07-104298City of Federal Way
C9=1611tty Development services Mechanical Permit #. 07-104298-00-ME
~ P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2807 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
A
Project Name: SINGER r
Project Address: 28306 15TH AVE S. '' ? '` Parcel Number: 025130 0090
Project Description: Installation of heat pump and gas furnace replacement.
Owner
Applicant
Contractor
ANTHONY J SINGER
ALL SEASONS INC (ELECTRICAL)
ALL SEASONS INC (ELECTRICAL)
JANICE P SINGER
5118 N HIGHLAND ST
ALLSEI *035N5 8/25/05
28306 15TH AVE S
TACOMA WA 98407
5118 N HIGHLAND ST
FEDERAL WAY WA
TACOMA WA 98407
98003 -3114
Additional Permit Information
Mechanical Valuation .................. ..........................11369 Over the Counter Permit? ........ .............................. Yes
Mechanical Fixtures
:ompres ors .... ............................... 1 i umaces......... ............................... 1
PERMIT EXPIRES Sunday, August 2, 2009
Penult Issued on Thursday, .August 2, 2007
hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
v %-1i) 6- CN '1 Q— k p
THIS CARD IS TO REMAIN ON-SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104298 -00 -ME
Owner: ANTHONY J SINGER
Address: 28306 15TH AVE S
FEDERAL WAY, WA 98003 -3114
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 ByQ Date j�!, a b
For inspector reference only _
0 Rough Electrical 0 FINAL - Electrical
Approved Approved
By Date By Date
adgrai WaPECEIVE® PERMIT
COMMUN77Y DEVELOPMENT SERVICES
335253-661-41 A ;�°�)9" 0 2 ""APPLICATION
FEDERAL WAY, WA 98063 -97
. uwyl.dttrolTederdw OF FEDERAL WAY
The following is A04 j 21ion — an incomplete application will not be
SITE ADDRESS
ASSESSOR'S TAX /PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) CJ
(Attach separate page for lengthy legal d— iptim)
SF MF CO (OEL PL DE EN FP
D
Please
/f Litt, ce Wt. in in or e.
SUITE /UNIT #
LOT SIZE (sj)
PROJECT 1 • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING rIECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
PEOPLE INFORMATION
NAME
PRIMARY PHONE
MAILING ADDRESS
%�3
CITY, STATE ZIP
COMPANY -NAME
ALL - S�� sQrvS / nt c,
APPLICANT NAME
�C , . rJ �4 5 %vow
OFFICE PHONE
(s) �
- 9144,
MAILING ADDRESS
5119 AJ 01&1 ZAA> 13 s i
CITY, STATE, ZIP
l Ace) # 4 wX G ko-
CELL PHONE
( )
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
1 1 -3 8 -1 O S� 0 2- B
L /Z./ 63i l�
(2S3 ) P,
CONTRACTORS REGISTRATION NUMBER (copy oC card required with each applications
11Lt,s,�
EXPIRATION DATE
-oa
X2/1
/ate
COMPANY NAME
ALIL S GA s��; s r c.
APPLICANT NAME
OFFICE PHONE
(�s.3) 9 - ( -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP 10 PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
(� 5 ) E3 �-t
NAME PRIMARY PHONE E -MAIL ADDRESS
DAv6 I (2,5 ) 8:?9 - 9 144
EXISTING ASSESSED /APPRAISED VALUE $
PROPOSED USE re--6
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)
DESCRIPTION
EXIST G` S' . FT.
PROPOSED S .. FT.
TOTAL
BASI", tE
o ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
FIRST
BASIC PLAN? o YES
o NO
SECOND
CHANGE. OF USE? o YES
THIRD
NEW ADDRESS REQUIRED? a YES ONO
UP /SEPA /SU? o YES
FOURTH
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED? o YES
ADDITIONAL FLOORS (DESCRIBE)
DEC K(COVERED ?)
GARAGE /CARPORT
HOW MANY FLOORS?
TOTAL LLRLL4TD90
TOTAL PROPOSED
TOTAL LRISTDIO MD MOPOSED
••NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
each
or relocated as part
to remain.
ME of Mechanical 'r T
Value ue o jMechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS FANS HOODS (commercia) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS_ FURNACES GAS WATER HEATERS
DUCTS • GAS PIPE OUTLETS
BATHTUBS (or Tub /Shove C—b.)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
SHOWERS
SINKS
SUMPS
URINALS
_ —_ VACUUM BREAKERS
WATER CLOSETS rrouey MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
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 authorised 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 an5Ayhployees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME /TITLE DATE t Z O
(Signature) f (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent on tractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY "'-
o NEW o ADDITION
o ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO
BASIC PLAN? o YES
o NO
ZONING DESIGNATION
CHANGE. OF USE? o YES
o NO
NEW ADDRESS REQUIRED? a YES ONO
UP /SEPA /SU? o YES
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED? o YES
o NO
Bulletin #100 - March
Page 2 of 4
k\Handouts - Revised\Pemiit Application