07-104529nityD Federal Way Mechanical Permit #• 07- 104529 -00 -Mt
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: HURRELL
Project Address: 30711 26TH AVE SW Parcel Number: 416660 0677
Project Description: Replace gas furnace &heat pump
'..�
Owner
Applicant
Contractor
MICHAEL HURRELL
NARROWS HEATING /AIR CNDTNG,INC
NARROWS HEATING /AIR CNDTNG,INC
30711 26TH AVE SW
5121 S BURLINGTON WAY
NARROI *21673 4/5/08
FEDERAL WAY WA
TACOMA WA 98409
5121 S BURLINGTON WAY
98023 -7808
TACOMA WA 98409
Additional- 'ermit'n Qrma #fi11
Mechanical Valuation ................. ...........................4890 Over the Counter Permit? ...................................... Yes
Mechani0al Fixtures
Compressors .... ............................... 1 Furnaces.......... ............................... 1
I her
the
Owner or agent:
RES Saturday, August 15, 2009
on Wednesday, August 15, 20
I
THIS CARD IS TO REMAIN ON -SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104529 -00 -ME
Owner: MICHAEL HURRELL
Address: 30711 26TH AVE SW
FEDERAL WAY, WA 98023 -7808
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 �O Date ,5Y 17 ,9�
For inspector reference only
- ❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
cirroF :; 4%, '.
Federal Way 15 2"�� PERMIT
COMMUNITY DEVELOPMENT SERVICES PUG SF MF CCM EL PL DE EN FP
33325 8� FEDERAL , ATH.6°97X9718 F� ALI CATI O N
FEDERAL WAY, WA 98063 -9718
253 - 835 -2607• FAX 253 - 835 -2609 '� DF
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY •. •
SITE ADDRESS _ ',J O [�(fl —^ �K� VV SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # _ _ _ _ _ - _ _ _ _ LOT SIZE (sff)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal descript0a)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING CHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESC�TION ( vide detailed description of work included this ermit onl
0 si DUlkr �_ b Ik W5 4 —
PROJECT NAME (Name of Business or Owner Last Name) guwv.-
PROPERTY
OWNER
CONTRACTOR
COPY of card required
with each application
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME • - `
PRIMARY
/DBEs
MAILING ADDRESS
-+ �4t�'
C TATS, ZIP
m4y, wot
MAIL
6Z
COMPANY NAME
W
�(II
APPLICANT NAME •
eY•v/
OFFICE P� O E -
lr
MAIL G� DRESS t
�ITY, STATE, ZIP �� D7
Mt
CELL PHONE -
CITY OF FEDERAL WAY BUSINE
l'l ^� -I D'+
LICENSE NUMBER IRA N DA
-D ® -R, W l
FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER IRA ON DAfE
WOWT��—Alom q/51-2-00t)
E -MAIL ADDRESS
COMP4NY NAME
S
APPLIC N
OFFICE PHONE
(M) -
ADDRESS
CITY, TATS, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT v /J Q
❑ Architect ❑Tenant ❑ Agent ther W1'V�IJ`l V I�
FAX NUMBER
( ) -
NAME '' "" __ '� .� '�
PRIMARY PH NE
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)
0 PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S . FT. S . FT. S . FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS FauSTMO PROPOSED TOTAL Tares nasrmo SP TOTAL PROPOSED SF Tares SF
*"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture t installed relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL e70
Value of Mechanical Work $ 0• 1A C Y BID OR ESTIMATE MUST BE INCLUDED WTFH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
BATHTUBS (or Tub /Sbouer Combo)
LAVS (Bathroom Stnks(
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS Ironer
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
ZONING DESIGNATION
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 tAm above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of FVOMW96 as o any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of
such claim), which m be m by a person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reii nce of th city, i luding its officers and employees, upon the accuracy of the information sup lied to the city as a part of
this application.
NAME /TITLE --�—
(Sign ure) (title)
RELATIONSHIP T0,00JECT ❑ Owner ❑ Agent �ntractor ❑ Architect ❑
FOR OFFICE USE ONLY
❑ NEW c ADDITION
❑ ALTERATION
c REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
c NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP /SEPA /SU?
❑ YES
c NO
PLATTED LOT? YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 — April 2, 2007 Page 2 of 4 k\Handouts\Permit Application