07-101124City of Federal Way
-Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: PINSONNAULT
Project Address: 126 S 293RD PL
Mechanical Permik 07- 101124 - Ott - ;
Inspection Request Line: (253) 835 -3050
Project Description: Replace existing heat pump with a new heat pump, unit and coil.
Parcel Number: 052104 9220
Owner
Applicant
Contractor
PIERRE PINSONNAULT
PERFORMANCE HEATING & A/C INC
PERFORMANCE HEATING & A/C INC
SHERYL PINSONNAULT
25500 74TH AVE S
PERFOHA15ORT 4/29/07
126 S 293RD PL
KENT WA 98168
25500 74TH AVE S
FEDERAL WAY WA
KENT WA 98165
98003 -3658
Additional Permit Information
Mechanical Valuation ................. ...........................7172 Over the Counter Permit ? ...................................... Yes
Mechanical Fixtures
Come ions .. .. ............. ... 'I
Owner or agent:
Date
011ie
^ice
THIS CARD IS T MAIN ON -SITE .
CITY Or *community Develop V t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3650
PERMIT #: 07- 101124 -00 -ME
Owner: PIERRE PINSONNAULT
Address: 126 S 293RD PL
FEDERAL WAY, WA 98003 -3658
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 Date i�IX714,
T
a RECEIVE D 2018 -07
Federal Way PERMIT
C.L.",DEVELoPnffwsERvlcEs MAR 0 2 2007 SF MF CO Og�tL PL DE EN FP
33325 D AVENUE , WA 9 • 63 BOX 9718 LI C ATI O N
FEDERAL WAY, WA 98063 -97] v
253 - 835- 2607•FAX 253- 835 -2411 Y OF FE()� i
wmw.ciJotfederalwaz4.cont BUILDING DEPT.
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY INFORMATION
SITE ADDRESS 126 S 293rd Place SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # 0 5 2 1 0 4_ 9 2 2 0 LOT SIZE (sp 31,350
052104 220 LOTS 2 & 3 KC SHORT PLAT #486032 REC #880325 502 SD
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) SP D F- N 165 FT OF S 990 FT OF A 1/2 OF W 1/2 OF SW /4 OF NYV
1 /4 ePSE 3'1,;`416 ESS''P'R FOR 1 ST AVE S U
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
Replace existing HP outdoor unit and coil
PROJECT NAME (Name of Business or Owner Last Namel Pinsonnault
PROPERTY
OWNER
CONTRACTOR
Corr of card requited
with each applteaHon
NAME
PRIMARY PHONE
Pierre & Sheryl Pinsonnault
( 253 ) 839 - 5245
MAILING ADDRESS
CITY, STATE, ZIP
E -MAIL, ADDRESS
126 S 293rd PI I
Federal Way, WA 98003
25500 74th Ave S
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Performance Heating & AC
Charles Day
(425 ) 251 _ 0356
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
25500 74th Ave S
Kent, WA 98032
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
19 -85- 000042 -00 -BL
12/31/07
(253 ) 867 - 5775
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
PERFOHA150RT
4/29/07
APPLICANT
COMP NAM
APPLICANT NAME
OFFICE PHONE
MAIL ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( ) -
PROJECT NAME PRIMARY PHONE E -MAIL ADDRESS
CONTACT Charles Day ( 425 ) 251 - 0356 charles@performanceheating.com
LENDER NAME Per RCW 19.27.095:
Lender igformation is required if project value exceeds $5,000
MAILING ADDRESS CITY, STATE, ZIP PHONE
EXISTING USE Residential
EXISTING ASSESSED /APPRAISED VALUE
PROPOSED USE Residential
VALUE OF PROPOSED WORK $ 7172.00
SPRINKLERED BUILDING? ❑ YES IN NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES a NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ MGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGIMNE ❑ PRIVATE (SEPTIC)
4� �-03 6 y
0 7yss 5'j
. • I
PROJECT ••-
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
3 . FT.
ASEMENT
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
FIRST
BASIC PLAN? ❑ YES
❑ NO
SECOND
CHANGE OF USE? ❑ YES
THIRD
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP /SEPA/SU? ❑ YES
ADDITIONAL FLOORS (DESCRIBE)
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
DECK (❑ COVERED OR ❑ UNCOVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
Effi87TRG
WOM"
TOTAL
TOTAL RBBTM SF
TOTAL PRDr SF
TOTAL SF
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fucti.cre to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ 7172.00 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICA770M
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or flub /Shpwer Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECfRIG WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Bathroom smk.)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (Commenlap
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS ri'onet)
WASHING MACHINES
WOODSTOVES
MSC (Describe) 1 '-
KCr�I Ktit-
MISC (Describe)
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 o,1ficers and employees, upon the accuracy 4f the information supplied to the city as a part of
this application. z /
NAME /TITLE Manager DATE J Z2l 0 —7
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent IN Contractor ❑ Architect ❑
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUUILDING SHELL 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 — January 1, 2007
Page 2 of 4
Mandouts\Permit Application