15-105275 •
10
Mechanical
Ciay
Community&EconrDeof Fedealv.Services . Permit #: 15-105275-00-ME
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: 253
Ph:(253)835-2607 Fax:(253)835-2609 p Q ( )835-3050
Project Name: CASSMAN
Project Address: 30914 5TH PLS Parcel Number: 241330 0140
Project Description: Installation of a ductless heat pump.
•
Owner Applicant Contractor
TOM CASSMAN SUNDANCE ENERGY SERVICES INC SUNDANCE ENERGY SERVICES INC
WILLIAM L CASSMAN (MECHANICAL) (MECHANICAL)
30914 5TH PLS 10228 MAIN ST SUNDAES063J9(9/12/17)
FEDERAL WAY WA 98003 BOTHELL WA 98011 10228 MAIN ST
BOTHELL WA 98011
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Compressors/Heat Pumps 1
PERMIT EXPIRES Tuesday, April 12, 2016
Permit Issued on Thursday, October 15, 2015
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:
,_/ .773j_i.
( :\1\
ts‘
f‘ P‘
.0• • THIS CARD IS TO AIN ON-SITE .
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-105275-00-ME Address: 30914 5TH PL S
Project: TONI CASSMAN FEDERAL WAY, WA 98003-4013
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 Date By NA Date i b(2a (1 S—
LI Rough ElectricalCI Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date 1 By Date
R CEIVED
arrR PERMI'MAPPLICATION
Federal Way OCT 15 2015
CITY OF FEDERAL WAY ,170/7171
CDS 7 \PERMIT NUMBER _ ST TARGET DATE
3ITE ADDRESS SUITE/UNIT#
l�//� 5�`,
L.
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# 3 � O - Q � � Q
$ Li-7�,o_oa '2— `/ — — —
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING1MECHANICAL ❑ DEMOLITION ❑ ENGINEERING El FIRE PREVENTION
NAME OF PROJECT C/SS/14A 1./
/,,SZAurA./a "A ME-I-V Au
G�LESS NrA�/U/LI,J°
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME j, PRIMARY PHONE
PROPERTY OWNER 6ta, 1--6a1./! CASCA"A/4 25 S-95//- r7 11-
MAILING
2MAILING AD 3 c 9/Y 51 N, •l_ S E-MAIL
CITY F64�L , I /J-J wSTATE ZIP it 3
LI NAME cti1,k/DAAla- G�+�/&. ,y ` -' icef PHONE ti J�i/�/^1444::
MAILING AD/DRESS /�- c E-MAIL Z s S�j���
CONTRACTOR ` 0�'-1'g / A 1 A/ 7� 5cou6 BENE'J 2 e/
CITY STATE ZIP FAX i
IgdT1'd t, WA 7$611 q2_s -Ng(-1la/va
WA 50hubA ES 6403-r9 g / 1EXPIRATIONR / r)DATE FEDERAL
-lc6�(vS LICENSE
NAME 4- PRIMARY PHONE
51,M/DA/WYE/ /v*44)/ S&ices
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT 50A/kA/Jek.— tit/€L('_7�c/1../u,ES
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 I as • part of this application.
SIGNATURE: DATE `/4 r�J+(5
PRINT NAME: 411.1 '/11/t'AN Fee,
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Pelmit Application
# i
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ q� p
a .o�
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include ting fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS 1 OTHER^� (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) byGri S
BOILERS FURNACES HOT WATER TANKS(Gas( >Nt`r wMp
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks( TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric(
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED j TOTAL FOR OFFICE USE
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f ,,,„ ,i./-- f
FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
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Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in .uare Feet .e Stories
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COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
AreaConstructionGroup(s) Construction #of Additional Information
in .uare Feet .e Stories
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TENANT AREA ONLY
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Bulletin#100—January 1,2013 Page 2 of 3 k:\I-Iandouts\Permit Application