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07-1068854 City oevelopaentS Mechanical Permit #• 07- 106885 -00 -ME � Gommuniiy�levelopment Services • P.6. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050 Project Name: MYLLES r Project Address: 29306 18TH AVE S �, Parcel Number: 304020 0106 Project Description: Replace gas furnace. Owner Applicant Contractor VICTORIA MYLLES NORPAC HEATING & A/C INC NORPAC HEATING & A/C INC 29306 18TH AVE S 3414 A ST SE SUITE 102 NORPAHA 123M5 (9/13/09) FEDERAL WAY WA 98003 -3827 AUBURN WA 98002 3414 A ST SE SUITE 102 AUBURN WA 98002 Additional Permit Information . Mechanical Valuation ................. ...........................2346 Over the Counter Permit ? .......... ............................Yes olnical Fixtures Furnaces .......... ............................... 1 PERMIT EXPIRES Saturday, December 26, 2009 Permit Issued on Wednesday, December 26, 2007 1 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 aN the City of Federal Way. Owner or agent: _ u-`- _ Date:�� __ • THIS CARD IS TO REMAIN ON -SITE CITY of Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 106885 -00 -ME Owner: VICTORIA MYLLES Address: 29306 18TH AVE S FEDERAL WAY, WA 98003 -3826 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 A Date / 9 D For inspector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date ® CITY OF RECEIVED - Ferjeral Way PERMIT 'COMMUNITY DEVELOPMENT SERVIQI;.(` 2 2Qp7 SF MF C ME LPL DE EN FP 33325 D AVENUE SOUTH 063 BOX APPLICATION T° FEDERAL WAY, WA 98063 -97]8 253.835 -2607• FAX 253 -83�5 -2609 �„ ;v_ .iafl-de." hllatr(:yITM OF FEDERAL WAY BUILDING DEPT. The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type. PROPERTY •. • SITE ADDRESS V 93 6 16*4 � /)4dr "- SUITE /UNIT # ASSESSOR'S TAX /PARCEL # 3 O q 0 of O - O LOT SIZE (sj) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach sepmate page for lengthy legal description) PROJECT • 1 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING R MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) PROJECT NAME (Name of Business or Oumer Last Name) ;WV C / f S PEOPLE •- • PROPERTY OWNER CONTRACTOR COPY of card regalred with each application APPLICANT PROJECT CONTACT LENDER NAME W j COMPANY NAME PRIMARY PHONE ( ' 3) 336 - y/`! ✓. v v f s MAILING ADDRESS CITY, STATE, ZIP CELL PHONE MAILING ADDRESS CITY, STATE, ZIP 9srD0)r E -MAIL ADDRESS 30 6 / C6 COMPANY NAME - - APPLICANT NAME OFFICE PHONE o �r T A , ,r�.�.� f T/t .dam (� 3) S� - e G C'S MAILING ADDRESS CITYI, STATE, ZIP - CELL PHONE 3Y/ Y .; 5C u ljuyt/ t �'v9l c/��✓ —b CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER (�y3) 93/ -06 Y7 CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE E -MAIL ADDRESS oil° fijf} �v13 l?7 05 r 3 aot? i ✓' iCa I NAME. `/ PRIMARY PHONE � t•y E -MAIL ADDRESS /1J1//J't5 fLiiv (01� �3i - D- .v��^ -�f "1,C NAME Per RCW 19.27.095: Lender information is required if project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE ( EXISTING USE PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ vk 3 YG, O CJ 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) Y051, COMPANY NAME APPLICANT NAME OFFICE PHONE - MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER / [3 Architect []Tenant ❑ Agent Or Other l e- ,i17txe1 — I NAME. `/ PRIMARY PHONE � t•y E -MAIL ADDRESS /1J1//J't5 fLiiv (01� �3i - D- .v��^ -�f "1,C NAME Per RCW 19.27.095: Lender information is required if project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE ( EXISTING USE PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ vk 3 YG, O CJ 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) Y051, AREA DESCRIPTION EXISTING SQ. FT. GAS PIPE OUTLETS WOODSTOVES BBQS PROPOSED S . FT. TOTAL S2. FT. BASEMENT FIREPLACE INSERTS HOODS (commercian COMPRESSORS FIRST RANGES DUCTS GAS LOG SETS SECOND ONO NEW ADDRESS REQUIRED? o YES ❑ NO THIRD UP /SEPA /SU? o YES a NO ADDITIONAL FLOORS (DESCRIBE) o YES ONO DEMO PERMIT REQUIRED? DECK (O COVERED OR ❑ UNCOVERED ?) o NO GARAGE O CARPORT 0 NUMBER OF FLOORS IDasnno ROPOSEO TOTAL TOM Sl' To7'.u"C"AIo Sr - TOTAL Sr "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 $ 3 q to !E-0 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS (commercian COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG. SYSTEMS BATHTUBS for Tub /Sho Cumbo) LA ehrwm Sint;) DISHWASHERS RAINWATE ST DRINKING FOUNTAINS �SHOWERS ELECTRIC WATER HEATERS HOSE BIBBS SUMPS UKIINALS MISC (Describe) VACUUM BREAKERS WATER CLOSETS trc➢eq WASHING MACHINES 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 .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 and employees, upon the accuracy of the information supplied to the city as a part of this application. � � A NAME /TITLE RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent '`f Contractor o Architect ❑ Other 19�.� b/ > ❑ NEW ❑ ADDITION o ALTERATION ❑ REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES ❑ NO BASIC PLAN? o YES D NO ZONING DESIGNATION CHANGE OF USE? o YES ONO NEW ADDRESS REQUIRED? o YES ❑ NO UP /SEPA /SU? o YES a NO PLATTED LOT? o YES ONO DEMO PERMIT REQUIRED? o YES o NO Bulletin #100 —April 2, 2007 Page 2 o[4 k \Handouts\Permit Application