07-104597t
3
City of Federal Way
Community Development Services Mechanical Permit #: 07-104597-00-M,
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: SIMS
Project Address: 32830 10TH PL SW Parcel Number: 926495 0610
Project Description: ALT - Change out (1) furnace
Owner
Add!, l� P r�
Applicant
Contractor
TONY SIMS
ADVANCED FILTER & MEIN
ADVANCED FILTER & MECH INC
32830 10TH PL SW
418 VALLEY AVE NI 5
ADVA 044RD (12/28/08)
FEDERAL WAY WA 98023
PUY W 9837
LL AVE NW UNIT B115
41ju
IL
I K
I WA 98371
'fol • i '
Mechanical Valuation............................................3303 0"K t c nt P it? ...................................... Yes
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104597 -00 -ME
Owner: TONY SIMS
Address: 32830 10TH PL SW
FEDERAL WAY, WA 98023-5214
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
1�OF
Feeral Way
INSPE
ADDRESS: 32�✓ y 'p
•
Building D;visiorb 4
33325 Eighth Avenue South
PO Box 9718
Federal Way 98063-9718
Phone 253-835-2607
Fax 253-835-2609
CTIONNOTICE
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IF YOU HAVE ANY QUESTIONS CALL cvrl (253)835-
Call
253)835-Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
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The following is required information- an incomplete application will not be accepted. Please print. legibly On" or type.
PROPERTY INFORMATION
SITE ADDRESS _ � aJ a Cali g -r7 L SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # _ _ _ _ _ _ - _ _ _ _ LOT SIZE (si
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION O ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descr)p j _Nof workilv4uded on this permit onlu)
PROJECT. NAME (Name of Business or Owner Last Namel
PROPERTY
NAME
PRIMARY PHONE
OWNER
..cam-
44; ) 6r-, _
MAILING ADDRESS14
MAILING AD
L
lrL_.WATE, ZIP
E-MAIMADDRESS
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
COMPANY NAME
CANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
MAILING ADDRESS14
, STATE, ZIP
C NE
Lbtf&c'
ArIl. alp
CITY O DERAL WAY EkMjESS LICENSE NUMBER
EXPIRATION DATE
FAX BER
CONTRACTOR'S REGISTRATION NUMB
SBP TION DATE
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( _
AMB PRIMARY PHONE E•MAILADDRESS
t_-�Sa
NAME
Per RCW 19.27.095:
Lender information is required {f project value exceeds $5,000 .
MAILING ADDRESS
CITY, STATE, ZIPPHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/RAF
RfATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
❑ YES
PROJECT •••
AREA DESCRIPTION
BASEMENT
AREAS
URINALS MISC (Describe)
DISHWASHERS
EXISTING
S . FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
FIRS--
WATER CLOSETS (roibq
ELECTRIC WATER HEATERS
SINKS
SECOND
HOSE BIBBS
SUMPS
NEW ADDREO REQUIRED?
THIRD .
UP/SEPA/SU?
o YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
o YES o NO
DEMO PERMIT REQUIRED?
o YES
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
"'MOM
TOTAL
"rassmma sr
rorurswessssr
"rAL&r
"NEW HOMES ONLY".. NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUSTBE INCLUDED WITH APPLICATION)
AIR HANDLING UMTS EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS T_ MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS Ic --- do
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
BATHTUBS jorTub/shows .combo)
LAVS pidh,...,W4
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (roibq
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
NEW ADDREO REQUIRED?
I cert{ jy wider penalty of P9dury that I am the property owner or authorized agent o the roe �
knowledge, the in formation submitted of this permit application is true and correct I c ownez will r. I cert that to the best of my
City of Aderal.Way regulations pe my the work thortse y the issuance o a ermiL I understand that theisissuan�y all applicable
l P J permit
does not remove the owner's ns ibiH gf) r eompli with 10 1, state, or federal laws regulating construction or environmental laws.
I further agree to hold less the ty of Fe !Way to any claim (including costs, kWenses, and attorneys' fees incurred in the
investigation and defense such cl which be ma b y j person, including the undersigned, and flied against the city, but only
where such claim arlset Out of the r H ce of the ty, in ding { officers and empIoyess, upon #e accuracy of the information supplied to
the city as apart of this app1
SIGNATURE:
o NEW o ADDITION
a ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES . o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDREO REQUIRED?
o YES o NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO.
Bulletin #100 = August 16, 2007 Page 2 of 4 . k\Handouts\Permit Application .