07-103256 e T 1 i.r 4."`' I
I!, �}city of Faderal way Mechanical Pe_ l x #: 07-103256-00-ME
r:,mmunity Development Services I � ��
I„
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: DEMERS& GAGNIER INC
Project Address: 33507 9TH AVE S Bldg F Parcel Number: 926500 0020
Project Description: Installation of(2) high efficient gas furnaces with (2)A/C units,(1)electric split system heat
pump with all duct work.(6)exhaust fans also installed. ,
Owner Applicant Contractor
TRAVIS GAGNIER KLIEMANN BROTHERS HTG&A/C IN KLIEMANN BROTHERS HTG&A/C IN
DEMERS&GAGNIER INC 4703 116TH ST E kliembh021bt(1/27/08)
P 0 BOX 3949 TACOMA WA 98446 4703 116TH ST E
FEDERAL WAY WA 98063 TACOMA WA 98446
Additional Permit Information
Mechanical Valuation 33971 Over the Counter Permit? No
Mechanical Fixtures
Air I-Ha n ,Units 1 Compressors 3 Ducts 3
Fans §,, Furnaces r, 2 Gas Pipe Outlets 2
ire h
V '".. ! z , (III ,,'„0 , OND l '-a,1' 41 _' �.,re- ;r i
**(3)units prr + .'7444.1445.41/4 • + exterior •llocation is eft •idewa . : •".l builds+ e>sed with''cedar capped trim'with,`
lattice infill.**
PERMIT EXPIRES Thursday, July 2, 2009
Permit Issued on Monday, July 2, 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
zd the City of Federal Way.
Owner or a ent: �(� Date: 7/Z/0 9
DATE INSPECTOR AREA AND TYPE OF INSPECTION
71C °� / y pcer /1-7`'c) Svii�'pvL. �1� �'i ?N
ejsr .
aiTHIS CARD IS TO MAIN ON-SITE
CITY OF ���- ��� itommunitY Develo m nt Inspection Reeoor
d
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103256-00-ME
Owner: TRAVIS GAGNIER
Address: 33507 9TH AVE S Bldg.F
FEDERAL WAY, WA 98003
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.
IMechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
Bytij Date al-14,,_„ By G to.) Date 8. 1`-07 By G'-W Date el- Lst„ 07
•
For inspector reference only_
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
RECE Vell 1111^ _
L{tY OF 0 \ - ( t/ 3 L S V
Federal Way juN 1 4 2007 PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF C LPL DE EN FP
33325 8TM AVENUE SOUTH•PO BOX 9718
253
FEDERALWAY,•FA2538
WA 98i)6j-� OF FEDER rPLI CATI O N TD. 6 / a /07
www.cityoffederalwau.com
w w.cityo((ederalwau.com UILDING DEPT,
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
R PROPERTY INFORMATION
SITE ADDRESS_ 3 3 S(7-7i-/b 4 yE • 6 ' t,D, r SUITE/UNIT#_ F
`I
ASSESSOR'S TAX/PARCEL# 2 (' S- 0 0 - 0 0 0 LOT SIZE(sfi
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) LEE ,f} /9 c H EP
(Attach separate page for lengthy legal description
IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING X MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
7(U5`rA L Ai o'J 6 (z) H K-0-- r P<C fE•A--V" 6-As Pu 2 A3 Ac e S <-J rT Ff (Z)
t3 sE2 '-f2 < 'Jb17--7O'\ s c}-5 t i 1-4- est( 'Du(.7-ki,2.te. e=1,-) b (t
4L-L �L-GT2-t G s iL[f s 1 S f M f �--T P o M P 177-1+Lt+ 41,(--
P GI G7 Ci-D6(2...1� , 7-6 Tip)-L_ 6 F- ($) 5"I L./T-5 yS 7 f 5
PROJECT NAME(Name of Business or Owner Last Name) Tk 4V 15 A • 6--116-Nig--2 ArrDf A)EY A-T G Ict60
IN PEOPLE INFORMATION
PROPERTY NAME t PRIMARY PHONE
OWNER �AVLS A . 6A-cd (pie ( )
MAILING ADDRESS , CITY.STATE,ZIP E-MAIL ADDRESS
5' s"o 7 60:-i - AOC 5", tgt-i fa wily, tAJA.q e.00 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ILL)Etk4n)t1 SIBS . u -c Cit I(S fit'&-A4 A) ( 33) 537 -06. --
MAILING ADDRESS E. CITY,STATE,ZIP CELL PHONE
T.
cnYOO S OF FEDERAL LICENSE NUMBER EXPIRATION�� (2.532-n .--37,3 7
(R—IS —10687s� do--L3c_ lz-- f-v- (2S-5)531 -3%%f
copy CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
.tth " ;X*,� -/ KO 5 NI, No 21.1YrS
l- Z7-o
APPLIcT.--•'
COMPANY NAME APPLICANT NAME OFFICE PHONE
1(1.-kPrAi 113 62-05. q nc C4-a is g. -can a.0,J (-c3)S 37 - .S S`"
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
1`0.03 l(fOk.7,6, 1i9 cDN A, 0,..241, 19 (i6p (253) 377 337 8 .
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant 0 Agent ❑ Other (253)6'347 -3 (,,,/
PROJECT NAME PRIMARY PHONE �(MAIL ADDRESS •
CONTACT C-(+Rt' ILL( AmA) (2S3) 277 -Zs 3-7S �Jlt 1 �1�2'email,'�_ yn," fie--
o
LENDER NAME w Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRS �� ZSC7 3, 2S0
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT ❑
MIMING OF FLOORS 1 tac PROPOS® _ T AI w sP TOTAL PROPOSED SF Tor
"NEW HOMES ONLY" N MBER OF BEDROOMS ESTIMATED SELL G PRICE $
■ FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ 33, 97 1 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
I AIR HANDLING UNITS EVAPORATIVE COOLERS 'Z' GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commeraap
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SKIb / REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or rub/Shower Combo) LAVS(Bathroom Sinks( URINALS MISC(Describe)
DISHWASHERS • ATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS S .1WE• WATER CLOSE lb(Todd)
ELECTRIC WATER HEATERS 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 C"� /�'�(�!�- -`---- ,P, DATE (.0/ 13 /a 7
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent Contractor ❑Architect ❑ Other
❑NEW o ADDITION o ALTERATION o REPAIR 'XTENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES tO BASIC PLAN? ❑YES XCNO
ZONING DESIGNATION *1 CHANGE OF USE? ❑YES t�NO
NEW ADDRESS REQUIRED? o YES NO UP/SEPA/SU? ❑YES ANY()
PLATTED LOT? '<YES o NO DEMO PERMIT REQUIRED? ❑YES NO
Bulletin#100—April 2,2007 Page 2 of 4 k'.Handouts\Permit Application