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06-105393City of Federal Way Community Development Services Mechanical Permit #• 06-105393-00ME 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: SORUM Project Address: 33724 27TH PL SW Project Description: Replace gas furnace, hot water tank & gas piping. Parcel Number: 255700 0640 Owner Applicant Contractor KIRK & MICHELLE SORUM WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO 33724 27TH PL SW (WESCO) (WESCO) FEDERAL WAY WA 98023-7712 2800 THORNDYKE AVE W WASHIES9710B (9/2/07) SEATTLE WA 98199 2800 THORNDYKE AVE W SEATTLE WA 98199 Additional Permit Information Mechanical Valuation............................................4628 Over the Counter Permit? ...................................... Yes Furnaces ......................................... 1 Water Heaters ................................ 1 Mechanical Fixtures GasPiping ...................................... 1 Plumbing Fixtures PERMIT EXPIRES Monday, October 20, 2008 Permit Issued on Friday, October 20, 2006 1 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 Owner or agent: Date: I U Q C) -� THIS CARD IS TO REMAIN ON-SITE ' CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -105393 -00 -ME Owner: KIRK & MICHELLE SORUM Address: 33724 27TH PL SW FEDERAL WAY, WA 98023-7712 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 f By Date By Date 11 / By Date 1111111,61 RECEIVED Federal Way OCT 2 0 206 PERMIT SF MF C ME EL PL DE EN FP COMMUNITY DEv"'OPMENr sERV10ES 33325 FEDERAL WAY, • 63 97ky 19 OF F °F PTUCATION FEDERAL WAY, WA 98063-9728 253-835-2607•FAX 253-835-2609 BUILDING W'1'W.ciiwlfede'W '..Mm The ollowin is uined i ormation - an incomplete application will not be accepted. Please print leqibly (in ink) or PROPERTY• • SITE ADDRESS 33724 27th Place SW SUITE/UNIT # ASSESSOR'S TAX/PARCEL # 2 5 5 7 0 0- 0 6 4 0 LOT SIZE (sf) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attadi sate ~f 1, W ft kgW d,—HpU-V TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed descriation of work included on this hermit onlu) Replace Gas to Gas Bryant 90 BTU Furnace, 8' gas piping and 50 Gallon gas water heater PROJECT NAME (Natne of Business or Owner Last Name) PROPERTY OWNER CONTRACTOR APPLICANT NAME PRIMARY PHONE Kirk Sorum 1 (253 ) 517 - 7136 MAILING ADDRESS CITY. STATE, ZIP 33724 27th PI SW Federal Way, WA 98023 COMPANY NAME APPLICANT NAME OFFICE PHONE WESCO Melissa Croda (206 ) 378 - 6608 MAILING ADDRESS CITY, STATE. ZIP CELL PHONE 2800 Thomdyke Ave W Seattle WA 98199 ( ) - CITY OF FEDERAL. WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER 2 -0-4-.3-1-0_42- -3 4 -BL 12 /31 /06 ( ) - CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE W A S H I E S 9 7 1 O B 09 /02 /07 COMPANY NAME APPLICANT NAME OFFICE PHONE Northwest Permit Inc Melissa Croda (360 ) 945 -2787 MAILING ADDRESS CITY, STATE, ZIP CELLPHONE 1345 Gulf Road Point Roberts, WA 98281 ( 206) 388 - 9357 RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant Agent ❑ Other (Describe) ( ) - CONTACT NAME PRI MARY PHONE E-MAILADDRESS Melissa Croda 1 (360 ) 945 - 2787 melissa@nwpermit.com LENDER Per RCW 19.27.095: Lender igformation Ls NAME required (f project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING USE SFR PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? _ YES NO WATER SERVICE PROVIDER ❑ LAKEHAVEN , IHGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN Li HIGHLINE ❑ PRIVATE (SEPTIC) .fi r AREA DESCRIPTION EXISTING FT. PROPOSED SQ. FT. TOTAL SQ. FT. BASEMENT n NEW ❑ ADDITION o ALTERATION o REPAIR ❑ TENANT IMPROVEMENT FIRST BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? SECOND ❑ NO ZONING DESIGNATION THIRD ❑ YES ❑ NO NEW ADDRESS REQUIRED? FOURTH UP/SEPA/SU? ❑ YES ❑ NO ADDITIONAL FLOORS (DESCRIBE) o YES o NO DEMO PERMIT REQUIRED? o YES DECK (COVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS eamr¢ro e--- tuna. mnu r.Eteiva sr TO— rnneosm er mrec sr "•NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of f>xture to be installed or relocated as part of this project. Do not include existing fUtures to remain. MECHANICAL 4628.25 Value of Mechanical Work $ AIR HANDLING UNITS _ BBQS _ BOILERS _ COMPRESSORS DUCTS BATH'TUB.S (or7Ub/Sho—rComboi DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAVS (Bathroom Si." EVAPORA'T'IVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS PIPE OUTLETS SHOWERS SINKS SUMPS URINALS VACUUM BREAKERS GAS LOGS HOODS (comm wl RANGES 1 GAS WATER HEATERS WATER CLOSETS lr ocq _ DRINKING FOUNTAINS RAINWATER SYST HOSE BIBBS ELECTRIC WATER HEATERS REFRIG. SYSTEMS WOODSTOVES MISC (Describe) MISC (Describe) I certify under penalty of perjury that the irtformation 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 irtformation supplied to the city as a part of this application. NAME/TITLE/ O` A I �Ck" X 1� DA (Signature) Olde] RELATIONSHIP TO PROJECT ❑ Owner igent ❑ Contractor o Architect ❑ Other FOR OFFICE USE ONLY n NEW ❑ ADDITION o ALTERATION o REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP/SEPA/SU? ❑ YES ❑ NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑ NO Bulletin #100 - January 1, 2006 Page 2 of 4 kiHandouts\Pernlit Application