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