05-103894 City of Federal Way Mechanical Permit #: 05 - 103894 - 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)835-3050
Project Name: DRAKE )\
Project Address: 31415 48TH(SW Parcel Number: 211572 0130
Project Description: Install gas furnace,A/C,fireplace insert,and gas water heater
Owner Applicant Contractor
Michael A Drake NORTHWEST CLIMATE CONTROLS INC NORTHWEST CLIMATE CONTROLS INC
31415 48TH PL SW 101 23RD ST SE BLDG B-2 101 23RD ST SE BLDG B-2
FEDERAL WAY WA PUYALLUP WA 98372 PUYALLUP WA 98372
98023-2098 (253)435-8834
Mechanical Valuation .. 8000 Over the Counter Permit .Yes
Mechanical Fixtures
Description Quantity]j Description (Quantity Description _ Quantity]
Air Handling Units I 1 r Fireplace Inserts ' 1 Furnaces 71 1
Gas Piping 1 ] �� (eOTE_
PERMIT E '' :'... :nuary 31,2006.
Permit issued on August 4,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ' : • •.with the laws,rules and regulations of the State of Washington and
the City of Federal W. A
/ ' (
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103894-00-ME
Owner: MICHAEL A DRAKE
Address: 31415 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.
0 Mechanical Rough-in (4165) 0 Gas Piping(4125) ,❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By c tdt) Date! 0 . / b ,ft
1
RECEIVED
1 . A AUG 0 4 2:_5 .
Federal Way j� m ��- .� g5_q_
cOMMUNfYDEVELOPiaxrsERVICESCITYOF FEDERAL, , ILMI 1 SF MF CO EL PL DE EN FP
333254"AVSNUBSOUIN•POBOX 971$ BUILDIN DWPLICATION
FEDERAL WAY,WA 98063-9714
4 253435-2607•FAX 253-435-2609 ' / /
leysmityesdanthausainThe ollowi • is • ired in ormation-an Inco •fete . . •lication will not be acce•ted. Please •rint le• •i
3/1-1/ �■ PROPERTY INFORMATION or
SITE ADDRESS 5 itu - P - SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# !` 1 L G / p� - 0 / 3 Q
LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach lePandePagefor►mWw Mud dew:Kaden)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ig.PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
( L4—‘224- 5'aXj .1" 1 1 A-le- / _ a+ ri) rAhx
PROJECT NAME(Name of Business or Owner Last Name) D elfr LT
• PEOPLE INFORMATION
PROPERTY NAME
OWNER A(CG't Ili b PRIMARY PHONE �/
MAILING ADDRESS K/ CITY,STAT ZIP ( ( ark) - � `�
3141S- (-(4.-±-1/4.- I r_e cit)?--,3
CONTRACTOR COMPANY E APPLICANT NAME G
aiYa/kell ,� A OFFICE)�Nl -
O ADDRESS y(,(i/•�A�J 'STATE, 11/CELL PHONE
o / �,,..�/ s� s�- 4_2_ 'x7,37, _ c ) r
• CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER RATION DATE FAX NUMBER
- - _ / / ( )
gL -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application, EXPIRATION DATE
AJ D 7'- -C C 9 2 Q&- _ /� / /�- /o S
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
( ) -
MAIUNO ADDRESS CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT ( )
FAX NUMBER
0 Architect ❑Tenant a Agent a Other(Describe) ( ) -
CONTACT I NAME Jt PRIMARY PHONE I E-MAIL ADDRESS
•
LENDER ,>-,-J I ( .941 .30%7- as-.)_ 0
;..f•. • ti. , r•,,.e, 7RY•i,„, :iv; r, NAME
.a.,,"• a' CF^'f .•(. ,0t— -,1•C",C:1.; '4i.17ib;
MAILING ADDRESS I CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE , PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ z)VC)
SPRINKLE
RFD BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER o LAKEHAVEN a HIGHLIYE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC) t
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
a
FIRST • •
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
•
GARAGE 0 CARPORT 0
NUMBER OF FLOORS �°iiOfO PROPOS= TOTAr crtr"'
**NEW HOMES ONLY** NUMBER OF BEDROOMS_ ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
ValueMEC.HA
CAL
Mechanical Work $ 20ZX3 ��'
I AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS IC.e.adq WOODSTOVES
BOILERS I•_, • FIREPLACE INSERTS RANGES ' MISC(Describe)
• COMPRESSORS / FURNACES , OAS WATER HEATER'S
DUCTS ( GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/sh•w.rc.mb.l SHOWERS - WATER CLOSETS pus MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(eathi.omatntnl VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCI, PRIER/SIGNATURE BLOCK
I certify under penalty of perjury that the ! ormation ',shed by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above prem - to perf• the work for which the permit application is made. I further agree to hold
harmless the City of r'fderal Way as to any claim ' I • • costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,incl • _ the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the lance of the city,including its o . , d employees,upon the accuracy of the information supplied to the city as a part of
this application. /
NAME/TITLE DATE e v/ e'/
(s y ture) Critle)
RELATIONSHIP TO PR. ❑ 0 • O Agent Ontractor a Architect 0 Other
4.P.0.7 .',;e)L)r•`(Gb `Y,
)4 , E,'4D ,,ge,l�E .-• ;�,;)_;•EA * "�� �h,U�t'1 r i:}:Yet.'�j'C :;i07t', .
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Bulletin#100—January 7,2005 Page 2 of 4 k\HandoutsWPemiit Application
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