06-105936City 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: PICOU
Project Address: 31000 39TH AVE SW
Mechanical Permit #: 06 -105936 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 758200 0110
Project Description: ALT - Gas to gas furnace change out and change existing cooling coil
Owner
Applicant
Contractor
RACHEL PICOU
DR COOL INC
DR COOL INC
31000 39TH AVE SW
PO BOX 2322
DRCOOI*024QE 03-10-2008
FEDERAL WAY WA 98023
SUMNER WA 98390
PO BOX 2322
SUMNER WA 98390
Additional Permit Information
Mechanical Valuation............................................4500 Over the Counter Permit? ...................................... Yes
THIS CARD IS TO REMAIN ON-SITE . • „
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -105936 -00 -ME
Owner: RACHEL PICOU
Address: 31000 39TH AVE SW
FEDERAL WAY, WA
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//-
nn of
F'ederafflay �cENEp PERMIT
COMMUNITY DEVELOPMENT SERVIC
33325 STM AVENUE SOUTH • PO BOX 9718 ov 16°' P L I C AT I O N
' - FEDERALWAY, WA 98063-9718
253 8352607• PAX 253-835 2609
unym.at m
A
The following is requ*vOQ Art+` ,alt incomplete application will not be
SITE ADDRESS -aP 1 &0 — U3 �
ASSESSOR'S TAX/PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
0&- 2-0 -5-23-E
SF MF CO EL PL DE EN FP
lted. Please print legibly fin inkl or tape.
SUITE/UNIT #
LOT SIZE (s])
µttah separate pVe fa lengthy (eget dex W -Q .
PROJECT• •
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING XMECHANICAL
1 ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detaile escription of work included, on this permit only)
ct ez' "-,C -L-� (-- '-- (I - 7 C..- �-'4
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
A
PRIMARY PHONE
i
MAILING ADDRESS CITY, STATE, ZIP q
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
C
ADDRESS
CITY, STATE, Z
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
❑ Architect ❑ Tenant
❑ Agent ❑ Other (Describe)
( -
CONTRACTOR'S REGISTRATION NUMBER (copy of card rogaired with each applIcatioa)
EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant
❑ Agent ❑ Other (Describe)
( -
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE o PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
WOODSTOVES
FIRST
MISC (Describe)
SECOND
THIRD
MISC (Describe)
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORSPftolsasrao��
'•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.
MECUAHICAL �� t
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tb/Shower combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bao.. sink■)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
REFRIG. SYSTEMS
HOODS pommemiaq
WOODSTOVES
RANGES
MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS (rmleq
MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
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
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 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.
NAME/TITLE �' �
(Signature( iatum) , (TtUe) DATE I) A
� `
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent contractor ❑ Architect ❑ Other
Bulletin #100 — January 1, 2006 Page 2 of 4 Wiandouts\Pen- it Application