06-101620City of Federal Way
Community Oevelopment Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
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Mechanical Permit #: 06 -101620 -00 -ME
Inspection Request Line: (253) 835-3050
Project Name: MILLS
Project Address: 27931 21ST AVE S Parcel Number: 757562 0590
Project Description: Gas Furnace Replacement 70,000 btu's AND Installation of Heat Pump 2.5 ton
Owner
Applicant
Contractor
JORDAN MILLS
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
27931 21 ST AVE S
2800 THORNDYKE AVE W
WASHIES9710B (9/2/06)
FEDERAL WAY WA 98023
SEATTLE WA 98199
2800 THORNDYKE AVE W
SEATTLE WA 98199
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THIS CARD IS TO REMAIN ON-SITE
CITY OeA Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -101620 -00 -ME
Owner: JORDAN MILLS
Address: 27931 21 ST AVE S
FEDERAL WAY, WA 98003-6949
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
y
Date ��
APR -3-2806 07:56 FROM:PERMIT
4257756315 TO:12538352609 P.2
RECEIVE®
clrr or
Federal . ay APR 0 3 2006 PERMIT
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"J4FFERALWBSWA 9 •r0CIWY PLI CATI O N
PBDBRAL WAY, WA sao6J.(��y OF FEDERA
2S"JS-2607, FAX 253-835-=9 BUILDING D
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Thefollowina is required informat3en - an inenrnntetw nnnHentlnn «.jlr «
SITE ADDRESS
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01� -iQ-LG2-0
SF MF CO �L PL DE EN FP
SUITE/UNIT #
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ASSESSOR'S TAX/PARCEL # -7 Z - LOT SIZE (sn
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
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PROJECT• •
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING XMECHANICAL
O DEMOLITION ❑ ELECTRICAL `❑`ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Provide detailed description of work included on this permit onlal
PROJECT NAME (Name of .Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
E PEOPLE INFORMATION
NAMEPRIMA
APPLICANT NAME
PHONE
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CELL PHONE"
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COMPANY NAME
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APPLICANT NAME
OFFICE PHONE
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MAILINGA/DD S
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(CELL PHONE
CITY OF FEDERAL WAY BUSINESS ENSE NUMB(R
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EXPIRATION DATE
PAX NUMBER
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CONTRAC'TOR'S REGISTRATION HHUU)MBBRR 1� / e"d Ireq {kod with q.h .pplleatloul
EXPIRATION DATE
COMPANY NAME
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APPLICANT NAME
OFFICE PHONE '
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MAILING ADORES
CELL PHONE"
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RELATIONSHIP TO PROJECT
FAX NUMBER
O Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
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EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED.BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAHEHAVEN . 0 HIGHLINE ❑ PRIVATE (SEPTIC)
APR -3-2006 07:57 FROM:PERMIT
4257756315 TO:12538352609
r l (s 0 a--793 i z(J(
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PROJECT FLOOR AREAS
P.3
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED TOTAL
SQ. FT. SQ. FT.
BASEMENT
AIR HANDLING UNITS
EVAPORATIVE COOLERS
FIRST
REFRIG. SYSTEMS
BBQS
SECOND
HOODS
WOODSTOVES
THIRD
FIREPLACE INSERTS
RANGES
FOURTH
T
Lto
ADDITIONAL FLOORS (DESCRIBE)
.DUCTS
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS msmu reorosrn TOTAL
••NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
of each type offizture to be installed or relocated as part of this•project. Do not include existing fixtzv6s; to -remain.
MECUANICAL
Value of Mechanical Work $�" &S"31 t
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS LOOS
REFRIG. SYSTEMS
BBQS
FANS
HOODS
WOODSTOVES
BOILERS --VFURNACES
---T--COMPRESSORS
FIREPLACE INSERTS
RANGES
MISC (Describe)
T
Lto
GAS WATER HEATERS
.DUCTS
GAS PIPE OUTLETS
PLUMBING
BATHTUBS
SHOWERS
WATER CLOSETS ir.e.q
MISC (Deacribel
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAV9 (saftemsWC4
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I cart{ jy 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 .irtade. I further agree to hold
harmless the City of Federal Way as to any claim lincludirig costs, expenses, and attorneys' feu incurred in the investigation and defense of
such claim), which maybe mads by ring person, including the undimtgned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of the city, inelu its offteers and -employees. upon the accuracy of the information supplied to the city as a part of
this application
NAME/TITLE DATE Z 3 v
RELATIONSHIP TO PROJECT q Owner O Agent &b Contractor O Architect t] Other