06-104778_r
Ceity Development
nt S Mechanical Permit #: 06 -104778 -00 -ME
�[Ph:
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
(253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: TAYLOR
Project Address: 30020 26TH PL S Parcel Number: 798500 0300
Project Description: Replace GAS Furnace
Owner
Applicant
Contractor
THOMAS E TAYLOR JR
BOB'S HEATING AND AIR CONDITIONING
BOB'S HEATING AND AIR CONDITIONING
30020 26TH PL S
INC
INC
FEDERAL WAY WA
13615 NE 126TH PL #400
BOBSHHA9790B (9/2/05)
98003-4208
KIRKLAND WA 98034
13615 NE 126TH PL #400
KIRKLAND WA 98034
Additional,permit information
Mechanical Valuation............................................3000
.............................
Over the Counter Permit?......................................Yes
Mecbart ical lid, ids"
I
L1
THIS CARD IS TO REMAIN ON-SITE _F .
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-104778-00-ME
Owner: THOMAS E TAYLOR JR
Address: 30020 26TH PL S
FEDERAL WAY, WA 98003-4208
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
4
• RECEIVED BY
COMMUNITY DEVELOPMENT DEPARTMENT RECEIVED BY
COMMUNITY DEVELOPMENT DEPARTMENT
JCr 1 O LUUW SEP 2 0 2006
.' FA
Federal way RECEIVED PERMIT
COMMVA77YDEVEIAPMENT SERVICES
33325
RALWAY. A98 3528SEP 2 0 2APPLICATION
FEDERAL. WAY, WA 98063.9718
ugma.cIblofiederatway.corn
The followin_q isrii�it iQEWW&UnWAYincomvlete application will not be cu
SITE ADDRESS ^ C) 1�t C,
ASSESSOR'S TAX/PARCEL 8 7— � C - P-,--- t- % -75 C C
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
o6__/D477_8
SF MF CO,�EL PL DE EN FP
ted. Please print leaiblu fin ink) or tuoe-
SUITE/UNIT ii
LOT SIZE (sfn
Glttach separate page for Lengthy IegaL d..aOWV
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING PCMECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit only)
61
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
/CELL PHONE
t � -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
/ /
d t -C -L 0-(Lq_ -B
FAX NUMBER
( -
L
E-MAIL ADDRESS
CONTRACTOR'S REGIS7RA NMB/R (copy of Cardqwith each application) E}PDATE
—— ^ �� CP
_
c L-��—
COMPANY NAME
�y
H S cM{r�cC-rZ
APPLICANT NAME
OFFICE PHONE
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
/CELL PHONE
t � -
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
( ) -
NAME
PRIMARY PHONE
E-MAIL ADDRESS
Per RCW 19.27.095: Lender information is
required }f project value exceeds $5.000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE $
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
$EWER SERVICE PROVIDER 0 LAI:EHAVEY
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ HIGEUNE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
o NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR D TENANT IMPROVEMENT
FIRST
BUILDING SHELL ONLY?
❑ YES E NO
BASIC PLAN?
SECOND
❑ NO
ZONING DESIGNATION
THIRD
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
FOURTH
UP/SEPA/SU?
❑ YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
msrvtc
Fxoroseb
TOTAL
TorAt m8TII7O 8F
TarAL FrtOP06m sr
TarwL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ , bon • U
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS for Tub/shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAYS Bathroom Sinks)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS iCommen im)
RANGES
GAS WATER HEATERS
WATER CLOSETS (rolleL)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
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
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 japplication.
NAME/TITLE Abd 14,.xx9L2 S G"vLjd1 �L � ��j / `IJ'� I DATE I�ll��
(Signature) (('lltle) ���
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent p�Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR D TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES E NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
a YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
t
F
Bulletin #100 --January I, 2106
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Pa -e 'of 4
k\Handouts\Permit Application