06-106311City 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: GROOMS
Project Address: 1111 SW 347TH ST
Mechanical Permit #: 06 -106311 -00 -ME
Project Description: REP - replace 70 BTU furnace
Inspection Request Line: (253) 835-3050
Parcel Number: 132173 0360
Owner
Applicant
Contractor
STEPHANIE A GROOMS
NORTHWEST PERMIT
WASHINGTON ENERGY SERVICES CO
1111 SW 347TH ST
1574 GULF RD SUITE 1512
(WESCO)
FEDERAL WAY WA
PT ROBERTS WA 98281
WASHIES9710B 9/2/07
98023-7031
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation............................................2413 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Furnaces ......................................... 1
PERMIT EXPIRES Sunday, December 14, 2008
Permit Issued on Thursday, December 14, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
nd the City of Federal Way.
I
Owner or agent: NMCIA Date:
P
E
THIS CARD IS TO REMAIN ON-SITE
CITY OF4:�k Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -106311 -00 -ME
Owner: STEPHANIE A GROOMS
Address: 1111 SW 347TH ST
FEDERAL WAY, WA 98023-7031
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 l Approved
By Date By Date By C-- tnJ Date .. Z b
CITY OF ST:`•�77!7 i �®
Fe0eral `` I Way (,� V 6 PERMIT
MMUNI7Y DEVELOPMENT SERV
3. J25 8TM AVENUE '01,7H - PO BOX 9718
L WAY. WA 98063 9 718 4
2F53-835-2607- FAX 253-835-2609 o�c 1R.PLICATION
tru•utcinml7r(lrrr�lu•nlrnnl pG
Thefollowing i g is requITA t " orr 'Aon - an incomplete application will not be
SITE ADDRESS 1111 SW 347th Street
ASSESSOR'S TAX/PARCEL # 1 3 2 1 7 3 _ 0 3 6 0
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
DC0-/0Caz93//
SF MF CO l E I, PL DE EN FP
ted. Please print legiblU (in ink) or tune.
SUITE/UNIT #
LOT SIZE (sf
(Attach separate pale jnl Wgghy legal de gptiaN
N PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING {MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prouide detailed description of work included on thN hermit onlu)
Replace 70 BTU furnace Bryant Model #310AAV36070
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE•' •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
Stephen Grooms (253 ) 661 - 3162
MAILING ADDRESS CITY, STATE, ZIP
1111 SW 347th St Federal Way, WA 98023
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
WESCO
(206 ) -
378 6608
CELL PHONE
MA]LWG t1DDRE5S717Y,
STATE, ZIP --_-- -
2800 Thorndyke Ave W
Seattle WA 98199
( ) -
CITY OF FFDERAL WAY FIUSLNESS LICENSE NUMBER EXPIRATION DATE,
FAX NUMBER
2- Q- Q i 9 4 2—.3 12 / 31 /06
( ) -
-3- -4- B L
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each appllcatlou) EXPIRATION DATE
W A S H I E S 9 7 1 O B 09 / 02 /07
COMPANY" NAME
AI'PLICAN"C 1AM F-
OFFICE PHONE
Northwest Permit Inc
Melissa Croda
( 360 ) 945 -2787
MAILING ADDRESS
CITY. STATE. ZIP
CELL PHONE
1345 Gulf Road _
Point Roberts, WA 98281
( 206) 388 - 9357
RELATIONSHIP 710 PROJECT
FAX NUMBER
❑ Architect ❑ Tenant VAgent ❑ Other (Describe)
NAME
Melissa Croda
PRIMARY PHONE
E-MAIL ADDRESS
(360 ) 945 - 2787
melissa@nwpermit.com
Per RCW I9.27.095: Lender information is
NAME
required (f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, "LIY
PHONE
EXISTING USE SFR
EXISTING ASSESSED/APPRAISED VALUE $
PROPOSED USE
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/RE9UIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA i- PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
..
PROJECT ••
AREA DESCRIPTION
URINALS MISC (Describe)
RAINWATER SYST
EXISTING PROPOSED
SQ. FT. SQ. FT.
SHOWERS
TOTAL
SQ. FT.
BASEMENT
WASHING MACHINES
SUMPS
ZONING DESIGNATION
FIRST
CHANGE OF USE?
❑ YES
o NO
SECOND
n YES o NO
UP/SEPA/SU?
o YES
THIRD
PLATTED LOT?
❑ YES o NO
DEMO PERMIT REQUIRED?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EXISTING
PROPOSED
TOTAL
TOTAL F_WSTrNG Sr
TOTAL PROPOSED SF
TOTAL Sr
"NEWHOMES 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.
MECHANICAL
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub/Shmw , combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
(ACOP OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
FANS GAS WATER HEATERS MISC (Describe)
FIREPLACE INSERTS HOODS (Commercial)
-FURNACES RANGES
GAS LOG SETS REFRIG. SYSTEMS
LAVS (Bamroom Sinks)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS rroney
SINKS
WASHING MACHINES
SUMPS
ZONING DESIGNATION
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 �! _� Ir L / ( cc
(Signature)
RELATIONSHIP TO PROJECT ❑ Owner 11 Agent
0
MO
❑ Contractor
(Title)
❑ Architect ❑
/Z I z/, C " (/L�
❑ NEW o ADDITION
o ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
o NO
NEW ADDRESS REQUIRED?
n YES o NO
UP/SEPA/SU?
o YES
❑ NO
PLATTED LOT?
❑ YES o NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 —January 1, 2006 Page 2 of 4 k\Handouts\Permit Application