07-104049A
City of Federal Way Mechanical Permit #' • 07- 104049 -00 -ME
Community Development Services
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: PAYNE
Project Address: 4128 SW 314TH ST Parcel Number: 873199 0690
Project Description: Remove /replace 3 ton A/C
Owner
Applicant
Contractor
JERRY D PAYNE
NORTHWEST PERMIT INC
WASHINGTON ENERGY SERVICES CO
4128 SW 314TH ST
1345 GULF ROAD
(WESCO)
FEDERAL WAY WA 98023
POINT ROBERTS WA 98281
WASHIES971 OB 9/2/07
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation .................... ........................7930.25 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Air Handling Units ......................... 1
I hereby certify 1
the occupancy
Owner or agent:
T EXPI
the use will be in
(Ld � (A
nd the Citv of
, July 27, 2009
my 27, 2007
,lonstruction € n the above described prop" and
rules and regulations of the State of Washington
E Wy.
Date: � r
e.
�. THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104049 -00 -ME
Owner: JERRY D PAYNE
Address: 4128 SW 314TH ST
FEDERAL WAY, WA 98023 -2173
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 r Date
For inspector reference only v
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
07- 20 -'07 15:28 FROM-
RECEIVED
cm OF A
FederalWay JUL 2 3 2007 PERMIT
coMatuxm o8vswpMarrr SeRvIces
39325% ExUE5QUlN• , pLICA�'ION
FEOERiAt WAY, WA 880 RA
26s8sb2807 •R'AAaS3- 8315.2s01SUILDING DEPT,
us,w.uMtuo(kderatn+af t,(Yt(a
Theloilowin_a is required information - tut incomplete application will of
SITE ADDRESS
4128 314TH ST
T -460 P002/011 F -858
off _ r o 9- o 1- 7
SF MF CO'Q EL PL DE EN FP
/ I
fted. Please mine tenib[a tin ink) or tgpe.
SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # 373/ 990690 — - � LOT SIZE (Sp
LEGAL DESCRIPTION (e.9_ Acme Lstates, Lot I)
WWII -- CPQMtt Vd/Dr ffOROMY W7at dYa�rtP,u.N
TITS OF PERMIT 0 BUILDING ❑ PLUMBING 4YNMC1iANICAI.
❑ DEMOLITION WELECTRICAL ❑ ENGINEERING ❑ FIRE PRb- MNTION SYSTEM
PROJECT DESCRIPTION /Provide detailed descriotion of work included on this hermit OtIlu)
Replace a 3 ton Bryant AC - Model #165ANA036 and need electrical circuit for the AC
PROJECT NAME (Name of Busoess or Owner Last Name) JERRY PAYN E
.-
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME JERRY PAYNE (2RR53 ) 87a 7499
LUMNO ADDRESS CITY. 8'rATU. ZP
4128 314TH ST Federal Way, WA 98023
CR NAMYc
APPLICANT NAME
0kreezPH,ONE
WESCO
Tania Reinecke
(206 ) 378 - 6649
MMUNO ADDR9$S
em, STATE' 2)P
C$LL PHONE
2800 Thorndyke Ave W
Seattle WA 98199
{ ) -
CIlY OF MDERAL WAY BUSINESS LICENSE NU k
F-XPMAM0 —N M—
RAX NUMBER
2 Q --0 -3- 1 9 4 Z 2 .4 -R
L 12 / 31 X07
{ ) -
CONTfiACTORS FS019 T1ON NV/ .WZR (copy of curd re¢ulrtd With GAGA APPUcation)
ZVWAMON DATE
W A S H I E S 9 7 1 0 B
09 102 /07
COMPANY NAA19
APPLI NA)A&
OFF)-, PRRONU
Northwest Permit Inc
Tania Reinecke
( 360 ) 945 -2787
MARINO ADDM2 SS
erry. !`TAT&, W -
CiSLL PR OW&
1345 Gulf Road
Point Roberts, WA 98281
( ) -
RV ATIONSHIP TO PROJECT
FAX NUMBER
O Architect ❑ Tenant VAgent O Other
NAME PRIMARY RMONE k-MAIL ADDR.ES3
Tania or Naida (360 ) 945 - 2787 p.maf.oan W wbt$nwponn""
N0 �97t,."..
EIQSTiNG USIt SFR
EXISTING ASSESSED /APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK
SPRINKLERED HUMI)ING? ❑ YES O NO FIRE SUPPRESSSION SYSTEM PROPOSED /RXQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 13 LAKEHAVEN a HIGIIIJNE 0 TACOMA a PRIVATE (WELL)
S9W9R SERVICE PROVIDER ❑ LAKEHAVEN ❑ MGHLINE ❑ PRIVATE (SEPTIC)
EIQSTiNG USIt SFR
EXISTING ASSESSED /APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK
SPRINKLERED HUMI)ING? ❑ YES O NO FIRE SUPPRESSSION SYSTEM PROPOSED /RXQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 13 LAKEHAVEN a HIGIIIJNE 0 TACOMA a PRIVATE (WELL)
S9W9R SERVICE PROVIDER ❑ LAKEHAVEN ❑ MGHLINE ❑ PRIVATE (SEPTIC)
r
07- 20 -'07 15:28 FROM- T -460 P003/011 F -858
PROJECT FLOOR ARIEAS
AREA DESaKLavr10N
EXISTING
8 . P T.
PROPOSED
& . FT.
TOTAL
3 . FT.
BASEMENT
AIR HANDLING UNITS
EVAPORATIVE COOLERS
FIRST
mgs
PANS
HOODS tcam Aq WOODSTOVES
SECOND
FIREPLACE INSET
RANGES 1- 31on AC MISC (Desertbo)
COMPRESSORS
THIRD
GAS WATER HEATERS
DUCTS
OAS PIPE OUTLETS
FOURTH
PL(JhwnvG
ADD17TOW FLOORS [DESCRIBE)
—__ SHOWER$
WATER CLOSETS lroneq MI$C (Oe &cAbeJ
DISHWASHERS
DECK (COVERED?)
L)MNKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
GARAGE ❑ CARPORT Q
81CYBrUQO PROWwm )} ,.{li( ' S
.�'�ir; sit` 1 f i,. t� t ' ` S` .in t
NUMBER OF FLOURS f; 1_ i 3 t }j n' k j), u,r:• t„ry
"AfEW HOMES ONLY" NUMBER OF BEDROOMS ZSTMATSD SELLING PRICE $
type of fixture to be 1rutalted or relocated as port of this project. Do not include existow fxtrsres to r�elnairt.
IlarECasnn VAG 16717.24
Value of Mechanical Work S
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS REFRIG. SYSTEMS
mgs
PANS
HOODS tcam Aq WOODSTOVES
BOILERS
FIREPLACE INSET
RANGES 1- 31on AC MISC (Desertbo)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
OAS PIPE OUTLETS
PL(JhwnvG
BATHTUBS terT b/szt v comwi
—__ SHOWER$
WATER CLOSETS lroneq MI$C (Oe &cAbeJ
DISHWASHERS
SINKS
L)MNKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHIN"
URINALS
HOSE SIBHS
LIAVS (B¢tbraw,nStnks)
VACUUM BREAKERS
ELECTRIC WATk;R HEATERS
I certtl y under penalty of perjury that the Lq for nation faraLshed 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 permlt application Is made. I JUrther 4gree to hold
harmtess the City Qf Federal Way as to any claim (including costs, expenses. and attorneys' fees Incurred in the investigation and defense of
such d411, which may be made by any person, LncludLng the undersigned, and filed against the City of r'ederal Wall, but only wham such claim
arises out Qf the reliance of city. including its o %cers and employees, upon the accuracy of the
{ Wormat
this application.
NAMlTITLE swat M04 DATE e- d JT7
RELATIONSIDP TO PROJECT o er Cl Agent d Contractor a Architect o Other
Bulletin #100 - January 1, 2006 Page 2 of 4 klHandoutslPermit Application