08-101082 ill
City of Federal Way Mechanical Permit #48-101082-00-ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 7.36°5 Inspection Request Line: (253) 835-3050
Project Name: ACKERMAN
Project Address: 4224 SW 314TH PL Parcel Number: 873199 0530
Project Description: Replace electric furnace.
Owner Applicant Contractor
CHARLES&SUSAN ACKERMAN CHARLES&SUSAN ACKERMAN INDOOR COMFORT SYSTEMS INC
4224 SW 314TH PL 4224 SW 314TH PL INDOOCS132OH(9/20/08)
FEDERAL WAY WA 98023-2150 FEDERAL WAY WA 98023-2150 118 VIOLET MEADOWS S ST
TACOMA WA 98444
Additional Permit Information
Mechanical Valuation 1500 Over the Counter Permit? Yes
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES Wednesday, March 3, 2010
Permit Issued on Monday, March 3, 2008
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: atjk, Date: 3/3/I d
PA,
11.)
THIS CARD IS T EMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-101082-00-ME
Owner: CHARLES & SUSAN ACKERMAN
Address: 4224 SW 314TH PL
FEDERAL WAY, WA 98023-2150
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 -
For inspector reference only _
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
�ttrof A ,..,, ... / 01_ 6)
O 1_ �_ t
Federal Way----
COMMUNITY
lay! :C El V PERMIT
SF MF CO SME LPL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 .8 AVENUE SOFAX
TH25 uPc BOX 97 0AR 200 P P L I C AT I O N - --�
FEDERAL WAY,WA 98063-9718
TD /
253-835-2607•FAX 253.835.2609
www aluoiTedemluxiu,cam
The folk:wit-PO ilafarrscEllytemq.n-an incomplete application will not be accepted. Please print legibly(in ink)or type.
'
l• PROPERTY INFORMATION
SITE ADDRESS_I/'Ya`1/ nil 3( 4 7; PLACE) F1 l)N R f3i L GWAY) �f,),70„1,3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL it 7 - `5 3_0 LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION -
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
RCtlt..14...E exl STIA,(r ��Ec..TR:1(-41.- FU k .)ALE k,itictt iv&S 1N5ittL D /Vcvr, 1977
u:l Tt-) A ,Vc L.) /V , )y Al`L
PROJECT NAME(Name of Business or Owner Last Name) ACREANIA N
U PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER c 1-h tt.i✓5 E. ACI<l=A \Al Ns 727 - c.'3'.
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
y.Zy sw 31 ti17-4 PLA LE Fet)ct4L rt.),4Y WA 910-3 CALKEAiy e0 -,co..,
CONTRACTOR COMPANY NA APPUCANT NAME OFFICE PHONE
</C/. .v4+C.,`u.�-�~-,t ( J7) `3 7 -1 tlL`f
MAILING ADDRESS STATE,ZIP CELL PHONE
// f' t,..,/ , te.1 r"0"..-os.-.,2e C.) ,7- ,....0,, ( 7>`7 ) -2, 77_ P72 )
CITY FEDERAL WAY BUSINESS LICENSE NUMpER EXPIRATION DATE FAX NUMBER
r t C . . ' t `` ( ) - ?/3
CONT CTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
7"WfJ /4
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
229 !:,L,s; 3 t L( rli PLAu= i-t )eez# L tA,is y Gu ti- ie ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect A Tenant 0 Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT /ICI<t=;ZIvteIt.1 (1;3 ) 4/27.. - e .3 C AL.KEI:I .4 L rtvi... C.. ;-b
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILINO ADDRESS CITY,STATE,ZIP PHONE
(
( ) _
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
P J�..r.:C—
Eri T I'LC}C3RARCr1S ..
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQSQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED
N.
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EX/STING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED Sr TOTAL SF
*NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SEL NG 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 allp
Value of Mechanical Work$ /50(- c Q COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
(_
d AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(comm rcian
COMPRESSORS 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 gone)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
• SIGNATURE •
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 of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this application.
SIGNATURE: ClirtA/t4- 4GLAA,v1.iii' DATE 3/"3/0
Property ner and/or Authorized Agent
1_ 2C
t
o NEW ❑ADDITION ❑ALTERATION a REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES ❑NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January I,2008 Page 2 of 4 k\Handouts\Permit Application