07-106290I I „
t 1
City De Federal pment y Mechanical Permit #• 07- 106290 -00 -ME
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: COLLART
Project Address: 32239 11TH AVE SW Parcel Number: 926493 0530
Project Description: Replace gas furnace & add heat pump
Owner
Applicant
Contractor
LINDA COLLART
ALL SEASONS INC. (GENERAL)
ALL SEASONS INC. (GENERAL)
32239 11TH AVE SW
4851 S WASHINGTON ST
ALLSEI *03055 (12/17/09)
FEDERAL WAY WA 98023 -5553
TACOMA WA 98407
4851 S WASHINGTON ST
TACOMA WA 98407
Additortial Permit IofQrmation
Mechanical Valuation ................. ...........................9985 Over the Counter Permit? ...................................... Yes
Mechanicat Fixtures
Air Handling Units ......................... 1 Furnaces.......... ............................... 1
PERMIT EXPIRES Friday, November 20, 2009
Permit Issued on Tuesday, November 20, 2007
I hereby cer lfy 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: Vul Date: �kt20)
FV*IALED
.t
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Reeord
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106290 -00 -ME
Owner: LINDA COLLART
Address: 32239 11TH AVE SW
FEDERAL WAY, WA 98023 -5553
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 6-5 Date 12—
For rector reference only —
I] Rough Electrical FINAL - Electrical
Approved Approved
By Date By Date
RECEIVED
«1 2007
CITY OF
Federal w PERMIT
comm"MTY DE- -PmENr V �OP 1= EDERA� �/ SF MF CO EL PL DE EN FP
333258't'HRAL WAY, WPfH•PO971 971 ►���N� oEI &PLI CATI ON
FEDERAL WAY, FAX 98063 -260
253 - 835 -2607• FAX 253 - 835 -2609
wu w.cituoffederalwati.com
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS ,j d' d ( ( ) V C J14 V SUITE /UNIT #
ASSESSOR'S TAR /PARCEL # g -a- -(.a -4, A a - V 5 " 0 LOT SIZE (gfl
LEGAL DESCRIPTION (e.g, Acme Estates, Lot 1)
(Attach separate page for Ierigthy legal deseNpttoN
PROJECT • ' •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING )MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJF,CT DESCRIPTION (Provide detailed de rWtion of work included on this permit oni
kea I a4 W
PROJECT NAME (Name of Business or Owner Last
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
AME
Yl GL of Co D%
PRIMARY PHONE
3 ) nq MOW
LING ADDRESS
1 fi`' /hz S tit/
C TATE, ZIP
of D
E -MAIL ADDRESS
COM P rJAME /�
GC SOIL c_
APPLICANT NAM
OFFICE PHONE
) -
I 14G ADD
5 1� ��
nY, STATE, ZIP
a (OYK 41 R
CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LIC SE NUMBER EXPIRATION DATE
°I 9% o S ab',) c3\- 1Y-26-7
FAX NUMBER
(;'S3)'8-7q -9 ► LIS
CONTRACTOR'S REGISTRATION NUMBER T N DATE
St 1 b 3 d 55
E -MAIL ADDRESS
OMPANY NAME aS e6Yt C (
�i ljJ`
APPLICANT NAME
FFICE PHONE -
MAILING ADDRESS
CITY, STATE, ZIP
(CELL PHONE
l ) -
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
NAME PRIMARY PHONE E -MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender information is required jf 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)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
S .FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
WOODSTOVES
MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
a
COMPRESSORS
FURNACES
SECOND
rv&fa
DUCTS
GAS LOG SETS
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
M"1710
rnoroszs
TOTAL
raruz�nvase
'�""P" EDP
7OTAL
"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.
MECHANICAL `�
Value of Mechanical Work $
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
EVAPORATIVE COOLERS
FANS
GAS PIPE OUTLETS
GAS WATER HEATERS
WOODSTOVES
MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (commorciap
a
COMPRESSORS
FURNACES
RANGES
rv&fa
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (or r b /Shm -r Combo)
LAVS (Bathroom Sinks)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS rroneq
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
1 certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I certify 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 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, 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, 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 a part of this application. r-1
SIGNATURE:
and /or Authorized
❑ NEW ❑ ADDITION ❑ ALTERATION
BUILDING SHELL ONLY? ❑ YES ❑ NO
ZONING DESIGNATION
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
" PLATTED LOT? ❑ YES ❑ NO
1 \/1 q /0
❑ REPAIR ❑ TENANT DIPROVEMENT
BASIC PLAN? ❑ YES
❑ NO
CHANGE OF USE? ❑ YES
❑ NO
UP /SEPA /SU? ❑ YES
❑ NO
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
Bulletin #100 - August 16, 2007 Page 2 of 4 k\Handouts\Permit Application