11-103896k Micha'nical
City of Federal Way Pert #. 11 103896-00-ME
Community Development Services •
P.O. Box 9980
Federal Way, F : (253 835- FILE Inspection Request Line: (253) 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 2609 p
Project Name: FUSSELL
Project Address: 31633 45TH PL SW Parcel Number: 211551 0380
Project Description: Install gas furnace
Own r
Aoglicant
Contractor
RYAN FUSSELL
ALL SEASONS INC (GENERAL)
ALL SEASONS INC (GENERAL)
31633 45TH PL SW
4851 S WASHINGTON ST
ALLSEI *03055 (12/17/11)
FEDERAL WAY WA 98023
TACOMA WA 98407
4851 S WASHINGTON ST
TACOMA WA 98407
Mechanical Valuation .................... ........................3048.69 Is this an Online or O.T.C. application? ................. Yes
Furnaces .......... ............................... 1
PERMIT EXPIRES Saturday, March 24, 2012
Permit Issued on Monday, September 26, 2011
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 cif the State of Washington
a •Ct o Federal Way. 8e Application
See goof ton
Owner or agent: Date:
SEP 2 6 2011 SEP $ 6 2011
'Mal- THIS CARD IS TO MAIN ON -SITE '
IfthIMML
crrY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835 -3050
PERMIT #: 11- 103896 -00 -ME Address: 31633 45TH PL SW
Project: RYAN FUSSELL FEDERAL WAY, WA 98023 -2188
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.
F1
Mechanical Rough -in (4165)
Gas Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
Date n v lN _` t
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
0
DECEIVED
" Federal Way 6 'APPLICATION
APPLICATION
253•B35.60 - M
2607 -FAX 259,835.26Q9
,w.ct: (ederahw _T ITY OF FEDERAL WAY
CDS
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SF MF CO (ME PL DE EN FP
a.
BITR ADDRF.&8
surt�/urtrr
'Pl l
PROJECT VALUATION
$
7cwmo
A91gS9&OR'6 TAX/PARCEL M
2 i 4 >
TYPE OF PERMIT
❑ RUMI)ING ❑ PLUMBING M X-HANICAL
❑ DEMOLITION ❑ ENGINEERING Cl FIRE PRE�TION
NAME OF PROJECT
17'enant Name /Romeouner Last Name)
�T
j
PROJECT DESCRIPTION
Detaffed description of work to
be tnciuried'on m;s permit only
PROPMTY OWNER
TLEA27 PROM
' ' > 2
F-11QAn.
CITY
STATE��
PHONE
C
F-U477
CONTRACTOR
W1A'Y DU8U1rE�EUJMZNSW
WA STATE C ESPUtATIO1G,DATR
PHONE
l�
APPLIGAPIT
errs
s
zw
i*AS[
PROJECT CONTACT
kThe indlatdual to receive and
respond to all correspondence
concern$tg this applkcatiorV
crlY er
A9aZMA&= CONTACT NAM;
Vito"
$ �
PROJECT MANCING
NA—
[� OCMR MANCED
Required ualuc of$5.000 or more
(RCN/ 18.29.0951
KAWN0 ADDR)M&• Cftr: STATE, ZIP
PM"
I certify under penalty of perjury that I am the property owner or authorized agrnt of the property owner. I certfy that to the best
of my knowledge, the information submitted in support of this pv—nit appicalion.ls true and correct. I certify that I grill comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owners responsibility for eomplianee with local, state, or federal lutes regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fear incurred in
the investigation and dofense of mu h alaino, urhioh may be macia by any person, including the underriyned, and filed against the eitg,
but only where such claim arises out Qf the reliance of the city, including lts q,(flcers and employees. upon the accuracy of the
information supplied to the city as a pa this,appliaatiort,.
DATE
SIGNATURE
PRINT NAME:
Bulletin #100 - January 1, 2011
Page 1 of 3
k:\Handouts \Petrrut Application
f"<
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•
if
•
a
VALEM OP IIlH -MMC4L WORK $ (a COPY of bud or eSMnaW must be prov ided
htdtcate hour many qfearh to ixttire to be Installed or relocated as arl pf this project Do not frictude
AIR HANDLING UNITS PANS GAS PIPE OVfLEI'S
AIR CON7Pt'1 TONER FIREPLACL INGE;R fS moons (Comin&biab —
__ BOILERS FURNACES HOT WATER TANKS {Gae)
COMPRESSORS GAS LAG- SETS REIFRIGERATiON SYST
DUCTING GAS PIPING WOODSTOVES
Incitcate horn many of each 41pe
BATIM53 for 7tib /Srumr Combo)
DISHWASHERS
DRAINS
DRINKING FOUNTAINS
HOSE BIBBS
to be irl.;taued or r Bloc
LAYS (Hared BinIW
RAINWATER SYSTEMS
SHOWP -Rs
SINKS ov�e1-.vuauzo
SUMPS
i jut res to remain,
OTHER (Deacnbc)
rs part of thfS Project Do riot include exiethV fixtures to remain.
TOILETS WATER PIPING
URINALS OTHER (Deacrlbe)
VACUUM BRRAXJZPS
WATER HEATERS (mwate{
WASHING MACHINL;Sf#�(Pi�Ztl��fi#4
Bulletin #100 µ January 1, 2011 Page 2 of 3 k:\Handouts \Pcrmit Application
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