06-102000City of FederalWay echanical Permit #• 06 -102000 -00 -ME
Community Development
•
Services
P.O. Box 9718
• Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ZAMORA
Project Address: 37025 17TH AVE S
Project Description: Gas Furnace Replacement - 70,000 btu's
Inspection Request Line: (253) 835-3050
Parcel Number: 721266 0470
Owner
Applicant
Contractor
SAMUEL A ZAMORA
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
37025 17TH AVE S
2800 THORNDYKE AVE W
WASHIES971 OB (9/2/06)
FEDERAL WAY WA
SEATTLE WA 98199
2800 THORNDYKE AVE W
98003-7599
SEATTLE WA 98199
A
THIS CARD IS TO REMAIN ON-SITE `N
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102000 -00 -ME
Owner: SAMUEL A ZAMORA
Address: 37025 17TH AVE S
FEDERAL WAY, WA 98003-7599
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
APR -21-2006 11:37 FROM:PERMIT 4257756315 TO:12538352609 P.7
RECEIVE®
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The jolloiutrtg is •+e4utrrd ir{formation - an incomplete applies ton will not fie accepted, 1'Ieaas print Iaet6�/r (in tnlcl or type.
�� • • • •
SITE ADDRE83 7 " ` BUTTE/UNIT # .
ASSESSOR'S TAX/PARCEL # —7 2.,-- / - LOT SIZE (s])
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
FA -
PROJECT INF
A-•• • • j'
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING J>r'MECHANICAL
O DEMOLITION 13 ELECTRICAL `❑` ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed desd•(ption of work included on ibis permit mW
PROJECT NAME (Name of Business or Oumer Last Nance)
PEOPLD INrORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME' U� 1 I�CZinQY�, PRIMARY PHONE
ZRY>'!•IONE -Z SCJ
M • �S� / 1 V •C f CITY, STATE, ZIP' IV_;_
COMPANY NAME
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APPUCANT NAME
OFFICE PHONE
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CELL PHONE —
CrrY OF FEDERAL WAYBUSINESS VCHNSE NU�tMMHFR EXPIRATION DATE
FAX NUMBER
CONTRACTORS REGISTRATION NUMBER lao ear req with "Ch applicatical SKPIPA'nON OATS
COMPANY NAMEAPPLICANT
aL 4/,4p't
NAME
l
OFF! E PHONE '
) L - q?cb
MAIUNO ADDREB
STA
CELL PHONE '
RELATION3NIP TO PROJECT-
FAX NUMBER
O Architect ❑ Tenant O Agent O Other (Describe)
NAME
11� h0rnaU1f
p ARYPHONE -
—MAILADDRESS
�iYl, ����.ir'._ uC.! -. :, IBKi•n rig; �#Ai:k'� S;t�A!�%+/(t+�vB•i. ,i•, �� -- -
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EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK
8PRINKLERED BUILDING? OYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? ❑ YES O NO
WATER SERVICE PROVIDER O LAKEHAVEN O HIGH LINE D TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN . n HIGHLINE 0 PRIVATE JSPXTICI
APR -21-2006 11:37 FROM:PERMIT
4257756315 TO:12538352609 P.8
702-.r� � 7",
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
S . FT.
TOTAL
SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE 11 CARPORT 0
NUMBER OF FLOORS wasruo tnoromw torw
"NEWH01M ES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fudure to be installed or relocated as part of this project. Do not
MECIZAMCAL cc��
Value of Mechanical Work $ !i 13 t —�
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTVBS iorTMbiwwwwcemee)
DISHWASHERS
OAS PIPE OUTLETS
WASHING MACHINES
LAVS pa-"
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
OAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
to
OAS LOOS REFRIO. SYSTEMS
HOODS icemma m WOODSTOVES
RANGES M1SC (Describe)
GAS WATER HEATERS
WATER CLOSETS (reneq . MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
1 eert(fy under penalty of perjury that the information fivaishod by me is true and correct to the best of hW knowledge, and furthor, that t
am authorised 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 Federat Way as to any claim (inehiding costs, oxpsnses, and attorneys' fees incurred in the investigation and defense of
such elatmj, which may be made by dny person, including the undersignsd, and jlled against the City of Federal Wag, but only where such claim
arises out of the reliance of the city, In g its oj)Reers and on+ployees, upon the accuracy of the Information supplied to the city as apart of
this application.
NAMBITITLE DATE
PROJECT D Owner D Atent o Contractor 0 Architect c Other,