07-106269City of Federal Way
Comgsunity Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Mech .9nical Permit #: 07- 106269 -00 -ME
Inspection Request Line5 -3050
Project Name: ACHMAN
Project Address: 658 SW 316TH ST
Project Description: Change out furnace with new Lennox
Owner
DAVID P ACHMAN
658 SW 316TH CT
FEDERAL WAY WA 98023 -4635
Applicant
BRENNAN HEATING & A/C LLC
4601 S 134TH PL
TUKWILA WA 98168
I hereby `c
the occu
A/C LLC
OveNtheter Pe... Yes
rsday, November 19, 2009
day, November 19, 2007
will b6 Ill accordance wfth the tats
and the Ci of led
See��
Application
,NOV 192007
f7; a-t I ed
0260
THIS CARD IS TO REMAIN ON -SITE '
CITY Orr Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106270 -00 -ME
Owner: CAROLYN JOHNSON
Address: 33422 33RD PL SW
FEDERAL WAY, WA 98023 -2753
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 ByC Date
For infector reference only
❑ Rough Electrical D FINAL - Electrical
Approved Approved
By Date By Date
RECEIVED BY
..�� '•,��: COMMUNITY DEVELOPMENT DEPARTMENT
RECEIVED Federal Way NOV 19 2007 pERMIT - - - - - -
COMMUNnYDEVEWPMENT SERVICES 2 7 SF MF CO<0 EL PL DE EN FP
33326 8TMAVENUE, WA 9 • PO BOX 9718 A.ppLI CATI
FEDERAL WAY. FAX 98063-9718
253- 835.2607• FAX 253 - 83'52609 ON
www.cUwffederalwau.com CITY' 1O�FF FEDERAL VV ���,,�/
The fOlIOi1717t9 13 TCljiliTC(1 it4fOrneatlole —all ifILN)llljliCtC 4 11 iiOlL41DLil Iii[ 6C �. Please print leggy (in ink) or type.
PROPERTY INFORMAIJON
SITE ADDRESS _ 6S jj S (A) 316 SUITE/UNIT #
ASSESSOR'S TAX/PARCEL 9 a Z�L -IS - Q -169 ® LOT SIZE (Sfi
LEGAL DESCRIPTION (e.g. Acrrle.Estates, Lot 1) pty , \ � -:5 -ID arcv_P
(Aflacit PQ7e.la' �
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prgvide detailed description of work bwktded on tits 2gai t onlu)
PROJECT NAME (Name of Business or Owner Last Namel
FN PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
h
�
A
(i ONE -
MAILINGrD
!�
f
CT(. SrTE. ZIP
Y_l/I`
F MAILADDRESS
J
COMPANY
At
Per RCW 19.57.095:
Lender information is required (f'project value exceeds $5.000
�
A
9'
t 0VJ 2
/ (I
v _
`
MAILN RESS
CITY, STATE. ZIP
CELL PHONE
Cr1Y OF FEDERAL WAY BUSINESS
20 �0 y
LIC SE NUMBER EXPIltAT10 DA
6L
FAX NUMBER
d 22 -00?
CO f 7 R'S REGISTRATION NUMBER
E-MAIL ADDRESS
`
'
ml)
COMPANY NAME
Per RCW 19.57.095:
Lender information is required (f'project value exceeds $5.000
MAII,ING ADDRESS
OFFICE PHONE
MAII ING ADD Crl KST4E. ZIP / � _.
�- I �. OC )Gt (.�3
CELL PHONE -
(
-
RELATIONSHIP TO PROJECT J
FAX NUMBER
❑ Architect ❑ Tenant ent ❑ Other
NAME PRIMARY PHONE E-AMM ADDRESS
NAME
Per RCW 19.57.095:
Lender information is required (f'project value exceeds $5.000
MAII,ING ADDRESS
CrrY, STATE. ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRIKELERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGIE RE ❑ PRIVATE (SEPTIC)
NP5(
AREA DESCRIPTION
E$ISTING
80. FT.
PROPOSED
SQ. FT.
TOTAL
SQ.FT.
BASEMENT
❑ YES ❑ NO
BASIC PLAN?
FIRST
❑ NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
❑ YES
❑ NO
THIRD
❑ YES ❑ NO
UP /SEPA/SU?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DECK (❑ COVERED OR O UNCOVERED ?)
DEMO PERMIT REQUIRED?
❑ YES
, ❑ NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
230S1e1 i
seams®
avrni
>urec>sOM vioW
Torecrraeomasr
ranusr
"NEWHOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type ofjb ture to be installed or relocated as part of this project Do not bxiude existing,fbcLwes to remain.
MECHANICAL r
Value of Mechanical Work $, -�t— (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WIIY-1 APPUICAMM
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (- Nb /Sho combo) -
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAYS (Bathroom Sings)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (commerciao
RANGES
REFRIG. SYSTEMS
URINALS
_ VACUUM BREAKERS
WATER CLOSETS pbaet)
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cert(jy under penalty of perjury that I am the property owner or authorised agent 4f the property owner. I certt y that to the beat of my
knowledge, the information submitted to support 4f this permit application is true and correct. I certVy that I Will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance tqf this permit
does not remove the owner's responsibility for compliance with local, state, orfederal lawns regulating construction or environmental laws.
I further agree to hold harmless the City rIf Plederal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and dgfense gfsuch claim), which may be made by any person, including the undersigned, and_Aled against the city, but only
where such claim arises out 4f the religge of the city, including its officers and employees. upon the accuracy of the information supplied to
the city as a part 4f this application. , /
SIGNATURE:
Owner and /or Authorized
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SIIELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP /SEPA/SU?
❑ YES
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
, ❑ NO
Bulletin #100 —August 16, 2007 Page 2 of 4 Mandouts\Permit Application