDER
EXISTING USE
NAM
PRIMARY PHONE
MAILING ADDRESS
2 •7fi 1 t.� t
CITY, STATE, ZIP r
L� C
E -MAIL ADDRESS
PANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
LINOADDRESS
L) `
CITY, STATE, IP
CELL PHONE
Z� 3l 26 1 -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTORS REGISTRATION NUMBER
EXXJPIRATIO(Na� DATE
E-MAIL ADDRESS
CID D -r 14 ptz1- 9 � 5
J
a
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
NAME PRIMARY PHONE E -MAIL ADDRESS
NAME
Per RCW 19.27.095,
Lender information is required if project value exceeds ,$5,000
MAILING ADDRESS
CITY, STATE, ZIP
/PHONE
1 � "
EXISTING ASSESSED /APPRAISED VALUE $
PROPOSED USE
VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
i
WATER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE ISEPTICI
AREA DESCRIPTION
EXISTING
S Q. FT.
PROPOSED
S • . FT.
TOTAL
SQ. FT.
BASEMENT
FANS
GAS WATER HEATERS
MISC (Describe)
FIRST
FIREPLACE INSERTS
HOODS (commercial)
WASHING MACHINES
,SECOND
FURNACES
RANGES
o NO
THIRD
GAS LOG SETS
7
REFRIO. SYSTEMS C C_LC
j
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT?
o YES b NO
DECK (D COVERED OR D UNCOVERED ?)
DEMO PERMIT REQUIRED?
o YES
o NO
GARAGE 0 CARPORT O
NUMBER OF FLOORS
amermo
rnorosso
TOTAL
roru Exmmo sr
! onu rRo 0r mo sr
TOTAL or
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part'of this project. Do not include existing factures to remain.
Value of Mechanical Work
1
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED W tH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS
WOODSTOVES
BBQS
FANS
GAS WATER HEATERS
MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (commercial)
WASHING MACHINES
COMPRESSORS
FURNACES
RANGES
o NO
DUCTS
GAS LOG SETS
7
REFRIO. SYSTEMS C C_LC
j
BATHTUBS forTub /Shower combo)
LAVS (sathroom sh*4
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (follatl
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
q YES
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 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
RELATIONSHIP TO PROJECT O Owner O Agent Contractor o Architect o Other
S7/747'
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES ONO .
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
q YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT?
o YES b NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 —April 2, 200? Page 2 of k\ Handouts\Permit