06-105920r' S1
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
h1.
Mechanical Permit #: 06 -105920 -00 -ME
Project Name: SPRIDGEON
Project Address: 31825 10TH PL SW
Project Description: Repace gas furnace with new.
Inspection Request Line: (253) 835-3050
Parcel Number: 555730 0460
Owner
Applicant
Contractor
DARREN E SPRIDGEON
PERFORMANCE HEATING & A/C INC
PERFORMANCE HEATING & A/C INC
31825 10TH PL SW
25500 747111 AVE S
PERFOHA15ORT 4/29/07
FEDERAL WAY WA
KENT WA 98168
25500 74TH AVE S
98023-4702
KENT WA 98168
Additional Permit Information
Mechanical Valuation............................................3679 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Furnaces . ..................................... 1
ay, November 16,
of Federal
FINALED
• ` THIS CARD IS TO REMAIN ON-SITE .,x,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -105920 -00 -ME
Owner: DARREN E SPRIDGEON
Address: 31825 10TH PL SW
FEDERAL WAY, WA 98023-4702
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 2r-,�►
21`{26-C:)6
CRY OF`e,,R.12
Federal Way NIV 16 2006PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO EL PL DE EN FP
33325 38 AVENUE SOUTH • PO Bo
-2609 / FNGrr�� ,RLI C ATI O N
FEDERAL WAY. WA 93063-9713 �� C
253335-Y607• FAX 153-b'35-2609 BUILDI
inunr.cuunlTedr. rcduxa q.rom
The.followinq is required in ormation - an incomplete al2i2lication will not be accei2ted. Please erint le ibi (in ink) or
�iO.ERTY O.
MATIO
SITE ADDRESS 3 O Z S7 (O7— P L-- S W SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # S S S 7 3 0 - O 'j��Q LOT SIZE (sj)
// w
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) L4 b , 1'r'r'C? r- (Ste, D"i
IAunrh s I—W 1 ngej- 1—g1hy loyal d--pfwn)
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING K MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onit
P.ePtaC,fG-& r "-ac -C
PROJECT NAME (Name of Business or Owner Last Name) 42 f-
1 6fCl�EQ
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
0CLrreo�O4-\- (2car') 245- 56� 1
MAILING ADDRESS CITY. STATE, 'LIP
3 ( V`zS (6" V L I Fewer -c -C 1.D0.--( t k)
COMPANY NAME
Perforu--r- .ce (ZCc�'it
44
APPLICANT NAME
C�c,r leS �
OFFICE PHONE
(25> Zs1 - 0350
MAILING ADDRESS
255-Qo 7c-17" f}ve S
r +o r L-,oK e
CITY, STATE, ZIP
Ke,+ WA ej�5n3Z
CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
1tL VC -0000 yI
EXPIRATION DATE
�2/3I /D�
FAX NUMBER
( ) i
T`�c
B L
CITY, STATE. 7.IP
keti-
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
4 /79 /6--7
P E R F Q ii 14 11:- o
r -T
J
COMPANY NAME
Pe
44
required if project value exceeds $5,000
APPLICANT NAME
OFFICE PHONE
(q25-) Z 5l - C3 5C
r +o r L-,oK e
esAi
CL -."r- l,�-s 'b-
MAILING ADDRESS
Z 55 7Y
T`�c
Si
CITY, STATE. 7.IP
keti-
CELL. PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant
❑ Agent
❑ Other (Describe)
NAME PRIMARY PHONE E-MAIL ADDRESS
C�•ar (ems � (qzs-) 2S1-03S�
Per RCW 19.27.095: Lender information is
NAME
required if project value exceeds $5,000
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
EXISTING USE 12 e--; Cce 1 PROPOSED USE L2 C'% toe N -i L4 /
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 3L ! L -7p
c
SPRINKLERED BUILDING? - YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER LAKEHAVEN L� HIGHLINE ; PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
a ALTERATION
AIR HANDLING UNITS EVAPORATIVE COOLERS
GAS LOGS
FIRST
BBQS FANS
HOODS lc„mmrm ml
WOODSTOVES
SECOND
RANGES
MISC (Describe)
COMPRESSORS �_ FURNACES
THIRD
UP/SEPA/SU? ❑ YES
DUCTS GAS PIPE OUTLETS
PLATTED LOT? -YES
FOURTH
PLUMBING
_ NO
ADDITIONAL FLOORS (DESCRIBE)
WATER CLOSETS IT,mro
MISC (Describe)
DISHWASHERS SINKS
DECK(COVERED?)
GAS PIPE OUTLETS SUMPS
RAINWATER SYST
GARAGE ❑ CARPORT ❑
WASHING MACHINES URINALS
HOSE BIBBS
NUMBER OF FLOORS
EXISTING
PROPOSED
TOTAL
TOTAL EXISTDIO SF
TOTAL PROPOSED SF
TOTAL SP'
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number oj'each type offtxture to be installed or relocated as part of this project. Do not include existing
to remain.
MECHANICAL // —7G U
Value Mechanical Work $
of
NEW _ ADDITION
a ALTERATION
AIR HANDLING UNITS EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS FANS
HOODS lc„mmrm ml
WOODSTOVES
BOILERS FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS �_ FURNACES
GAS WATER HEATERS
UP/SEPA/SU? ❑ YES
DUCTS GAS PIPE OUTLETS
PLATTED LOT? -YES
: NO
PLUMBING
_ NO
BATHTUBS („ Tub/Sl,,,., C,mb„) SHOWERS
WATER CLOSETS IT,mro
MISC (Describe)
DISHWASHERS SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS
RAINWATER SYST
WASHING MACHINES URINALS
HOSE BIBBS
LAYS 113alh.,,,,» Smk,) VACUUM BREAKERS
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 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 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 L� �� ifS� P�.. ��< <.a� DATE
(Signature) 1,11de)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent contractor a Architect ❑ Other
FOR OFFICE USE ONLY
NEW _ ADDITION
a ALTERATION
_ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
YES , NO
BASIC PLAN? :7 YES
c NO
ZONING DESIGNATION
CHANGE OF USE? ❑ YES
_ NO
NEW ADDRESS REQUIRED? YES c NO
UP/SEPA/SU? ❑ YES
NO
PLATTED LOT? -YES
: NO
DEMO PERMIT REQUIRED? , YES
_ NO
Bulletin #100 - January I, 2006 Page 2 of 4 k\Handouts\Permit Application