09-101555Mechanical
City of Federal Way Permit #: 09- 101555 -00 -M E
Community Development Services
P.O. Box 9718 ry
-9718 Inspection Request Line: (253) 835 -3050
Federal Way, WA 98063
Ph: (253) 835 -2607 Fax: (253) 835 -2609 -
Project Name: MORE
Project Address: 31019 7TH AVE SW Parcel Number: 555770 0170
Project Description: Replace gas furnace
Owner
Aimlicant
Contractor
DAVID L MORE
ABLE AIR LLC
ABLE AIR LLC
LEOTA A MORE
PO BOX 521
ABLEAAL946MC (7/3/10)
BLACK DIAMOND WA 98010
PO BOX 521
BLACK DIAMOND WA 98010
Mechanical Valuation ................. ...........................3200 Is this an Online or O.T.C. application? ................. Yes
"M
Furnaces.. ...... ............................... 1
PERMIT EXPIRES Sunday, October 25, 2009
I hereby certify that the above inform
the occupancy and the use wiUe HE in
Owner or agent:
FINAL�L)
and ths-City of F
r-
27
he above described property and
ions of the State of Washington
Date: Z
THIS CARD IS TOjVMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way y IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 09- 101555 -00 -ME
Owner: DAVID L MORE
Address: 31019 7TH AVE SW
FEDERAL WAY, WA 98023 -4604
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)
Approved
Approved to release test
By
Date
By
Date
❑ Final - Mechanical (4065)
Approved
B Date c
For infector reference only
❑ Rough Electrical 11 FINAL - Electrical
Approved Approved
By Date By Date
4 6W t_55S-
Ct" OF A / 0 *
Fectera! whR CE E RM IT
COMMUNNDEVELOPMENTSERVICES n SF MF CO ME PL DE EN FP
3332 FED FEDERAL WA SOUTH • BOX 9718 i l p p LI C AT I O N
FEDERAL WAY, X 98063-9718 APR 2 8 2
253.8352607• PAX 253 4L?52609
WWW.dfW&- r h1mCm
f �� EDERAL WAY
The oU t.mF n —an incomplete application wits not be accepted. Please print Ug&hr ftn ird4 or tWe,
ASSESSOR'S TAR /PARCEL #
'6-55--717 0
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT INFORNIATION
surrE /UNIT #
LOT SIZE (si
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING a!f4WHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
[ON (Provide detailed description of work included on this permit ontul
-(V'eA'/-yY*A-e
PROJECT NAME (Name of Bum or Owner Last Name)
rrWT
•• INFOMIATION
PROPERTY
OWNER 1A A 9 AC
APPLICANT
PROJECT
CONTACT
LENDER
NAME
L- eo-t-� a
PRIMARY PHONE
(zs ) 2c - ss o
3 G- DRESS y,
CITY, STATE, ZIP p ,2�
E-MAIL ADDRESS
(7w ) 06 Z - zg
RESS J
STATE, P
COMPANY NAM
APPLICANT NAME
OFFICE PHONE
\!
/
SS
(7w ) 06 Z - zg
RESS J
STATE, P
CELL PHONE
_
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
COHTRACTOR'9 RSOISTRATION NUMB=
]IMPMATION DATE
E-MAIL ADDRESS
4-41-r- 4-f, L- 9 z&YE I-
COMP ANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( )
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
PswRCW 19.27.095:
Lsrtder informadon is required ifpmject value exceeds $4000
MAILING ADDRESS
CITY, STATE, TIP
PHONE
( )
EXISTING USE h� �} f. ,1 {-. / PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK s 3 Q
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ BIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKE1iAVEN ❑ HIGBLINE ❑ PRIVATE ISEPTICI
AREA DESCRIPTION
EXISTING
. FT.
PROPOSED
SO. FT.
TOTAL
SQ. FT.
BASEMENT
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
FIRST
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
SECOND
SUMPS
o a NO
THIRD
a YES
a NO
ZONING DESIGNATION
ADDITIONAL FLOORS (DESCRIBE)
CHANGE OF USE?
a YES
DECK (❑ COVERED OR ❑ UNCOVERED ?)
NEW ADDRESS REQUIRED?
a YES a NO
GARAGE ❑ CARPORT ❑
o YES
a NO
PLATTED LOT?
NUMBER OF FLOORS
snmsma
} MOSID
"TAI
1D!"`ZZN'IO'r
rorAtrea.oesosr
soreasr
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fvdure to be installed or relocated as pmt of this project. Do not include e)d3tingjEvft&v3 to rema&L
M�AMCelL �/��
Value of Mechanical Work $ �� 2 ---(A COPY OF BID OR ESTIK4TE MUST BE INCLUDED WITHAPPLICATIONJ
AIR HANDLING UNITS EVAPORATWE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (De —,%e)
BOILERS FIREPLACE INSERTS HOODS WA wmetq
COM1gWMORS �_ FURNACES RANGES
DUCTS GAS LOG SETS REMO. SYSTEMS
BATHTUBS („rm /sbawrComeo)
LAVS pwd a m
URINALS MISC (Deacribe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS Ril.#
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
o a NO
I cart O under penalty of perjury that I am the property owner or authorised agent of the prop" owner. I tardy fg that to Um best of my
knowled9e. the in formalton submitted in support of this permit application is trw and correct I cam that I will comply with all appitoabie
City of Federal Wray regulations pertaining to the work authorised by the issuance of a permit I understand that the issuance, of this permit
does not remove the owner's responsibility for compliance with local, state orfederal laws regulating construction or environmental lure..
I j{urUw agree to hold harmless the City of Federal Way as to my claim (including coats, expenses, and attorneys' fees incurred in the
investigation and defense of such claime), which may be made by any persory including the rnedersigneai, and filed against the city, but only
where such claim arises out of the Ce of the at including its officers and employees, upon the accuracy of the brJbrmaition supplied to
the city as apart of this appKca / /
I SIGNATURE:
DATE
Property Owner and /or Authoniud Agent
Gls
,1;0� I
o NEW a ADDITION
4EMITION
a REPAIR a TENANT IMPROVEMERT
BUILDING SHELL ONLY?
o a NO
BASIC PLAN?
a YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
a YES a NO
UP /SEPA /SU?
o YES
a NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin #100 —January 1, 2009
Page 2 of 4
MandoutslPelmit Application