05-103941 City Federal Way Mechanical Permit #: 05 - 103941 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection request line: (253) 835-3051
Ph::(2525 3)835-7000 Fax:(253)835-2609 ,.— P 9
Project Name: COLBY ,pt1i
Project Address: 31231 4TH1SW Parcel Number: 555750 0220
Project Description: Install air conditioner.
Owner Applicant Contractor
Jon C Colby &Stephanie K Colby WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
31231 4TH AVE SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-4638 (206)282-4700
Mechanical Valuation 2524 Over the Counter Permit Yes
Mechanical Fixtures
Description iQuantity Description Quantity Description ,Quantity
Air Handling Units �I
PERMIT EXPIRES February 8,2006.
Permit issued on August 12,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in acc rdance with the laws,rules and regulations of the State of Washington and
the City of Federal Way
"
Owner or agent: �Z�L�, '�w`C Date: ebz r
�,► �� 11 -- t'1 - (1) 6 ' �
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR.INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103941-00-ME
Owner: JON C COLBY
Address: 31231 4TH AVE SW
FEDERAL WAY, WA 98023-4638
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date BycDate t l-1''r .1k:
AUG-3-2005 12:26 FROM: TO:12538352609 P.11
Federal Way PERMIT'
335 UAITY d OP SF MF CO LPL DE EN FP
33S30 FIRST WAY sOtJ f.Jo a,x 97I.
? ;WA pW�98 „9 APPLI CATI O N
joule kuotf deratu�au,cont /
The ollowt • is re.tared ormation-an inco •Tete • v•lication will not be acre•ted. Please •tint le•ib in in or
PROPER O.7 I• • '
SITE ADDRESS 3/Z 31 ) )x tJ
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 5 S S -7 .. Q - ) ZL„n , LOT SIZE(s))
LEGAL DESCRIPTION(e.g.Aane Estates,Loi l)
(Math:gmmte~CM*Ia+vfhto dedede.;
PROJECT INFORMATION
TYPE OF PERMIT a BUILDING ❑ PLUMBING )(MECHANICAL
0 DEMOLITION O ELECTRICAL o ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this Permit onlu)
1 )�� LI r✓ &1.t I . Ortg-
034 3
PROJECT NAME(Name of Business or Owner Last Name) (D / 6
PEOPLE INFORMATION
PROPERTY NAME
OWNER O• ! �O/b PRIMARY PHONE.
LUNO ADDRESS / ll(/// ) 15Z " -� �
t Z3 '4) ,. 1.4„k `?8023
CONTRACTOR COMPANY NAME /y��/�(^j�,G�( APPLICANT NAME
Wlr1Su'/I*al, J— " J �v (z 6)OFFICE PHONE
1436bD`ur1/ WI'7 fµ () CITY,STATE,ZIP -
It? CELL PHONE
CITY OF FEDERAL WAY UM /TION DATE FAX NUMBER ER` • UBUSINESSO /2.3VH L /- ( 1 _
CONTRACTOR'S REGISTRATION NUMBER(copy a card regatrd with each aPpLcattoa( EXPIRATION DATE ATEW��H 1 � n19"/Z0
/ Z /aC
APPLICANT COMPANY NAME APPUCAt�T ME �I �(/�
-
`7i-e ` m-yl.t. i- 6�ia c%[,r„r�{/ &"(i V (FF10E PHONE
MAILING ADDRESS I CITY,STATE,ZIP CE PHONE
rPo Bax 203c �", 41A VIA"? —
(pr) 720- -J"' .
RELATIONSHIP TO PROJECT
❑Architect a Tenant ❑Agent O Other(Describe) FAX NUMBER
"F-CP-T12411 -U 4-11-dAv -rkernausl-CONTACT r NAME PRI ARY PHONE
T ( ) -
E-MAIL ADDRESS
LENDE
pOrR(}pr1 '1,,7OS : IeiMitex a" ''i' NA-:,Yet/07441V propet BailsME
ece
MAILING ADDRESS CITY,STATE,ZIP "
i
DETAILED BUILDING INFORMATION
EXISTING USE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO a
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE
13 SEWER SERVICE PROVIDER CI LAKEHAVEN o HIGIU.DIE o PRIVATE(SEPTICO) (WELL)
AUG-3-2005 12:27 FROM: TO:12538352609 P.12
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) ~ -
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL=STOW TOTAL►FOTesta TOTAL mamma AAD raopos u
"NEW HOMES ONLY" NUMBER OF BEDROOMS _ _ ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of focture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
1iteCHANICAL y2-
Value of Mechanical Work $ 2-S
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(coounarciay WOODSTOVES
BOILERS FIREPLACE INSERTS _ RANGES MISC(Describe)
COMPRESSORS FURNACES OAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or SHOWERS • WATER CLOSETS(raneq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
MVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC NATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
',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 eat of the reliance of the city,in ing its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE 1/1,441,0L DATE �3/err—
(Signature) (Title) •
RELATIONSHIP 0 PROJECT 0 Owner ci Agent Contractor O Architect 0.Other
4��C'f�44 A ks
FOR 491 E_[SEse�NIs V
a NEW, a ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES 0 NO BASIC.PIAN?- a YES ii NO
ZONING DESIGNATION CHANGE.OF VSE? a YES n NO
NEW ADDRESS REQUIRED? a YES G NO UP/SEPA/SII? a YES o NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES o NO
1122c k. oli
3/23/ L-t-- *et/4-)
Bulletin 11100—March 30,2004 Page 2 of 4 • k\Handouts—Revised\Permit Application