08-101889*City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Mechanical Permit #: 08 -101889 -00 -ME
Project Name: MENARD
Project Address: 32109 33RD AVE SW
Project Description: Installation of 3/4 ton air conditioner.
Inspection Request Line: (253) 835-3050
Parcel Number: 873190 0650
Owner
Applicant
Contractor
MARY F MENARD
AIRE PRO INC.
AIRE PRO INC.
32109 33RD AVE SW
2921 MERIDIAN AVE E
AIREPI*032RU (3/18/08)
FEDERAL WAY WA 98023-2275
EDGEWOOD WA 98371
2921 MERIDIAN AVE E
EDGEWOOD WA 98371
Additional Permit Information
Mechanical Valuation............................................2530.24 Over the Counter Permit? ... ................................... Yes
Mechanical Fixtures
Compressors ................................... 1
PERMIT EXPIRES Wednesday, April 21, 2010
Permit Issued on Monday, April 21, 2008
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:
THIS CARD IS TO TWAIN ON-SITE -
CITY OF rommunity Development Inspecti
on Record'
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08 -101889 -00 -ME
Owner: MARY F MENARD
Address: 32109 33RD AVE SW
FEDERAL WAY, WA 98023-2275
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
a
By Date By Date By �Date�/z
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEI D
Federal Way PERMIT
COMMUMTY DEVELOPMENT SER VICESA P R 2! 20 Q 8
33375 D AVENUE SOUTH • 63 BOX 9718 APPLICATION
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FEDERAL WAY, WA 98063.9718
753-835-7607• FAX 753-835-7609 '• FEDERAL A
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SF MF CO gE -EL PL DE EN FP
The following is required 4 function -an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY•- •
SITE ADDRESS
ASSESSOR'S TAX/PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for tengfhg legal de iptian)
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING AMECHANICAL
SUITE/UNIT M
LOT SIZE (sj)
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
PROJECT NAME (Name of Business or Owner Last Name) /'' C /✓L /, d
PEOPLE• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAM
PHONE
`` /tPRIIMARY
.y
MAILING ADDRESS -
> /tr" i� t� �G i,. 7
CITY, STATE, ZIP/
�G.ac-
I'.�I/a.I �L31
E-MAIL ADDRESS
iC
K'�'t
NAME
COMPANY NAS `j i
ity� ! �lJ r'
APPLICANT NAME
�QJ Sri oS
OFFICE PHONE
(2i-Ae' ;_ -
MAILING ADDRESS �J /
�Yl cl�C'1/•�,:✓tvC -
CITY, ?TATE, ZIP ^
i ��c11C �� �64'�I
CELL PHONE
FAX NUMRRR
CITY OF FEDERAL ^"" nncrnlRRS LICENSE r;J9F' , EXPIRATION DATE
FAX NUMBER
3 ) -A
1 -?11,3, r�/'�
NAME
CO TF CTOR'S f $ TION KUMZR
P,BPIRATION DATL
E-MAIL ADDRESS
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
COMPANY NAME,
APPLICANT NAME
OFFICE PHONE
AILING ADDRESS
e
I � r d� �...- ✓kyr
CITY, STATE, ZIP
�.
Crf - �r,.�c�t L`�� Y,
CELL PHONE
3 _
RELATIONSHIP TO PROJECT _
❑ Architect ❑ Tenant ❑ Agent *Other
FAX NUMBER
3 ) -A
NAME
PRIMARY PHONE
TE -MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE $
PROPOSED USE
VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
❑ YES ❑ NO
BASIC PLAN?
❑ YES
FIRST
ZONING DESIGNATION
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
CHANGE OF USE?
UP/SEPA/SU?
SECOND
❑ NO
❑ NO
PLATTED LOT?
❑ YES ❑ NO
THIRD
❑ YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
PROPOSED
TOTAL.
TOTAL EdfSTLNO ST
TOTAL PROPOSED ST
TOTAL ST
•'NEW HOMES ONLY • UMBER 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.
MECHANIC 4L
Value of Mechanical Mork $ �G_ `L (ACOP OF BID OR ESTIMATE MUST BE INCLUDED WITHAPPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS Lor Tub/shower combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Buhr... sink.)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (commercia4
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (Toilet'
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(fy that to the best of my
knowledge, the Wormation submitted in support of this permit application is true and correct. I cert(fy 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 apart of this application.
SIGNATURE:
I" .
Owner and/or Authorized Agent
❑ NEW ❑ ADDITION
o ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
CHANGE OF USE?
UP/SEPA/SU?
❑ YES
❑ YES
❑ NO
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100—January 1, 2008 Page 2 of k1landouts\Permit Application