09-100785 City of Federal Way • • • Mechanical
Community Development Services
P.OBox 9718 FILE
Permit #: 09-100785-00-M E
.
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 p Ins ection Request Line: 253 835-3050
Project Name: TALMAGE
Project Address: 836 SW 364TH PL Parcel Number: 779645 0460
Project Description: Installation of gas furnace & heat pump.
•
Owner Applicant Contractor
STACY TALMAGE HERITAGE ENTERPRISES INC(GENERAL) HERITAGE ENTERPRISES INC
836 SW 364TH PL 9001 PACIFIC AVE (ELECTRICAL)
FEDERAL WAY WA 98023-7297 TACOMA WA 98444 HERITEI969M6(7/26/10)
9001 PACIFIC AVE
TACOMA WA 98444
Additional Permit information
•
Mechanical Valuation 7337 Is this an Online or O.T.C.application? Yes
�, Mora �1... ures -01s
Compressors/Heat Pumps 1 Furnaces 1
PERMIT EXPIRES Saturday, August 29, 2009
Permit Issued on Monday,March 2, 2009
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
wonA--
9 and the City of Federal
Way.
Owner or agent: Sl "v Date: ///70Ci
C.3.r."'"):;‘,02.,
•
• i Mechanical
City of Federal Way •
Community Development Services Permit #: 09-100785-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 r p q
Project Name: TALMAGE ice,
Project Address: 836 SW 64TH PL Parcel Number: 779645 0460
Project Description: Installation of gas furnace & heat pump.
Owner Applicant Contractor
STACY TALMAGE HERITAGE ENTERPRISES INC HERITAGE ENTERPRISES INC
836 SW 364TH PL (ELECTRICAL) (ELECTRICAL)
FEDERAL WAY WA 98023-7297 9001 PACIFIC AVE HERITEI969M6(7/26/10)
TACOMA WA 98444 9001 PACIFIC AVE
TACOMA WA 98444
",,,,\glb�P . i fo., ation f
Mechanical Valuation 7337 Is this an Online or O.T.C.application' Yes
..1.,.,,:u(054,
: /%, « . \ " •, ,p er a ,� y VA1
Compressors/Heat Pumps 1 Furnaces 1
PERMIT EXPIRES Saturday, August 29, 2009
Permit Issued on Monday, March 2, 2009
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
an9.the City of Federal Way.
Owner or agent: 49 Date: / -2---/ ,"'
:; C
Alb, . THIS CARD IS TCkiEMAIN ON-SATE '
CITY OF
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09-100785-00-ME
Owner: STACY TALMAGE
Address: 836 SW 64TH PL
FEDERAL WAY, WA 98023-7297
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.
0 Mechanical Rough-in (4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By DateBy f Date +� Z
i
I
• ,
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
r � . RECEI'� Erf q _- X66 7gs - 1rE
Federal Way MAR 0 2, 2009 PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO M 'PL DE EN FP
333253835821, 2607•FAX2=9 NUE BOUTH•PO5 9OX 7 OF FEDEAPP�I CATI O N TD
FEDERAL WAY,WA /
www.cituoffederalwau.com CDS
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
_ IN FORMATION
CSITE ADDRESS � S" c . ,_36 q P/ , TIe /e_4
� ' " SUITE/UNIT#
"eASSESSOR'S TAX/PARCEL# 7 (. qJ - 0L( ( _
0 LOT SIZE (sf
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desc prion)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 2-MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
1--k S.,�-6-J .k c,int-e--.. 6' Are-- / �-f-,F -17,- 4 (i , .
PROJECT NAME(Name of Business or Owner Last Name) Xe r/ /et>` I S tz c y J"/ ``
• PEOPLE INFORMATION
PROPERTY NAME �' PRIMARY PH
OWNER J C Zf / `�/G'^ "�, ` 2 5-) 't``P7�/�
MAILING ADD S CITY ATE ZIP E-MAIL ADDRESS 7
/3 L 5 J 7.3 C' & / c l'1 ofo-
CONTRACTOR COMPANY NAME APPILIC�ANT NAME OFFICE PHONE
MAILING ADDR ., CITY,STATE, PCELL PHONE
-00 / (4z VA-�I-- C4-"r �G' ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
q5 10766 Q (2c5 ).5.3y -j70 4
corY or c�a:egna CONTRACTOR'S REGISTRATION NUMBER' EXPIRATION DATE E-MAIL ADDRESS
with each appLceti r ion �I ! (. ( !3 ler /2-'1 //;-E'
APPLICANT comply NAMC \ APPLICANT NAME{/G !/V OFFICE PHONE
mom, 1,,_ ,�, -7 GA4 ,�- l(<...�s 5/7 (.S3 ) 422->22c(
MAILING ADDR S ' `;,, ) CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant Agent ❑ Other ( ) -
PROJECT NAME .iii (G , / PRIMAR(t ;Y)H j12 2 E-MAIL ADDRESS
CONTACT
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
U DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
! SEMENT • PROJECT FLOOR AREAS
AREA DESC- •N EXISTIN a PROPOSED TOTAL
SQ. FT. SQ.FT. SQ. FT.
BA
FIRST '
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑ COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT 0
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
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$ 7 • 3 -1' ' (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
IAIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS p FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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.
() / ,
NAME/TITLE ( —'� , DATE 3/..216 C
(Signatlx (Title)
RELATIONSHIP TO PROJEC'I;lj! ❑ Owner Agent 0 ontractor ❑ Architect 0 Other
FOROFFICE USE.ONL
❑NEW ❑ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100–April 2,2007 Page 2 of 4 k\Handouts\Permit Application