07-106733City of Federal Way
Community Development Services
P.O Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2509
Project Name: LEAHY
Project Address: 30430 12TH AVE SW
'•a
Mechanical Permit `0 07-106733-00-M8 .'
4 Inspection Request Line: (253) 835-3050
Project Description: Replace existing gas furnace with new
Parcel Number: 515320 0445
Owner
Applicant
Contractor
JAMES LEAHY
EMERALD AIRE INC
EMERALD AIRE INC
30430 12TH AVE SW
5108 D ST NW
EMERAA1055BL (04/01/09)
FEDERAL WAY WA
AUBURN WA 98001
5108 D ST NW
98023-3424
AUBURN WA 98001
Addis o*?errriit information
Mechanical Valuation............................................2059 Over the Counter Permit? ............................. ......... Yes
MeC Br' cal f=ixtures
Furnaces ......................................... 1
PERMIT EXPIRES Sunday, December 13, 2009
Permit Issued on Thursday, December 13, 2007
I 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
and the City of Federal Way.
Owner or agent: Date:
FINALED
THIS CARD IS TO VVAIN ON-SITE
Y
CITY Of fommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -106733 -00 -ME
Owner: JAMES LEAHY
Address: 30430 12TH AVE SW
FEDERAL WAY, WA 98023-3424
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 Date`s-
For infector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CWT OF A RCCa (:,2-1-- 1 O- L 33
Federal way RMIT
COMMUNITYDEVELOPMENT SERVICES DEC SF MF CO EEL PL DE EN FP
33325 FEDERAL
AY,UE WA
• PO 9718BOX 8 X3pftl CATI O N
FEDERAL WAY, WA 98063-9718
253-835.2607• FAX 253-835-2609
www-cttuo e e CITY OF FEDERAL EDERAL WAS,
Thefollowing is required JUInLDtN dirt Icom Tete application will not be accepted. Please print legibly (in ink) or
.f 9 4 P PP P P 9 y type.
SITE ADDRESS C130 )o )rh .5WSUITE/UPIIT #
ASSESSOR'S TAR/PARCEL # -,D D� LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) MA Y i n,,L V,' -ef-a F—�AA e-, HADD Leo -s5 A, 016 Pj-
(Attach separate page for lengthy legal descripttoN
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work eluded on this permit onlu) , ,A
Pl.o n\rj
PROJECT NAME (Name of Business or Owner Last Name) e aq
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME r1 e. r PRIMARY PHONE - 66
MAILING ADD
CITY STATE, ZIP lil.i'� 1 ^ E-MAII, ADDRESS
COMPANY NAME
APPLICANT NAME
E
OFFICE PHONE
CITY, STATE, ZIP
MIT
` ,
56
MAILING ADDRESS
�W
CITY. STA ,
�f n W61
CELL PHO,NE¢Q^/1`,��
c - 6 -6
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
10 - 577 -00 - S
Z - 3 -o
5 �- 25—M
CO RACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
x055 9> L
41-,—oC
erne]r
COMPANY NAME
EmeArANA
Per RCW 19.27.095:
Lender irtformation is required (f project value exceeds $5,000
APPLICANT NAME
CITY, STATE, ZIP
OFFICE PHONE
$ a-
56
MAILING ADD
CITY, S IP
CELL PHONE
11)nu�
�(n
qbno r
o -61-S-3-
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant
tKAgent ❑ Other
-
57W
e.com
I PRIMARY PHONETiF•�•
Imo_ f • .. lei- • . • ,� a
NAME
Per RCW 19.27.095:
Lender irtformation is required (f 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 ❑ HIGHL= ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
�w,* C r�d�� ca
Y� -Y � 5A
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
FIRST
FOR OFFICE USE ONLY
a NEW ❑ ADDITION
❑ ALTERATION
SECOND
BUILDING SHELL ONLY?
❑ YES ❑ NO
THIRD
❑ YES
❑ NO
ZONING DESIGNATION
ADDITIONAL FLOORS (DESCRIBE)
CHANGE OF USE?
o YES
❑ NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
GARAGE ❑ CARPORT ❑
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
NUMBER OF FLOORS
SII`°
FnoFosm
TOTAL
TOTAL=UrmmsF
TOTACFROFosaosF
TOTAcsF
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixdure to be installed or relocated as part of this project. Do not include existing fwtures to remain.
T
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (orTbb/Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
COPY OF BID OR ESTEVL47E MUST BE INCLUDED WPfH
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Bathroom Sinks)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (Commercial)
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS rrmlet)
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I 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 ofthe ci including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this applic tion. �%/
SIGNATURE: DATE V
Bulletin #100 - August 16, 2007 Page 2 of 4 k\Handouts\Permit Application
Property)4yner and/or Authorized Agent
FOR OFFICE USE ONLY
a NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
o 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 k\Handouts\Permit Application