07-105129F
CityDevelopm Development Mechanical Permit #: 07- 105129 -00 -ME
Community Development Services
d '1P.o. Box 9718
E Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: SYKES
Project Address: 31249 7TH AVE S
Project Description: Replace gas furnace.
Parcel Number: 860340 0075
Owner
Applicant
Contractor
KURT SYKES
DR COOL INC
DR COOL INC
31249 7TH AVE S
PO BOX 2322
DRCOOI *024QE (3/10/08)
FEDERAL WAY WA 98023
SUMNER WA 98390
PO BOX 2322
SUMNER WA 98390
Addit OW Permit Information
Mechanical Valuation ................. ...........................3209 Over the Counter Permit ? ...................................... Yes
I hereby titat'tb wove infol"llatibn c(eet and that the construction on the above described ,ptorty
the occupant. .tht ias will be in accordance with the laws, rules and retgulatians of the Stitw of *Ilio on
an the Cl ' of f=ederal Way.
Owner or agent: � � Date:
/ /2�-z.
FINALED
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105129 -00 -ME
Owner: KURT SYKES
Address: 31249 7TH AVE S
FEDERAL WAY, WA 98003 -5211
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.
0 Mechanical Rough -in (4165)
Approved
By Date
Gas Piping (4125)
Approved to release test
By Date
Final - Mechanical (4065)
Approved
B Date'?—.z5 _07
For inspector reference only
❑ _ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CRY OF
F (ideral y RECEIVED PERMIT -- — —
00MWM1YDBV=P11W31RVXW SF MF CO ME L PL DE EN PP
s�F8DBW� r, 63.BG�97: EP 13
2SM&2607• APPLICATION
PAX 959. 895.2669
CITY i DF FEDERAL WAY
The following is requiW1bV0SG **7;an incomplete application will not be accepted Please print.legibiy (in ink) or type.
PROPERTY • •
SITE ADDRESS � SUITE /UNI'P
ASSESSOR'S TAR /PARCEL J �Q V V - U ! LOT SIZE (s, fl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
�Aeead+..a�r•aro.J6r bweu eepd aaa{�a�
PROJECT • •
TYPE OF PERMIT
PROJECT DESCRIPTION (Provide detailed
a a--5 _ T® o <
❑ BUILDMG O PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL O ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT- NAME (Name of Business or Oumer Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
included on th
l
NAME err + C Vv
PRIMARY PHONE
'' //
MAILING ADDRESS
(� 4 A -7 �``�� S.
CITY, STAT ZIP
F 0- I ka
&MAIL ADDRESS
ANY NAME
if' Coo l T�
AP CANT NAME
q �i 0,
OFFICE PHONE
MAWO ADDRESS
IJ x � '1 � �
p
CT � W^_ G S3 �iQ
PHONE / - ,4 A ".
�p
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER .
04P — (053 (e 0
EXPIRATION DATE
FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER .
ZXPMATION DATE
E MAIL ADDRESS
Poo
c
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
NAME PRIMARY PHONE E-MAR, ADDRESS
NAME
PerRCW 19.27.096:
Lender information is required {jproject 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 ❑ LAIMUVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT ••-
AREA DESCRIPTION
AREAS
-EXISTING
S:FT.
PROPOSED
S2. EL.
TOTAL
S. FT
BASEMENT
o YES. o NO
BASIC PLAN?
FIRST
o NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
o YES
o NO
THIRD -
o YES o NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
a NO
PLATTED LOT?
o YES o NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
o YES
o NO.
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
'
•ro�i°
�1°'
rorALsRoersres
"TAL senasosr
for "sr
• +NEWHOMFS 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.
=CFIAMCAL -
Value of Mechanical Work $ 3 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLIC4TION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (- Tub /shmwrCombol
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LAG SETS
LAVS "
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (c..,d4
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS p'oneq
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I eertVq under penalty of perjury that I am the property owner or authorised agent of the property owner. I cerft that to the best of my
knowledge, the information submitted in support of this permit application is true and correcA I sort(& that I will comply with all applicable
City of Federal Way 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, or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim /including costs, expeness, and attorneys, fees incurred in the
investigation and dofense of such clainQ, which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the reliance of the city, including its officers and employees; upon the accuracy of the information supplied to
the city as apart of this application.
SIGNATURE: 42 "/
or
A 7
o NEW o ADDITION
o ALTERATION
o REPAIR o 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?
o YES o NO
UP /SEPA /SU?
o YES
a NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO.
Bulletin # 100 _ August 16, 2007 Page 2 of 4 . k\Handouts\Permit Application