05-105420 4 ^a
City of Federal Way Mechanical Permit #: 05 - 105420 - 00 MI
Community Development Services
P 0 Box 9718
Federal Way,WA 98063-9718
Ph-(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: PATRICELLI
Project Address: 33237 43RD S,PI 5 Parcel Number: 618140 0540
Project Description: Install air conditioner.
Owner Applicant Contractor
DANNY D PATRICELLI BOB'S HEATING AND AIR CONDITIONING BOB'S HEATING AND AIR CONDITIONING
33237 43RD PLS 13615 NE 126TH PL#400 13615 NE 126TH PL#400
FEDERAL WAY WA 98001 KIRKLAND WA 98034 KIRKLAND WA 98034
_ (800)840-3343
Mechanical Valuation 4527 Over the Counter Permit Yes
Mechanical Fixtures
Description IQuantity Descriptionuantity Description Quantity
Air Handling Units 1
PERMIT EXPIRES April 19,2006.
Permit issued on October 21,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use w'll be in accordance ith the laws,rules and regulations of the State of Washington and
the City of Federal Way. 1
Owner or agent: Date: f Z
THIS CARD IS TO REMAIN ON-SITE
,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105420-00-ME
Owner: DANNY D PATRICELLI
Address: 33237 43RD PL S
FEDERAL WAY, WA 98001
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.
0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved J
By Date LBY Date By Date /2 I g/
"` RECEIVED 05 - I 0 5 _
Federal Way PERMIT ocr 212005
COMMUNITY DEVELOPMENT SERVICES SF MFC LPL DE EN FP
33325 8TH
FEDERAL
AVENUE SOUTH•PO BOX 9718 9718 AP P LI CA'ITI
FEDERAL WAY,WA 98063-9718 EDERAL Y7likY
253-835-2607•FAX 253-835-2609
urtuw.crtuaCfederalwau rnm LNG D E PT_______-
The ollowin! is -•uired i ormation-an incom•lete a r r lication will not be acce•ted. Please ' 'lit le!ibl. (in ink)or _
• PROPERTY INFORMATION
SITE ADDRESS ,' 3, 3 7 g 3 124., J SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# CL' ( L I Li r) - 0 i 4( O LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING Ri MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
t rl's4[1 I I {V f t.oticti- i o it t I tn
PROJECT NAME(Name of Business or Owner Last Name) jQ 41'1 e e.IA I
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER r 'cls r ; t° e t 11 (1..i'3) F5 )y -;)_3 o 8
MAILING AD RESS CITY,STATE.ZIP
'3 5) 51 L1319 L, S i=-rctc-;<<.t J ,,t;r--\
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
(Ci-1c) )(-I-) - ((f)3C
.Y;'':;',,,
y;"'` MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
iY:., 13e'2_I 10 )2 (-e 'L 4tLI2 S -tsi f4_iOil c' ULNA- `1tS[ 4 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENNSE NUMBER ^EXPIRATION DATE FAX NUMBER
1 (-Dq-L 0 L� s_-B L 1-2-1 31 /(is- (42.S )
' CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
11 t-.>43 S J-)-±f J"i cr C 6 q / Q Z /C 7
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
..-c{ cortJraL-fzY lrlbb ( ) -
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
$.Le C cn-1-fa c 1 o r , v1 -c-T ( ) -
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY.STATE.ZIP PHONE
( )0/A ( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ LIS o�7'0c,
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
1' I2D
FOURTH
ADbITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXIS •i150SF TOTAL PROPOSED F, TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offurture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ Li6 7•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
F'I BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES ` MISC(Describe)
O 1 ' COMPRESSORS FURNACES GAS WATER HEATERS J C
- U )f DUe1S GAS PIPE OUTLETS
PyTIRMATG
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS pane) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLICIS SUMPS RAINWATER SYST
_ WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 C t,l��l!t ibt5 Qf\101.41Gt.6(b )i/js Vie.�e�I e' l }l1" DATE IC)2.4(..-1
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent Contractor 0 Architect ❑ Other
•iiiiIionties USE ONLY
;( gyl(► a ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES ❑NO UP/SEPA/SU? a YES a NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—January 7,2005 Page 2 of 4 k\I-Iandouts\Permit Application
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