04-102860City of Federal Way
&nnnunity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: JUCHMES Q\
Project Address: 32218 45TH SW
1a
Mechanical Permit #: 04 -102860 - 00 - ME
Project Description: Add heat pump to existing forced air heating system.
Inspection request line: 253.835.3050
Parcel Number: 873202 0360
Owner
Applicant
Contractor
James H Juchmes & Marcia Juchmes
AIR SUPPLY SYSTEMS INC
AIR SUPPLY SYSTEMS INC
32218 45TH PL SW
P.O. BOX 331
P.O. BOX 331
FEDERAL WAY WA
BUCKLEY WA 98321
BUCKLEY WA 98321
98023-2410
(360)829-5384
Mechanical Valuation..........................................4816 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quantity I Description Quantity Description _1Quantity
Furnaces
PERMIT EXPIRES January 16, 2005.
Permit issued on July 20, 2004
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: in al -7 a, --'M wAty l -i
Date: 7 O — D L{
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection kecgrd
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04 -102860 -00 -ME
Owner: JAMES H JUCHMES
Address: 32218 45TH PL SW
FEDERAL WAY, WA 98023-2410
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 L�Lt'
CITY Of
` RECEIVED .
Federal way PERMIT
cr%vmuMIY DEVELOPMEM'SERVICES
33530 FIRST WAY SOU7N • POBOX 9718 J �. 2 °AP P L I C AT I O N
FEDERAL WAY, WA 98066 3-9718
2536614115• FAX 2536614129
WWW.d[uoffedenaltuau mm
CITY OF FEDERAL WAY
The foilouring is requireoNr%�oYmtt&W-f 1h incomplete application will not be
L )Y - -o'-- .0
SF MF CO E L PL DE EN FP
Please
SITE ADDRESS I tS 1'%S r� p L SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # _ - LOT SIZE (s�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
or
(Attach separate page for leV by legd de ipdo )
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING WIkECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only
CA H eu f P u w, o t O 2 x t`S4 I n u Fv rCr,1 c0 v- H ra if bj s y kg ki
�t
PROJECT NAME (Name of Business or Owner Last Name) ) (,Lc h rYl e 5
PEOPLEi • - •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAM t rn PRIMARY PHONE
S tc_�h rv, e5 (Z3) 3 - 40 (S
MAILING ADDRESS CITY, STATE, ZIP
3 a I S f� p 5 W F dPrtt( V4, CA LIV14 9 80.7
COMPANY NAME APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
FrSu 1 fcwl5 l L *4Ar(L id;.,
(360) Sag
- 6-38 y -
MAILING ADDRESS CITY, STATE, ZIP
fro r3ox 33j 6 "e-Wi w4 Q'33 ?I
CELLPHONE
(-3 )33a
-aaa
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
------ - -----BL
(360)Ta9-s3�
CONTRACTORS REGISTRATIONNUMBER(copy o[ card required with each application)
EXPIRATION
DATE
4 r s u s 1 4 7 7 t3 �-
/ l ►3
/aoaS
NAME PRIMARY PHONE E-MAIL ADDRESS
arr- d; _ (;DSS) 3.?44
Per RCW 19.27.095: Lender,informaiion is
required fprofect'value exceeds $5,000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
EXISTING ASSESSED/APPRAISED VALUE $
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS -
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FANS
HOODS (Commercial)
WOODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (Describe)
SECOND
FURNACES
GAS WATER HEATERS
CHANGE OF USE?
THIRD
GAS PIPE OUTLETS
NEW ADDRESS REQUIRED? o YES o NO
UP/SEPA/SU?
FOURTH
❑ NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
ADDITIONAL FLOORS (DESCRIBE)
o NO
DECK(COVERED?)
GARAGE/CARPORT
-
HOW MANY FLOORS?
TOTAL EXWTLRG
TOTAL. PROPOSED
TOTAL EXISTING AND PROPOSED
**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.
MECHANICAL Lt OlL
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
ggQS
FANS
HOODS (Commercial)
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
CHANGE OF USE?
DUCTS
GAS PIPE OUTLETS
NEW ADDRESS REQUIRED? o YES o NO
UP/SEPA/SU?
PLUMBING
BATHTUBS (or Tub/Shower Combo) SHOWERS WATER CLOSETS (Toaeq MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS (Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
1 certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, 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.
NAME/TITLE DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ti5ontractor ❑ Architect Cl Other_
%-;;Lo-oL-1
FOR OFFICE USE ONLY
o NEW o ADDITION
❑ ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO
BASIC PLAN?
o YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
o NO
NEW ADDRESS REQUIRED? o YES o NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
❑ YES
o NO
Bulletin # 100 - March 30, 2004 Page 2 of 4 k\Handouts - Revised\Permit Application
REGISTERED. AS PROTv`�LDED B' LAW. AS
• CQTTST
"CON'. SPF gl4T� 'FY « .
a;, REGIS # EXP DATL
CCAFCG AIRSUSI977BL 01/13%2045:
EFFECTIVE DATE 01/13%2003
AIR.;SUPPLY SYSTEMS INC
PO BOX' 331
BUCKLEY �W�A; '98321. :.
RECEIVED
JUL 2 0 2004
CITY OF FEDERAL
AY
BUILDING DEPT,