07-102983k.--' e ,
+_-
City of Federal Way
Community Development Services echanical Permit #: 07-102983-00-ME
P.O. Box 9718
Federal Way, WA .98063 -9718 FILE
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: PISIA
Project Address: 34012 32ND AVE SW
Project Description: Install gas furnace
Parcel Number: 858120 0310
Owner
Applicant
Contractor
PAKETE PISIA
SUNSET AIR INC (GENERAL CONTRACTORS
SUNSET AIR INC (GENERAL
SUSAN GAIL PISIA
LIC)
CONTRACTORS LIC)
34012 32ND AVE SW
5210 LACEY BLVD SE
SUNSEA*220CM 2/3/08
FEDERAL WAY WA
LACEY WA 98503
5210 LACEY BLVD SE
98023 -7717
LACEY WA 98503
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Mechanical Valuation ................. ...........................3770 Over the Counter Permit ? ...................................... Yes
a ��
Water Hest ..........................
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THIS CARD IS TO REMAIN ON -SITE ,
„� of: Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07402983 -00 -ME
Owner: PAKETE PISIA
Address: 34012 32ND AVE SW
FEDERAL WAY, WA 98023 -7717
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 Date 111—
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVED BY
/Federal �,rraF ` COMMUNITY DEVELOPMENT DEPARTMENT
way ��RMIT
COMMUNITY DEVELOPMENT SERVICES JUN 0 1 2
RECEIVED C) 7-z / C% 2 g 3
JUN 0 1 2007SF MF CO ME EL PL DE EN FP
333259n' AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063 -9718 APPLI CATCKIN IERAL AY /
2538358607• FAX 253- 835 -2609 111LDINQ DEPT
wwwxMioj�ralway.con
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
M PROPERTY INFORMATION
SITE ADDRESS :54012 J) � Aj 1 il (O r edua ( � a � - - -- - SUITE/UNIT #
ASSESSOR'S TAIL /PARCEL # p S g-
7 ¢ 1 2— O - _. ,3 0 LOT SIZE (s )
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aaoch -pa Wo payejor 1-gDiy k9W dl-10--)
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING (MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit On
�Q� �a ir1 CXC_P
PROJECT NAME (Name of Business or Owner Last
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
COPY of card nqulred r--�
o'ith -0-h .9pl—ti.a lz*
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAIL l i' t1
PRIMARY PHONE
(ash )qa
MA[LIZ ADDRESS l ,,�dl p p p
CITY. STATE, ZIP ' ` q i . I A,
E -MAIL ADDRESS
CompA nrn..,c
Cr �l r
LICANT NAME
` bm Mi
OFFICE PHONE
(co yScc -4Q5
MAILING ADDRESS
52 I D 1-Qte
ud s �
CITY STA LP
Lc�c� A q p
CELL PHONE
( --) -
CITV OF FEDERAL WAY B SI NESSLICENSE NUMBER EPIRATION DATE
V -V r j 'ICg
" 19-1,31 p1
FAX NUMBER
(-vU) q5 (v Lift
CON GIS �NNUMBER
M� EXPIRATION DATE�
E-M�AIL ADDR�En`����n
( t)UPANV NAMF.LI
MAILING ADDRESS
APPLICANT NAME
CITY, STATE, ZIP
OFFICE PHONE
CELL PHONE
RELATIONSHIP TO PROJECT 1
❑ Architect ❑ Tenant ❑ Agent Other
FAX NUMBER
N , EQ) � I � �
PRIMARY; HONE U -
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
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ 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)
li .LDvrt,
N PROJECT FLOOR
AREA DESCRIPTION
AREAS
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
o NEW ❑ ADDITION
o ALTERATION
c REPAIR ❑ TENANT IMPROVEMENT
FIRST
BUILDING SHELL ONLY? ❑ YES o NO
BASIC PLAN?
SECOND
o NO
ZONING DESIGNATION
THIRD
CHANGE OF USE?
o YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
UP /SEPA /SU?
❑ YES
DECK (❑ COVERED OR ❑ UNCOVERED ?)
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
GARAGE ❑ CARPORT ❑
❑ NO
NUMBER OF FLOORS
EXISrM
PROPOSED
TOTAL
TOTAL EXISTING SF
TOTAL PROPOSED SF
TOTAL SF
"NEW HOMES ONLY *" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
0 FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub {Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Rau,roum Sinks)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (en --im)
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS rrwk o
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 filed against the City of Federal Way, but only where such claim
arses out of the reliapetF-qj'jhe city, including its officers and employees, upon the accuracy Qf the information supplied to the city as a part of
this application. /
NAME /TITLE
RELATIONSHIP TO PROJECT C Owner ❑ Agent
❑ Architect ❑
S1� o�
FOR OFFICE USE ONLY
o NEW ❑ ADDITION
o ALTERATION
c REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP /SEPA /SU?
❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
a YES
❑ NO
Bulletin #100 — April 2, 2007 Page 2 of 4 k \Handouts\Perinit Application
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