08-101556 4111 —
City of Federal Way •
�
Community Development Services Mechanical Permit : 08-101556-00-ME
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: WELLS
Project Address: 2640 SW 320TH PL Parcel Number: 873190 0120
Project Description: Gas furnace change out
Owner Applicant Contractor
NORMAN R WELLS AIR COMFORT ZONE INC AIR COMFORT ZONE INC
2640 SW 320TH PL 20825 SR 410#SUITE 320 AIRCOCZ954DB(3/02/09)
FEDERAL WAY WA 98023-2268 BONNEY LAKE WA 98391 20825 SR 410#SUITE 320
BONNEY LAKE WA 98391
Additional Permit Information
Mechanical Valuation 5721 Over the Counter Permit? Yes
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES Thursday, April 1, 2010
Permit Issued on Tuesday,April 1, 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 FederalWay.
Owner or agent: Date: t ll /65
• THIS CARD IS TO VAIN ON-SITE
CITY OF " Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-101556-00-ME
Owner: NORMAN R WELLS
Address: 2640 SW 320TH PL
FEDERAL WAY, WA 98023-2268
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE TIIIS 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 717-1---- Date 7/ U
•
•
• For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
•
CITY ARECE /ED 0 ' - ( D C 5 (to
Federal Way APR 01 2008 PERMIT
COMMUSF MF CO a EL PL DE EN FP
MIY DEVELOPMENT SERVICES
33325 D AVENUE LWAY,SOUTH•63 BOX971 9718 p AT I O N
FEDERAL WAY,WA 98063-9718 ID
253-835-2607•FAX 253-83 41"k O F FED L
ruuu.cit4o/%demlway.eui6 �
The following is required info n-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION -
SITE ADDRESS .2(040. SW 32-o 0 L - rftk4 IAA 1 9 b C' 3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ,,_- 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 12/MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlii)
rikinAlite Cki1 /Y ,.e_ et .
PROJECT NAME(Name of Business or Owner Last Name) \M F LL S
al PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE 1
OWNER 11C'iVL°A V1 L4 L (. S -)(i.'(r-( -174 /
MAILING ADDRESS CITY,STATE, IP E-MAIL ADDRESS
.3 04 0 mow' 31e, t)lr (-e `Z 3(4,2;
CONTRACTOR CO�MPANY NAME APPLICANT NAME OFFICE PHONE
/4irCCNU 7 . :. .j,11. : VilittA-2.,— (? ) CI - OfrAa
MAILING ADDRESS QITY,STATE,ZIP CELL PHONE
34 P 00 Vett Lbille, 9 cz-ie l ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
(2537) gki- -oa'b
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATEE-MAIL ADDRESS
A'AfCY `-Z-=iSq t> " C31 c; /2407 J 44 tt,;(1_61446
i'6�26t.e cw
r
t
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant o Agent 0 Other ( )
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
l i )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of facture to be ins$led or relocated cjs part of this project. Do not include existing fixtures to remain.
MECHANICAL � 5/2-)
Value of Mechanical Won �7 1�4q 3',«�r (A COPY OF BID OR ES IMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS V FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathrooms ) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Tou,t
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: j DATE j t ( /c•
Property Owner and/or Authorized Agent
_ ....._ . ......_...._
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑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? ❑YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application