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06-103373% n City of Federal Way community Development Services Mechanical Permit #: 06 -103373 -00 -ME P.O. Box 9718 Federal Way, WA 98063-9718 ' 4 Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050 Project Name: CLAXTON Project Address: 30218 29TH AVE S Project Description: Replace Furnace and Water Heater Parcel Number: 798380 0310 Owner Applicant Contractor VALENCIA CLAXTON PERFORMANCE HEATING & A/C INC PERFORMANCE HEATING & A/C INC PANSY CLAXTON 7649 S 180TH ST PERFOHA15ORT 4/29/07 30218 29TH AVE S KENT WA 98032 7649 S 180TH ST FEDERAL WAY WA KENT WA 98032 98003-4864 Additional Permit Information Mechanical Valuation............................................5212 Over the Counter Permit? ...................................... Yes I 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 ate of Washington (Ind the City of Federal Way. Owner or agent: Date:12 L il p " THIS CARD IS TO REMAIN ON-SITE MY OF Community Development Inspection Record' Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -103373 -00 -ME Owner: VALENCIA CLAXTON Address: 30218 29TH AVE S FEDERAL WAY, WA 98003-4864 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 l Approved C (/. By Date By Date ByV Date 7e- 27 Z L3 -L& L-`> arraf..:. RECEIVED Federal way PERMIT 3332srMEDNUEEV!pr j% 10 2006: FEDEP4L WAY, WA 98063.9718 P P LI C AT I O N 253.8354607• FAX 2 wwru.cit�gQederatw F FEDERAL A UILDING DEPT. The following is required information - an incomplete application will not be SF MF CO (9>L PL DE EN FP ,ted. Please print legibly (in in1W or tune. SITE ADDRESS 3o7,1 -Z -[ T 4,-,— S SUITE/UNIT # ASSESSOR'S TAX/PARCEL # -1 -2� -'S- 3-71 ! - Q 3 ( v LOT SIZE (sfi LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) 11 S 'T L E (_ L_ L— U (_ G !A -1--t-Mefa AmaNt koW aV -• •- • TYPE OF PERMIT ❑ BUILDING PLUMBING MECHANICAL - ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this Hermit onlu) PROJECT NAME (Name of Business or Owner Last Name) PEOPLE•- • PROPERTY NAME V / C^PRIMARY PHONE OWNER a- t't..G C E0,Q L --(Z ) qn A q l CONTRACTOR APPLICANT CONTACT LENDER MAILING ADDRESS CITY, STATE, ZIP AA p 3oxiLv 2lr-Aue- S eXvm,..( w A- w A 1�� PMPANY NAME�! I t'r IY^Orw e�- i � � APPLICANT NAME C t,��eS `� OFFICE PHONE (IIZ5) MAILING ADDRESS CELL PHONE CITY, STATE, ZIP CELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE- FAX NUMBER ODH'�-B• L LZ 3l /Zc�b (�12� I ZSL - bZka CONTRACTORS REOISTRATION NUMBER feepy of end required with eaoh appiieatioa) EXPIRATION DATE _o z o COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP — CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER a Architect ❑ Tenant ❑ Agent ❑ Other (Describe) ( ) - PRIMARY PHONE E MAIL ADD ES3 ( `f Zsl Zsl --- NAME MAILING ADDRESS CITY, STATE,- EXISTING USE ��S �t�p y -c -�. PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE s_ _ LIS -4. 000 VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? a YES Lei NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES NO WATER SERVICE PROVIDER a LAKEHAVEN a HIGBZINE a TACOMA a PRIVATE (WELL) SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE 0 PRIVATE fSEPTICt • cow. NONNI PROJECT .• AREAS - AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL SO. FT. BASEMENT MISC (Describe) -� GAS WATER HEATERS FIRST MISC (Describe) DRINKING FOUNTAINS SECOND HOSE BIBBS THIRD FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS WSma PROPOSED TOTAL :. ....... .. ._ _�_....__.__.....rfl:, ..._. "Af; ¢► ,. . rj "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. Value of Mechanical Work AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS PLUMBING BATHTUBS (or71,b/Sho rCombo) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAVS p th..sw,4 EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS PIPE OUTLETS SHOWERS SINKS SUMPS URINALS VACUUM BREAKERS GAS LOGS REFRIG. SYSTEMS HOODS (c..reiaq WOODSTOVES RANGES MISC (Describe) -� GAS WATER HEATERS WATER CLOSETS (roneq MISC (Describe) DRINKING FOUNTAINS RAINWATER SYST HOSE BIBBS ELECTRIC WATER HEATERS I certify underpenalty of perjury that the Wormation 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 clainq, 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 application. _ i _ NAME/TITLE ,...6..a.,...., RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor DATE -716 ` C L, (Tical ❑ Architect ❑ Other Bulletin # 100 — January 7, 2005 Page 2 of 4 Mandouts\Permit Application RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIALANDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft2- $104.50; Each add'n 500 ftp - $33.50) ❑ 0 to 100 amp $113.50 $ 69.50 " ❑ Detached outbuilding or garage ❑ 101- 200 amp 141.00 89.00 (Inspected with service) $44.00 ❑ 201 - 400 amp 264.50 104.00 ❑ Detached outbuilding or garage ❑ 401 - 600 amp 308.00 123.50 (Inspected separately) $69.50 ❑ 601 - 800 amp 398.50 168.50 ❑ 801 - 1000 amp 486.50 203.50 NEW MULTI -FAMILY (three units or more) ❑ Over 1000 amp 530.50 283.00 Service Feeder _ ❑ Up to 200 amp $113.50 $ 33.50 ❑ Over 600 volts surcharge $89.00 ❑ 201 - 400 amp 141.00 69.50 ❑ Mast or meter repair $96.00 ❑ 401 - 600 amp 193:00 96.00 ❑ 601 - 800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 353.50 264.50 Service or Feeders ❑ 0 to 200 amp $113.50 ALTERED SINGLE/MULTI FAMILY ❑ 201 - 600 amp 264.50 13601 - 1000 amp 398.50 Service or Feeder ❑over 1000 amp 443.50 ❑ 0 to 200 amp $ 87.00 ❑ 201 - 600 amp 141.00 ❑ # of circuits to be added/altered ❑ over 600 amp 212.50 (1-5 circuits - $89.00; Addn circuits, $7.00/ea) ❑ # of circuits to be added/altered COMMERCIALANDUSTRIAL PLAN REVIEW (1-4 circuits -$69.50; Add'n circuits $7.00/ea) $89.00 plus 351/o of Permit Fee ❑ Service - 1,000 amps or greater ❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility MOBILE HOMES ❑ Service or feeder only $69.50 ❑ Service and feeder $113.50 TEMPORARY SERVICE MOBILE HOME/RV PARK ResidentlaT/Multi-Family $61.00 ❑ # of service or feeders (First service/feeder-$69.50; each addh -$45.00) CommerciaVIndustrial Service or Feeder Ampacity ❑ 0 - 100 amps _ $ 69.50 ❑ 101 - 200 amps 89.00 ❑ 201 - 400 amps 104.50 ❑ 401 - 600 amps - 141.00 ❑ over 600 amps 152.50 MISCELLANEOUS SERVICE/EQUIPMENT ❑ # of Thermostats Cl # of Signs (First -$52.00; addh-$16.00/ea) (First sign -$52.00; addh sign $24.50/ea) ❑ Low Voltage ❑ Swimming pool/hot tub ................ $87.00 Square Feet to be served by system(s) (Includes additional circuit, if required) ❑ Fire Alarm system ❑ Yard Pole meter loops ..................... $104.50 ❑ Security Alarm System ❑ Additional Plan Review $104.50/hour ❑ voice cabling (for modified submittals) ❑ Data Cabling ❑ Automation Fee on all Permits $5.00 13 .. (Per System(s) lu 2500 ft1-$61.00; Each add n 2500 ft2-16.00) ' PL -r WAC 29646-910(S*b/(i & iQ Bulletin # 100 - January 7, 2005 Page 3 of 4 k-WandoutsTetmit Application _V& KING COUNTY HOUSING AUTHORITY HOUSING REPAIR AND WEATHERIZATION PROPOSAL 15455 65TH AVE S. STE. 100 SEATTLE, WA 98188 PHONE (206) 214-1240 FAX (206) 214-1259 Inspector: Robert Atkinson Bid Due: 3/31/2006 Job No: New Bid Name: CLAXTON, VALENCIA & PANS Phone 1: (253) 529-2499 Bid Topic: Roof Address: 30218 29TH AVE SO Phone 2: FEDERAL WAY, WA 98003 ALL WORK MUST BE DONE IN A PROFESSIONAL WORKMANLIKE MANNER, IN COMPLIANCE WITH ALL APPLICABLE CODES "SAFE WORK PRACTICES" (PRE 1978 HOMES), AND THE HOUSING AUTHORITY SET OF STANDARD SPECIFICATIONS. PERMITS, IF REQUIRED, ARE THE RESPONSIBILITY OF THE CONTRACTOR. ALL BIDS WILL INCLUDE THE REMOVAL AND DISPOSAL OF ALL DEBRIS RESULTING FROM THE WORK. THE CONTRACTOR WILL BE HELD RESPONSIBLE FOR ANY AND ALL DAMAGES CREATED DURING THE PERFORMANCE OF THIS CONTRACT. All repairs noted on the following page(s) of Specifications will be completed for the sum of ................................................ $ �?i1?—,C,0 Sub -Total House Built: 1981 FEDERAL LEAD BASED PAINT RULES FOR THE USE OF $ _� Tax i SAFE WORK PRACTICES" DO NOT APPLY TO THIS WORK. t F THE SCOPE OF WORK EXPANDS, "SAFE WORK PRACTICES" $Total ,MAY APPLY TO ADDITIONAL WORK. Any alteration or deviation from the following specifications are to be approved by the Housing Authority and noted on written Change Orders, signed by the homeowner and the contractor. Where additional or reduced charges are involved, appropriate adjustments will be made to the sum mentioned in this contract. The Contract shall consist of the following component parts: • Request for Bid for this project • This Instrument • Insurance. The Contractor certifies that his liability insurance is current and coverage will not be permitted to lapse during the period of this Agreement. • General Conditions. All parties have received and acknowledged the general conditions dated 1/11/05 • Notice To Proceed for this project • All bid documents including any drawings and specifications • Any modifications, including Change Orders, duly delivered after execution of this Contract • Any or all Contractor/ Subcontractor Contract(s) • Worker's Compensation. The Contractor certifies that his worker's compensation is current with the Washington State Dept. of Labor and Industries. KCHA reserves the right to request verification of compliance. The person signing below represents that he/she is authorized to do so for the company. Submitted By: Y (P n Submitted By: DateG" ( ature) Contractor: - •� CJ.� C, Address: �77 u,-4— 9 u � City: ` 1+Y1 ZipLf�� Phone:>1 —� ACCEPTANCE: You are HEREBY authorized to furnish all materials and labor required to complete the work mentioned in this proposal for which we agree to pay the amount mentioned in said proposal. and according to the terms thereof. Date Homeowner Pagel of Valencia & Pansy Claxton 30218 29h. Ave S Federal Way, WA 98003 253-839-1554 Gas Furnace 90 % Gas Furnace (closed -combustion) Remove existing furnace and haul away old unit. Install new closed–combustion system that draws combustion air from the outside and vents to the outside. New system to be UUAGA approved and installed in accordance with manufacturer's instructions and local codes. Heating equipment shall be sized based on building loads calculated in accordance with ACCA Manual J or approved heating and cooling calculation methodologies. Installation to include all required electrical and plumbing connections. Specify manufacturer—ro.LAk- ( Model #`Y,_I ,r) Ducts Provide properly sized supply ducts with registers to all habitable rooms. Ductwork to have accessible internal dampers located as close to supply as practical. Provide properly sized cold air return system with register. Set -back Thermostat Provide new low voltage double set -back thermostat compatible with furnace. Water/Heater Remove existing water/heater and haul away old unit. Install new energy efficient tank that is rated at .62 for 50 gallons or under and a closed–combustion system that draws combustion air from the outside and vents to the outside. New unit to be UL/AGA approved and installed in accordance with manufacturer's instructions and local codes. Installation to include all required electrical and plumbing connections. Specify manufacturer C� l� Model ('42 Contractor to coordinate hookup with Puget Sound Energy if necessary . All work to be under appropriate mechanical permit, and piping permit if required. Include permit and inspection fees in bid. Copies of signed permits to be submitted with billing. Page 1 of 1 FW; W;2-001) i,'�r.171 -- DEPARTMENT OF LABOR AND INDUSTRIE'S REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST. # EXP. DATE CCOl PERFOHA15ORT 04/29/2007 EFFECTIVE DATE 12/30/1985 PERFORMANCE HEATING & A/C INC 7649 S 180TH KENT WA 98032 State of Washington County of King I certify that this is a true and correct copy of a document in the possession of Performance Heating and Air Conditioning, Inc. as of this date. Dated: L Lq — o& (Signature) (Printed Nam My appointment expires: —0 17 Residing in Bonney Lake Wa 98390