08-102110 •City of Federal Way t ''
Community Development Services Mechanical Permit": 08-102110-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Re. - Line: (253) 835-3050
Project Name: PHAM
Project Address: 31830 12TH PL SW P. - umb 416796 0240
Project Description: Replace gas furnace with new.
Owner Applicant Con 1c
MYLE T PHAM AIR COMFORT ZONE A • I IvONE INC
31830 12TH PL SW 20825 SR 410#SUITE ( '.'954DB(3/02/09)
FEDERAL WAY WA BONN LAKE WA 98 21 S' 410#SUITE 320
98023-4736 el BO EY LAKE WA 98391
1?chiritiOilai it r .\
Mechanical Valuation t461h kunter Permit? Yes
anical Fixtures
Furnace
PE- EXPIRES Tuesday, October 28, 2008
Permit Issued on Thursday, May 1, 2008
I h- a t urtify th e above information is correct and that the construction on the above described property and
th= upancy a e use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner agent: i Date: til ( l c b
THIS CARD IS TREMAIN ON-SITE
CITY OF "" • " •Community Develops Yent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-102110-00-ME
Owner: MYLE T PHAM
Address: 31830 12TH PL SW
FEDERAL WAY, WA 98023-4736
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
y�
By Date By Date By ,2 "�' Date$/) Ofi
L5-1 2, .
•
•
•
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
KtLtiV t13
CITY OF�� '._..
FederalWay MAY'008P • y - •� UZ1 !
COMMUNITY DEVELOPMENT SERVICES E R M I 6_4SF MF CO EL PL DE EN FP
33325 8TH AVENUE SOUTH•PO BOX 971 O F FED
®��p�v A T I O N �'
FEDERAL WAY,WA 98063-9718 r (((yyy... TD
253-835-2607•FAX 253-835-2609 D n'(1 / /
www.cituol%dem,wau.corn �1W
The following is required information-an incomplete application will not be accepted. Please print leegibly(in ink)or type.
1111 PROPERTY INFORMATION
SITE ADDRESS_3 1 3U l Zlvk1 5_.k F'cc,e-tot "'4• ` T'' a L4• ?�' �z,
47 3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# .,__- __ —_ LOT SIZE(sj
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
NI PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 91IECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlq)
tit Y"nYtfie___ (,I,tt,,:,Lu",, cti f.
PROJECT NAME(Name of Business or Owner Last Name) V UX- , "
• PEOPLE INFORMATION
PROPERTY NAME
�
• PRIMARY PHONE
y
OWNER 1 ' 14 i•e_ p14 q Vk ( Ls 3) SAc j-4-i4;C,2-
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
3\`�30 P2r-t PL .sit to ,' l ,.At.4-9t =�
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE
r9I•V'' -,NA� Le-t.-.04(-- (2 c 3)PHONE
CIcG(e)-- - C'S'C
C STATE,ZIP
�� �� CELL PHONE2LUI;2ALOC L 3 2c; t
CITY,
balk4- y%-,r/
( ) _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2O -6*-, - /OZS$ii -t�v-3L / -1- 131lc'£- ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
/ r;V-cOC:21i 5-(11)12, 03/ CZ/O2.
APPLICANT COMPANY NAME ) APPLICANT NAME OFFICE PHONE
mo''`t' ' ( )
MAILING A RE S CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
0 Architect ❑Tenant o Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE
�• E-MAIL ADDRESS
CONTACT ( r„ /4-c �1 ( ) -
LENDER NAME �'`�
Per ROW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) _
NI DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE GG
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 2-,G
V. ••V
ct
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 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 ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING ST TOTAL PROPOSED SF TOTAL SF
**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 c
Value of Mechanical Work$ 26 v A 7 (A COPY OF BID OR ESTIMATE 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 FURNACES C: 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 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: lcis.A.A.IA ( DATE \
Property Owner and/or Authorized Agent
t {u$
) ,(p) 1,q
1,q
❑NEW ❑ADDITION n ALTERATION ❑ REPAIR n TENANT IMPROVEMENT
BUILDING SHELL ONLY? n YES ❑NO BASIC PLAN? ❑YES a NO
ZONING DESIGNATION CHANGE OF USE? n YES o NO
NEW ADDRESS REQUIRED? n YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? n YES n NO DEMO PERMIT REQUIRED? ❑YES n NO
Bulletin#100—January 1,2008 Page 2 of 4 k\l-Iandouts\Permit Application