04-102992City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:04 - 102992 - 00 - ME
Inspection request line: 253.835.3050
Project Name: FRENK Q\
Project Address: 31014 39TH SW Parcel Number: 758200 0040
Project Description: Replacing existing electric furnace with new heat pump air handler and condensor, reconnecting to
existing duct work.
Owner
Applicant
Contractor
Joel William Frenk
WEST SEATTLE FRNC SALES CO INC
WEST SEATTLE FRNC SALES CO INC
31014 39TH PL SW
4619 37TH AVE SW
4619 37TH AVE SW
FEDERAL WAY WA
SEATTLE WA 98126-2719
SEATTLE WA 98126-2719
98023-2179
1 (206) 935-5454
Mechanical Valuation..........................................8700 Over the Counter Permit...................................... Yes
Mechanical Fixtures
Description Quantity Description �Quanti Description j;Quanti
Air Handling UnitsI Compressors
��,
PERMIT EXPIRES January 24, 2005.
Permit issued on July 28, 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: Date:
F
13
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OF
Feeral way PERMIT
COMMUNITY DEVELOPMENTSERVI(UL
33530 FIRST WAY SOUTH • PO BOX 97] 8 AIA P P L I C A T I O N
FEDERAL WAY, WA 98063-97]8
253-661-4115•FAX253-6}l�} A? OF FEDER
uru�w.cituo(federalwau: BUILDING DEP r -
The
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-an incomplete application will not be accepted. Please
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SITE ADDRESS , ( ! q 2 -1
ASSESSOR'S TAX/PARCEL # ( o— 0— -
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT• •
SUITE/UNIT #
LOT SIZE (sfl
or
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING K MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
12 I,'s,%J 1'e.L�l� ca.Gzc i=L�. ./!J[/ t� �r7✓ //� �LesrlEi�IOZ /!f}7R✓/JL s -fl
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PROJECT NAME (Name of Business or Owner Last Name) Li "i -_ ,
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME
APPLICANT NAME
1
PRIMARY PHONE
MAILING ADDRESS
CITY, STATE, ZIP
(2-6(, )
1 a Tq d9c 1. Act,
tv
CELL PHONE
t%- 3 7 � .T.,)
_
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
'
(2 /4 -g6?
S?�Cc�'
MAILING ADDRESS
CITY STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
/ l
(21 (. )x_31 p6? 3
_-B
L
C%O(N/TRACT,ORRS./'REGISTRATIONN�UM,/BER )copy of card required
with each application)
EXPIRATION DATE
"" L J� � Sift-
-z_"y / a
COMPANY NAMESS
APPLICANT NAME
1
OFFICE PHONE
J�i�Z
(2-6(, )
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
t%- 3 7 � .T.,)
_
)S7 - /35
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
(2 /4 -g6?
NA10 T PRIMARY PHONE E-MAIL ADDRESS
Per RCW 19.27.095: Lender information is
required if project value exceeds $5,000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PRGPOSED/REQUIRED? ❑ YES o NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
SUMPS
WASHING MACHINES
URINALS
FIRST
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
SECOND
FANS
HOODS )commerde)
WOODSTOVES
THIRD
FIREPLACE INSERTS
RANGES
MISC (Describe)
FOURTH
FURNACES
GAS WATER HEATERS
o NO
ADDITIONAL FLOORS (DESCRIBE)
GAS PIPE OUTLETS
DEMO PERMIT REQUIRED?
o YES
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL zzlefGlo
71&7'A1 PROPOSED
TOTAL EXW= Atm PROPOS®
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
SHOWERS
DISHWASHERS
SINKS
Value of Mechanical Work
SUMPS
WASHING MACHINES
URINALS
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS )commerde)
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
o NO
DUCTS
GAS PIPE OUTLETS
DEMO PERMIT REQUIRED?
o YES
BATHTUBS )or Tub/ Shower combo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (Bathroom Sinks)
VACUUM BREAKERS
WATER CLOSETS (Toilet) MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I 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 oft city, including its offic rs and a loyees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TIT DATE > d L
'nature) (71t1e)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent IRIContractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
is NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ONO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES ❑ NO
UP/SEPA/SU?
n YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 — March 30, 2004 Page 2 of 4 k\Handouts — Revised\Permit Application