06-106471AC VA
City of Federal Way
Community Development Services Mechanical Permit #• 06-106471-00-M E
P.O. Box 9718
Federal Way, WA 98063-9718
Ph. (253) 835-2607 Fax' (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: GIBSON
Project Address: 31445 48TH PL SW Parcel Number: 211572 0180
Project Description: Replacement of gas furnace with an 80% 2 -stage gas furnace.
Owner
Applicant
Contractor
EDDIE GIBSON
PACIFIC AIR SYSTEMS
PACIFIC AIR SYSTEMS
31445 48TH PL SW
11121 34TH AVE S
pacifas093ka 09/08/2007
FEDERAL WAY WA
11121 34TH AVE S
TACOMA WA 98444
TACOMA WA 98444
Additional Permit Information
Mechanical Valuation............................................3591 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Furnaces ......................................... 1
PERMIT EXPIRES Saturday, December 27, 2008
Permit Issued on Wednesday, December 27, 2006
1 hereby certify that the abovejp�orrryation is correct and that the construction on the above described property and
the occupancy and the us 11 hg6 in accordance with la s, es and regulations of the State of Washington
Z9
d t7r,
d al Way. �7
Owner or agent: / , 'Date:
'1
THIS CARD IS TO REMAIN ON-SITE a t
C1W OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -106471 -00 -ME
Owner: EDDIE GIBSON
Address: 31445 48TH PL SW
FEDERAL WAY, WA 98023-2098
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 ��
RECEIVED
DEC 2 7 2000
CITY of
Federal Way ,CITY OF FEDERAL WPERMIT
COMMUNITY DEVELOPMENT SER47CE, B U I LD I N G D F PT,
I
0 5 7 �--
SF MF CO ME EL PL DE EN FP
ESOA 980097X97'8
33325 8� FEDERAL
FEDERAL WAY. WA 53835-260
253-835-2607• FAX '153-835-2609
APPLICATIONJTD
MAILING ADDRESS
31NL45 qSt6 PL SW
/
aww.cituot(ederafwau.com
,
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I
Thefollowing is required information - an incomplete a LAication
will not be acce ted.
Please orint le ibl (in ink) or
CITY, STATE, ZIP
LAkcwoc�{ wA k'$V R y
PROPERTY
INFORMATION
FAX NUMBER
SITE ADDRESS 3/q'45
q O --' P L 5 w
T:�, c& L00-1�) Wt
9664UITE/UNIT #
ASSESSOR'S TAX/PARCEL #
P. I 1 cJ -7 2
- O ) 9 D
LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal descriptio)
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING -* MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prouide detailed description of work included on this permit onli4 n
U�_�4 Q
PROJECT NAME (Name of Business or Owner Last Narne) i�S4-&*Vo (� 16 0
PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME
Ea &I 10 sari
PRIMARY PHONE
(253 ) Z1$ - E -LI 13
MAILING ADDRESS
31NL45 qSt6 PL SW
CITY, STATE, ZIY
Te.deCo_l W0. WA p1$0S-S
,
COMPANY NAME
Air 5o+cros
APPLICANT NAME
Jon )e 3 -TjDe1ker
OFFICE PHONE
(2,53 58/ - 1j2,72
MAILING ADDRESS
)aB'J( PACO-Pi'C. OWL, S w
CITY, STATE, ZIP
LAkcwoc�{ wA k'$V R y
CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
-_ / /
(L53)S2r1 -353
_ _-_ _ _ _ _ _- B i.
CONTRACTORS REGISTRATION NUM13ER (copy of card required with each application) EXPIRNHON DATE
e6L F_ASOg3X.A 1)/1-7/01
COMPANY NAME
AG1�1G /�i� S S_+cr)nS
APPLICANT NAME
prrmit ►3 T'aclker
OFFICE PHONE
(ZS3) SISI - 5272
'NAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
Iasi) pac Pic. HwLj Sk)
Lak�w�f , cv� 48L/49
( ) -
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent _A Other (Describe) CCn1 '4G't0r
(151) 58 / - 3G,73
NAME T
n ie. 9 -rmel k� r
PRIMARY PHONE
( 2531 t) - S 2 7 i
E-MAIL ADDRESS
flh is ekarkair-sys
Per RCW 19.27.095: Lender information is
NAME
required if project value exceeds $5,000
MAILING ADDRESS
CITY. STATE. ZIP
PHONE
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 C PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN i- HIGHLINE ❑ PRIVATE (SEPTIC)
uks. L* -
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
c NEW - ADDITION
❑ ALTERATION
E REPAIR -:i TENANT IMPROVEMENT
FIRST
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
SECOND
❑ NO
ZONING DESIGNATION
THIRD
❑ YES
c NO
NEW ADDRESS REQUIRED?
FOURTH
UP/SEPA/SU?
❑ YES
c NO
ADDITIONAL FLOORS (DESCRIBE)
iYES -iNO
DEMO PERMIT REQUIRED?
c YES
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
--I-
PROPOSED
TOTAL
TOTAL 6%IBTING SF
TOTAL P ---9F
TOTAL SF
**NEWHOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE S
Indicate number of each type of fixture to be installed or relocated as part of this project. Do riot include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $�
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or -r b/Shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS )Balhroom Sinks)
d(-?
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS iCommerdai)
RANGES
GAS WATER HEATERS
WATER CLOSETS Tooel)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
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
(St�;na W re)
RELATIONSHIP TO PROJECT C Owner ❑ Agent -W Contractor
([5ue1
❑ Architect C Other_
FOR OFFICE USE ONLY
c NEW - ADDITION
❑ ALTERATION
E REPAIR -:i TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
c NO
NEW ADDRESS REQUIRED?
; YES ❑ NO
UP/SEPA/SU?
❑ YES
c NO
PLATTED LOT?
iYES -iNO
DEMO PERMIT REQUIRED?
c YES
c NO
Bulletin #100- January 1, 2006 Page 2 of 4 k�fiandouts\Permit Application