05-102573 City of Federal Way Mechanical Permit #: 05 - 102573 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph•(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: LEVY Pkv
Project Address: 30245 25TH1SW Parcel Number: 893760 0170
Project Description: Install A/C.
Owner Applicant Contractor
Paul Levy &Maxine Levy WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
30245 25TH AVE SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-2316 (206)282-4700
Mechanical Valuation 5673 Over the Counter Permit Yes
Mechanical Fixtures
f Description Quantity Description jouantj Description Quantity
PAir Handling Units 1
PERMIT EXPIRES November 29,2005.
Permit issued on June 2,2005
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 accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. ,�f
Owner or agent: See Application Date: '3 "013-W
ti
THIS CARD IS TO REMAIN ON-SITE ..
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102573-00-ME
Owner: PAUL LEVY
Address: 30245 25TH AVE SW
FEDERAL WAY, WA 98023-2316
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
By Date By Date By .( Dategz . - O S'_
JUN-1-2005 11:10 FROM: TO:12538352609 P.2
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Federal Way PERMITei1
SF MF Co ' y 'L DE EN FP
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33325 s1W AVENUE SOUTH•PC BOX 4714 -"
• 5 0; AKZ�35.250, APPLICATION
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The olio _ is re•wired I ormatton-an ince -tete • ••iication will not be acce•ted. Please •rint • • - ' or p-.
■ PROPERTY INFORMATION
SITE ADDRESS 302- S 1/S— 5'"V SUITE/UNIT t
ASSESSOR'S TAX/PARCEL I E' Z O_- Cl_/ LOT SIZE(s4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lat I)
IAA."*.r+..r/ro.pr r«Wr rw,z..pr..,I
' In PROJECT INFORMATION
TYPE OF PERMIT O BUILDING 0 PLUMBING MECHANICAL
• 0 DEMOLITION 11ELECTRICAL ❑ NGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide •a 4 descsiptio� in o
k included on this Derma
•
PROJECT NAME(Name of Business or Owner Last Name) �V
' N PEOPLE INFORMATION
PROPERTY
NAM I PRIMARY PHOONE
OWNER MAILING((ADDRESS. VCITY s`ATE,ZIP (z 7 7 3 CO
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE �A
LIAILIN ADD `t V 210C>.- 6 _"V
.STATE, P I l yi CELL PNGNE
er
..211729'
77 OF 1rL9' WAY BU NESS UCEN wan TION DDAADATEF ttbinant _
,2-4C)-cr3 - l 0 '3 � / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER(..p.t cosi r.tak.l'odd'sada app"—'-a) EXPIRATION DATE
APPLICANT •COMPANY
Lfr1iivt " __� � E _ ,°,�rlcs;TONE _
_ 240 /` S ,� vV EA:/HONE7 t2 -7 44--
_
RELAT[ONSHIP TO PROJECT
PAX NUMBER
O Architect o Tenant XAgent a Other(Describe) ( ) -
CONTACT ' NAME bras. rh int a Yre 202' �
�'/L ( 7.Gv 7 ' E-MAIL ADDRESS
LENDER :� t ,...., NAME
MAILING ADDRESS CITY.STATE.ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERE,iD BUILDING? a YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES O NO
WATER SERVICE PROVIDER a LAKEHAVEN a RIIGELDIE n TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER a LABEHA`/EN a RIGHLIRE . a PRIVATE(SEPTIC)
JUN-1-2005 11:10 FROM: TO:12538352609 P.3
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SO.FT.
BASEMENT
FIRST • •
SECOND
THIRD
•
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT❑
NUMBER OF FLOORS =MUM mommm '°`"` firalargr �•, }' _
**NEW HOMES mar. NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ 6627Z-1 3
1 AIR BANDUNG UNITS EVAPORATIVE COOLERS OAS LOOS REFRIG.SYSTEMS
BBQS PANS
HOODSic....wq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS OAS PIPE OUTLETS
PLUMBING
BATHTUBS(se Tub/Showy oo,,,hy SHOWERS WATER CLOSETS a.e.s MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
OAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIB88
LAVE ieuw.•r.sialoy VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIIIIER/SIGNATURE BLOCK
I certiJ under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
ant authorised 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 ang 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 ci ncluding its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE /f�J�A` DATE S73 l C�
` _(signature) mom)
RELATIONSHIP TO PROJECT 0 Owner 0 a Contractor a Architect a Other
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Bulletin#100_January 7,2005 Page 2 of 4 klHaadoutsTerm(t Application •