06-105804•
11 City of Federal Way
Community Development Serviges, Mechanical !`•cal Permit #: 06- i 05804-00-M E
P.O. Box 9718
Fedeml Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: EDGCOMB
Project Address: 31617 9TH AVE S
Project Description: REP - Replacing gas furnace
Parcel Number: 858800 0285
Owner
Applicant
Contractor
CAROL EDGCOMB
JAKE SAUNDERS
COOLTEC HEATING & AC LLC
31617 9TH AVE S
COOLTEC HEATING & AC LLC
COOLTHA949D4 (3/24/08)
FEDERAL WAY WA 98003-5325
101`•11 S TACOMA WAY SUITE D-2
101 I 1 S TACOMA WAY SUITE D-2
1,AKEWOOD WA 98499
LAKEWOOD WA 98499
Additional Permit Information
Mechanical Valuation............................................5000 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Furnaces ......................................... 1
Owner or agent:
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection .Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -105804 -00 -ME
Owner: CAROL EDGCOMB
Address: 31617 9TH AVE S
FEDERAL WAY, WA 98003-5325
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 1_"51_16
to
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an or ..
Federal Way � o s z000 PERMIT `
COMMUM7YDEVELOPA&w SF MF CO �) EL PL DE EN FP
393 51"AV UE FEDERAL WAY, WA980Q?-97,. p� �E PLICATION
253-835-2607• FAX 2S3-835-2609 NG pE
unow. at uoffede. rahum com
The following is reuired information -an incomelete avolication will not be acce ted. Please rini Legibly in j or ty
SITE ADDRESS �S 14 1 / / 7A(4U E 1141- / ?col SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # _ - LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(AUach mr—tePape far k Wft k9al demmOh g
PROJECT INFORATATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING XMECHAMCAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlvl
�� SLAC �i� /c �i✓XI� � —
PROJECT NAME (Name of Business or Owner Last Name) o C OM
PEOPLE•- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
5 ELS'
CONTACT
LENDER
EXISTING USE
NAM PRIMARY PHONE
MAI NG ADDRESS CITY, STATE, ZIP
5.,.,
COMPANY NAME
� tiL,2 �
//1' 0 c-
C
OFFICE PHONE
APPLICANT NAME
IJKZ�c I_ I ,'V
OFFICE PHONE
( :z Y-? ) -;-Y- 5'-
MAILING ADDRESS
MAILING ADDRESS
CITY, STATE,ZIP
CELL PHONE
C17Y OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
a J 7 ( J_ -B L /v? / �/ l n4
FAX NUMBER
CONTRACTOR'S REGISTRATIOON� NUMBER )copy of card %required with each application)
EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑. Tenant
❑ Agent ❑ Other (Describe)
EXISTING ASSESSED/APPRAISED VALUE $.
PROPOSED USE
VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE 0 PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
nosTnro momwa TOTAL
NUMBER OF FLOORS
**NEWHOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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 (or Tub/shower combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
IAVS pathwom sinus)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS pommercisq
RANGES
GAS WATER HEATERS
WATER CLOSETS (r.&q _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cert(fy 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 -DATE
(Signature( (Title(
RELATIONSHIP TO PROJECT Q Owner ❑ Agent A Contractor ❑ Architect ❑ Other
Bulletin #100 — January 1, 2006 Page 2 of 4 Mandouts\Permit Application