06-104147City of Federal Way
Communio Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: MELIN
Mechanical Permit #: 06 -104147 -00 -ME
Project Address: 31722 49TH LN SW Unit 5-A
Inspection Request Line: (253) 835-3050
Project Description: Install New Air Conditioning System to Existing Gas Furnace
Parcel Number: 864800 0130
Owner
Applicant
Contractor
SHIRLEY JO MELIN
HERITAGE ENTERPRISES INC
HERITAGE ENTERPRISES INC
31722 49TH LN SW #A
9001 PACIFIC AVE
HERITEI969M6 (7/26/08)
FEDERAL WAY WA
TACOMA WA 98444
9001 PACIFIC AVE
98023-2087
TACOMA WA 98444
Additional Permit )"formation
Mechanical Valuation............................................3622
Mechanical Fixtures
✓e described property and
the State of Washington
a
sr �
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -104147 -00 -ME
Owner: SHIRLEY JO MELIN
Address: 31722 49TH LN SW Unit 5-A
FEDERAL WAY, WA 98001-3702
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) P Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By Date
Y RECEIVED BY RECEIVEDor Vwft�Q � D
" �� UNITY DEVELOPMENT DEPARTMENT _ ( �-1-1-7
' Federal way AUG 2 1 Z006 PERMIT aur 21200s — — — — — — —
COMMUNITY DEVELOPMENT SERVICES
SF MF CO E�L PL DE EN FP
33325 U AVENUE SOUTH • BOX 9718 'I
FEDERAL WAY, O 9806363 -9718 E D E RAL Y
253-835-2607• FAX 253-835-2609 AP P LI C AJ W D E PT
www.cituoffederalwau.com
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS / / r �� ' SUITE/UNIT #_
ASSESSOR'S TAX/PARCEL # LOT SIZE (sn
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate pagelw lengthy legal description)
PROJECT IN• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING//CHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ��ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT it L# -w lY J•�ECT ESCRIPTION (Provide detailed description of work included on this I'Mit o
- 1 J,
n --AI 1 a co A)-� a`y.l`^ LS( .0
h.. / e-.)( {
PROJECT NAME (Name of Business or Owner Last Name) / - t e I )'n
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME%j / PRIMARY PHONE
MAILING ADDRESS CITY, ST)TE, ZIP
COMPANY NAME
CA-4'
OFFICE PHONE
( )
APPLICANT NAME
l 1
OFFICE PHONE
(�s �) �a�2 -2Z
MAILING ADDRESS
Ire
zva .
RELATIONSHIP TO PROJECT
MAILING ADDRESS
o*i' Ac1 �2
Lr
Crr . STATE, ZIP
�� y� 98
CELL PHONE
(zs3)3-27-97-0
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
(
EXPIRATION DATE
73
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
COMPANY NAME � /'
APPLICANT NAME
OFFICE PHONE
( )
4?A, 4 0J° & 0 n-410 J
PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( ) -
PRIMARY PHONE E -MAI. ADDRESS
Per RCW 19.27.095: Lender btformation is
required (f project value exceeds $5.000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE $
PROPOSED USE
VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKERAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
E%ISTING
SQ.FT.
PROPOSED
S . FT.
TOTAL
89. FT.
BASEMENT
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
FIRST
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
o YES
SECOND
ZONING DESIGNATION
CHANGE OF USE?
THIRD
o NO
NEW ADDRESS REQUIRED? ❑ YES o NO
UP/SEPA/SU?
FOURTH
o NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
M" Mn
)'soros»
TOTS,
WrA.es>e TMOF
mw,r ®
ror"M
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
CAL
Value Mechanical Work $_ ;3�
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub/Shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Sinks)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (Commercial)
RANGES
GAS WATER HEATERS
WATER CLOSETS rrollet) _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that the t>!{Jormation 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 Plederal 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, andJiled against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its offwers and employees, upon the accuracy of the igformation supplied to the city as a part of
this application. NAME/TITLE le� DATE ✓� O
(Signa ure) (TIUe)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent gntractor ❑ Architect ❑ Other
"R
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
o YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
o NO
NEW ADDRESS REQUIRED? ❑ YES o NO
UP/SEPA/SU?
❑ YES
o NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 —January 1, 2006 Page 2 of 4 k\Handouts\Permit Application