06-103180City of Federal Way Mechanical Permit #• 06-103180-00-M E
Ccl�munity Development Services •
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
r
Project Name: MERRYFIELD
Project Address: 28529 10TH AVE S Parcel Number: 515296 0740
Project Description: Replacing Gas Furnace AND Installing 4 Ton Byrant Heat Pump
Owner
Applicant
Contractor
KENNETH C PETERSEN
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
MARY ELLEN PETERSEN
2800 THORNDYKE AVE W
WASHIES9710B (9/2/06)
28529 10TH AVE S
SEATTLE WA 98199
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
98003-3138
Additional Permit Information
Mechanical Valuation............................................9123 Over the Counter Permit? ...................................... Yes
Compressors..................................1. I -Do
Mechanical Fixtures
Furnaces ......................................... 1.00
PERMIT EXPIRES Sunday, December 24, 2006
Permit Issued on Tuesday, Jung 27, 21006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the se will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Z Date:
THIS CARD IS TO REMAIN ON-SITE
C11n OF 4A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -103180 -00 -ME
Owner: KENNETH C PETERSEN
Address: 28529 10TH AVE S
FEDERAL WAY, WA 98003-3138
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 (� %S
JUN -26-2006 08:29 FROM:PERMIT
4257756315 TO:12538352609 P.2
RECEIVED
anor
Fed6"W'y ,JUN 2 6 2005 PERMIT
• OOYAIU'MIYDBVBLOPLSM'SERVICB3
9932S dI-A VENUE SOUM -to HOX 9719
FEDBRALWA$ WA,
I25.1-835-2607-.PAX75343 'BUILDING DE� P L I C AT I O N
uffW,d8%W&dechny,mn
– an incomplete application wail not
SITE ADDRESS 5 0'4
ASSESSOR'S TAX/PARCEL # _ L �5_ Z - O 7
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
06^1631 8-0
SF MF CO E L PL DE EN FP
Ited. Please print legtblrf fin ink) or tape.
SUITEMNIT #
LOT SIZE (sp
(Atead a*—to ►wdd +WaW
PROJECT.-
TYPE OF PERMIT ❑ BUILDING . O PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prrovide detailed description of work included on this Dermit on(u)
PROJECT NAME (Name ojBusiness or Owner Last Name)_Aj.edUU �
CONTRACTOR
APPLICANT
CONTACT
LENDER
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADORES ^^ ,,
Y11Is
, BTAT ,
CELL PHONE'
MAILING ADD "
C , STAT P
CELL PHONE
CrrY OF FEDERAL WAY%BU/SIINNESS ENSB NUMBP DATE
BR
❑ Architect 0 Tenant ❑ Agent ❑ Other (Describe)
( _
CONTRACTORS REGISTRATION N111[BER loo ovd zegnirod vita a}oh applle.Uoa) RATION OA
COMPANY NAME L_,.
d.CO u' ��
APPIJCANT NAME r,�
OFFICE PHONE '
MAILING ADORES ^^ ,,
Y11Is
, BTAT ,
CELL PHONE'
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect 0 Tenant ❑ Agent ❑ Other (Describe)
( _
PWARYPHONE
��%� E-MAILADDRE93
N E
MAILING ADDRESS CITY, STATE, ZIP PHONF
EXISTING USE- PROPOSED USE
EBISTING ASSESSED/APPRAISED VALUE *--VALUE OF PROPOSED WORK I$_
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIOHLINE ❑ TACOMA ❑ PRIVATE (WELL)
f.aimr ADairOlrrnip nn.nnnr. .-. • - __ -_ ._.-__. _. -
JUN -26-2006 08:30 FROM:PERMIT
4257756315 TO:12538352609 P.3
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED
AIR HANDLING UNITS
BASEMENT
BBQS
SQ. FT.
TOTAL
FIRST
DUCTS j�j
OAS PIPE OUTLETS
PLEr=rJVG
SECOND
BATHTUBS to,abis�e z,cooL,t
SHOWERS
DISHWASHERS
THIRD
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES _.._
FOURTH
LAVS aOvoow&'
VACUUM BREAKERS
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL cnarm.c
TorAL raoroaw
TOTAL cuarolG Ao0 rROPo3to
••NEWHOMES ONLY" NUMBER OF BEDROOMS Full tarFn GFr r rnrr. roll Q
of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain
MECSAIVICAL
Value of Mechanical Work '
AIR HANDLING UNITS
EVAPORATIVE COOLERS
BBQS
FANS
�►--- BOILERS
COMPRESSORS;/q&jf
FIREPLACE INSERTS
FURNACES
DUCTS j�j
OAS PIPE OUTLETS
PLEr=rJVG
BATHTUBS to,abis�e z,cooL,t
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES _.._
URINALS
LAVS aOvoow&'
VACUUM BREAKERS
OAS LOGS REFRIG. SYSTEMS
HOODS (comluniai) WOODSTOVES
RANGES MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS (T-(kti MISC (Dcscribc)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I, ee'rt(fy under penalty of perjury that the information furnished by me is true and correct to cite 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 C&Eh J, which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises ocd of the reliance of the city, c ding its officers and employees, upon the accuracy of the ir(/brmation supplied to the city as apart of
this application.
NAME/TITLE DATE
(Signature) (Title)
RELATIONSHIP TO ROJECT 0 Owner Agent 0 Contractor D Architect 0 Other
0 rGW ..0 ADDI7
BUILDING SHELL ONLY?
ZONING DESIGNATION
NEW ADDRESS REQUIRE
PLATTED LOT?
o ALTERATION o REPAIR o TENANT IMPROVEMENT
o YES o NO BASIC PLAN?a YES o NO
CHANGE OF; USE? 0 YES n NO
0 YES o NOUP/SERA/SU? o YES a NO
a YES o NO DEMO PERMIT REQUIRED? 0 YES o NO
Bulletin tl 100 — March 30, 2004 Page 2 of A kUiandouts — Revised\Pcrmit Application