07-105837f
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
�. Ph: (253) 835 -2607 Fax: (253) 835 -2609
Mechanical Permit #:7- 105837 -00 -VIE
Project Name: MORRIS
Project Address: 34829 11TH AVE SW
Project Description: Replace furnace and hot water tank.
Inspection Request Line: (253) 835 -3050
Parcel Number: 542242 0660
Owner
Applicant
Contractor
DAVID MORRIS
PERFORMANCE HEATING & A/C INC
PERFORMANCE HEATING & A/C INC
34829 11TH AVE SW
25500 74TH AVE S
PERFOHA15ORT 4/29/09
FEDERAL WAY WA
KENT WA 98168
25500 74TH AVE S
98023 -7014
KENT WA 98168
Additional Permit Information
Mechanical Valuation ................. ...........................6304 Over the Counter Permit ? ...................................... Yes
Mechanical Fixtures ;
Furnaces., .. . ... ............................... 1 Hot Water Tank ............................. 1
PERMIT EXPIRES Thursday, October 22, 2009
Permit Issued on Monday; October 22, 2007
I hereby certify that the above Information is correct and. that the construction on the above dwrit i property ltd
the occupancy'�and the use will be in acordance w th the laws, rules and regulations of the State of Washiingtt
and the City of Federal Way.
Owner or agent: Date: /91-V 0,
• THIS CARD IS TO REMAIN ON-SITE
CITY OF ` Community Development Inspection Record-
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105837 -00 -ME
Owner: DAVID MORRIS
Address: 34829 11TH AVE SW
FEDERAL WAY, WA 98023 -7014
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 Date A
For inspector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
� � 2165-07
RECEIVED ;
Federal Way OCT 2 2 2007 PERMIT
COMMUMTY DEVEIAPMENT SERVICES
33325 SOUTH • PO BOX 9718
FEDEIwAL WAY, wa 98063- sQ4Y O F WFEC)ERA P PLI CATI O N
253 - 835 -2607• Fax 253 -835 -2609 BUILDING DEPT,
uaru+. Citeiojf ederalwaJ. cony
SF MF CO 6)EL PL DE EN FP
The following is required igforntation - an incomplete application will not be accepted. Please print legibly (in ink) or type.
W PROPERTY INFORMATION
SITE ADDRESS 34829 11 th Ave SW SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 5 4 2 2 4 2 - 0 6 6 0 LOT SIZE (Sfy 7,675
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) Meadowpark Div No.01
VA=h aepmwe paWfur WrWft kVW
• INFORNLATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 91 UMCHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onlu)
Replace Fumace & HWT
PROJECT NAME (Name of Business or Owner Last Name) Morris
PROPERTY
OWNER
C��cel)
COPY of ead
.uti sh
PROJECT
CONTACT
LENDER
PEOPLE INFORMATION
NAME
PRIMARY PHONE
David Morris
( 253 ) 661 -2485
MAnANG ADDRESS
CITY, STATE, ZIP
E-M&L ADDRESS
34829 11 th Ave SW
Federal Way, WA 98023
25500 74th Ave S
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Performance Heating & AC
Charles Day
(425 ) 251 _ 0356
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
25500 74th Ave S
Kent, WA 98032
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
19 -85- 000042 -00 -BL
12/31/07
(253 ) 867 - 5775
CONTRACTOR'S REGISTRATION NUMBER
L2{PIRATION DATE
E- MAILADDRESS
PERFORA15ORT
4/29/07
COMPARY NAMEJ
c6pl
APPLICANT NAME
OFFICE PHONE
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
REIA11ONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( ) -
NAME I PRIMARY PHONE E-MAIL ADDRESS
Charles Day 1( 425 ) 251 - 0356 charleseperfotmanceheat ing -com
NAME
Per RCW 19.29.095:
Lender igformadon is required tf project value exceeds $5,000
MAILING RFSS
STATE, ZIP - - 1
PHONE
EXISTINQ USE Residential
PROPOSED USE Residential
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 6,304
SPRINKLERED BUILDING? ❑ YES X NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES Of NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LASEIMEN ❑ HIGEMINE a PRIVATE (SEPTIC)
PROJECT •••
AREA DESCRIPTION
AREAS
EXISTING
FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
WATER CLOSETS rro;teu
SINKS
WASHING MACHINES
FIRST
BUII.DING SHELL ONLY? o YES a NO
BASIC PLAN?
SECOND
❑ NO
ZONING DESIGNATION
THIRD
CHANGE OF USE?
❑ YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
UP /SEPA/SU?
o YES
DECK (❑ COWERED OR ❑ UNCOVERED ?)
PLATTED LOT? n YES ❑ NO
DEMO PERIIHT REQUIRED?
GARAGE ❑ CARPORT ❑
❑ NO
NUMBER OF FLOORS
=Wrzrc
moroeaa
rorAL
Torec EXOM.o sr
TOEAL rnorosro Sr
r»r,", sr
"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 fixtures to remain.
Value of Mechanical Work $ 6,304.00 (A COPY OF BID OR ESTYMAIE MUST BE INCLUDED %TM APPUCA7701W
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBgS FANS �_ GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (commercial)
COMPRESSORS 1 FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
BATHTUBS (or T blshomer combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS Wathrnom Sinks)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS rro;teu
SINKS
WASHING MACHINES
SUMPS
BUII.DING SHELL ONLY? o YES a NO
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 liincluding 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 ir4formation supplied to the city as a part of
this application. i9 _
NAME /TITLE
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Qi Contractor
manager
mt1e)
❑ Architect
❑ Other
10/19/2007
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUII.DING SHELL ONLY? o YES a NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP /SEPA/SU?
o YES
❑ NO
PLATTED LOT? n YES ❑ NO
DEMO PERIIHT REQUIRED?
❑ YES
❑ NO
Bulletin #100 -January 1, 2007 Page 2 of 4 k\HandoutslPermit Application