06-105252City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: JOHNSON
Project Address: 34213 31ST AVE SW
Project Description: Install A/C unit
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Mechanical Permit #: 06 -105252 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 294451 0130
Owner
Applicant
Contractor
BRUCE D JOHNSON
JAKE SAUNDERS
COOLTEC HEATING & AC LLC
JACQUELINE L JOHNSON
COOLTEC HEATING & AC LLC
COOLTHA949D4 (3/24/08)
34213 331 ST AVE SW
10111 S TACOMA WAY SUITE D-2
10111 S TACOMA WAY SUITE D-2
FEDERAL WAY WA
LAKEWOOD WA 98499
LAKEWOOD WA 98499
98023
Additional Permit Information
Mechanical Valuation............................................5000 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Air g Units ......................... 1
IT EXPIRES Mon
irdance with the laws, rules a
and the City of Federal Way.
Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -105252 -00 -ME
Owner: BRUCE D JOHNSON
Address: 34213 31 ST AVE SW
FEDERAL WAY, WA 98023-7633
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 B*,) Date ZC
v'
c,ror RECEIVED
F'ederafflay PERMIT
C0MMUffffDEVEL0PKWSERV1CJ6CT 13 2006
33325 81w AVENUE SOUM • PO BOX 9718
PEDBRAL WAY, WA 98063-9718. P LI C AT I O N
2s3-836-2607•PAX20-13S OF FEDER
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SITE ADDRESS _J 111 I - Jl ivl
ASSESSOR'S TAX/PARCEL N
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
will not be
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KAILING(ADDRESS To � %;i1l-��
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CELL PHONE -
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Ited. Please print legibly /in ink) or type.
SUITE/UNIT ii
LOT SIZE (sj)
(ANoch eep.— page fer l V ft Aegat des-odwq -
PROJECT• •
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prouide etailed dgscription of work included on this permit only)
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PROJECT NAME (Name of Business or Owner Gast Name) . 0
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
wxt as,
con 1bidw-
CONTACT
LENDER
EXISTING USE
NAME 1 PRIMARY PHONE
JOI C AR( I VN SO (25 ) I _10
MAILING ADDRESS CITY, STATE, ZIP
Su (4S S►
COMPANY NAME
C 4 1Tec HV LLC
APPLICANT NAME
APP CANT NA E
OFFICE PHONE
(25�5s�1 -X300
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CITY, STATE, ZIP
64 A
KAILING(ADDRESS To � %;i1l-��
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STATE I �� �
CELL PHONE -
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FAX NUMBER
.
(253 ) SSM -230
CITY OF FEDERAL WAY BUSINESS LICENSE
2 CJ -o 6 - i 7 I
BER
5-B
EXPIRATIO DATE
12 / 31 /off
FAX NUMBER
(2536i?l -2303
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CONTRACTORS REGISTRATION NUMBER (copy of card required with each application)
LQaLTaA3�Ib4
EXPIRATION DATE
3/2L� /oY
COMPANY NAME
V LL(,
APPLICANT NAME
OFFICE PHONE
(Z53) Sq -23QD
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MAILING ADDRESS
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CITY, STATE, ZIP
64 A
CELL PHONE
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RELATIONSHIP TO PROJECT v
FAX NUMBER
❑ Architect 0. Tenant ❑ Agent ❑ Other (Describe)
(253 ) SSM -230
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
MAILING ADDRESS CITY, STATE, ZIP PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . 11 HIGHLINE ❑ PRIVATE (SEPTIC)
N
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
wrruo rsoroeso Toru
NUMBER OF FLOORS
"NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
each type of fixture to be installed or relocated as part of this project. Do not include existing furfures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or tub/Shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS pehroom Sinks)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (commerciol)
RANGES
GAS WATER HEATERS
WATER CLOSETS (Po&q _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certgy under penalty of perjury that the Wormation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised 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 maq bemade by any person, including the undersigned, and flied against the City of Federal Way, but only where such claim
arises out of the relic of the city, including its officers and employees, upon the accuracy of the it4/orneation supplied to the city as a part of
this application.
NAME/TI --qW DATE
gna u (Title)
RELATIONSHIP TO P OJECT ❑ Owner ❑ Agent to Contractor O Architect ❑ Other
Bulletin #100 — January 1, 2006 Page 2 of 4 k\Handouts\Pennit Application