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07-106196r—City of Federal Way t Community Development Services Mechanical Permi • 07-106196-00-MdJ'W 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: MALLATT Project Address: 28608 27TH PLS Parcel Number: 746690 0370 Project Description: Replace gas furnace 1=1LE Owner Applicant Contractor MARLA MALLATT PERFORMANCE HEATING & A/C INC PERFORMANCE HEATING & A/C INC 28608 27TH PL S 25500 74TH AVE S PERFOHA150RT 4/29/09 FEDERAL WAY WA 98003 KENT WA 98168 25500 74TH AVE S KENT WA 98168 lddit ©nal Permlt lrtfoltn #loo Mechanical Valuation............................................5724.56 Over the Counter Permit? ...................................... Yes F I NJAU0 I P&I I M CITY OF V;htp Federal Way PERMIT #: 07 -106196 -00 -ME THIS CARD IS TOIN ON-SITE Construction Ins ction Record INSPECTION REQU TS: (253) 835-3050 Address: 28608 27TH PL S Owner: MARLA MALLATT FEDERAL WAY, WA 98003-3307 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. El Mechanical Rough -in (4165) Gas Piping (4125) Final Electrical Approved Final - Mechanical (4065) 0 Approved By Approved to release test Approved By Date By Date By Date jZ f i p9 El Rough Electrical Approved Final Electrical Approved 0 Right of Way Approved By Date By Date By Date p 2178-07 'CmoF A RECEIVED ©� — Federal Way PERMIT SF MF COEL PL DE EN FP 333 5 8m AVEDNIN OUfH • PO BOX 97SI8 N 0 V 13 Q 53-835FEDERALWAY, WA 98063-9718-260 ,SLI CATI O N 253-835-2607• FAX 253-835-2609 mwm.cirg0f erahuau.com CITY OF FEDERA �u1LDING DEPT. The following is require In - an incomplete application will not be accepted. Please print legibly (in ink) or type. PROPERTY INFORMATIC SITE ADDRESS 28608 27th Place South SUITE/UNIT # ASSESSOR'S TAX/PARCEL # 7 4 6 6 9 0 - 0 3 7 0 LOT SIZE (sfi 9,825 LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) Rustic Village ADD LESS C & M RGTS (Attach -p-ate Page for lengthy legal descdpt1o,,4 PROJECT IN• • • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit oniu) Replace Gas Furnace PROJECT NAME (Name of Business or Owner Last Name) Ll�__F3 PEOPLE•• • PROPERTY OWNER CONTRACTOR COPY of card required with each appliatiem r.\3»I(oil all PROJECT CONTACT LENDER NAME PRIMARY PHONE Marla Mallatt ( 253 ) 205 -1505 MAILING ADDRESS CITY, STATE, ZIP E-MAIL ADDRESS 28608 27th Place South 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 PERFORA15ORT 4/29/07 COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent ❑ Other FAX NUMBER NAME PRIMARY PHONE E-MAIL ADDRESS Charles Day ( 425 ) 251 - 0356 charlespperfor ceheating.com NAME Per RCW 19.29.095: Lender information is required ifproject value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING USE Residential EXISTING ASSESSED/APPRAISED VALUE $ SPRINKLERED BUILDING? ❑ YES [X NO PROPOSED USE Residential VALUE OF PROPOSED WORK 5 5724.56 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ff NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIG11LINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEH VEN ❑ MGHLINE ❑ PRIVATE (SEPTIC) PROJECT FLOOR AREA DESCRIPTION AREAS EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL 89. FT. BASEMENT ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT FIRST BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION SECOND CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? ❑ THIRD UP/SEPA/SU? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO ADDITIONAL FLOORS (DESCRIBE) ❑ NO DECK (❑ COVERED OR ❑ UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS EMMMO PROPOGED TOTAL TOTAL macron sr TOTAL PROPOS® Sr TOTAL SP "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of future to be installed or relocated as part of this project Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ Jr Ll ' 5 �' (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATIOM AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS BATHTUBS (or Tub/Shower Combo) DISHWASHERS DRINKING FOUNTAINS ELECTRIC WATER HEATERS HOSE BIBBS EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS LOG SETS LAVS (Bathroom Sinks) RAINWATER SYST SHOWERS SINKS SUMPS GAS PIPE OUTLETS GAS WATER HEATERS HOODS (con—rciai) RANGES REFRIG. SYSTEMS URINALS VACUUM BREAKERS WATER CLOSETS (Toilet) WASHING MACHINES WOODSTOVES MISC (Describe) 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 officers and employees, upon the accuracy of the information supplied to the city as a part of this application. 5 NAME/TITLE l% 1 " Manager DATE 11 ( l Z /0-7 (Signature) (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent 9 Contractor ❑ Architect ❑ Other FOR OFFICE USE ONLY ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT BUILDING 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? 0 YES ❑ NO