09-102976`
- City of Federal Way Mechanical
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Community Development Services Permit 1t. 09- 102976 -00 -ME
P.O. Box 9718 a
Federal Way, WA 98063 -9718 Inspection ection Re uest Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 . p q
Project Name: QUON
Project Address: 1216 SW 346TH ST Parcel Number: 666490 0030
Project Description: Remove /replace existing A/C unit with new.
Owner
Applicant
Contractor
CLEMENT QUON
VALLEY FURNACE INC
VALLEY FURNACE INC
1216 SW 346TH ST
PO BOX 507
VALLEFI161R6 (12/26/09)
FEDERAL WAY WA 98023
PUYALLUP WA 98371
PO BOX 507
PUYALLUP WA 98371
Mechanical Valuation ................. ...........................5130 Is this an Online or O.T.C. application? ................. Yes
Air Conditioners - Stand Alone Un ..1
PERMIT EXPIRES Sunday, January 31, 2010
Permit Issued on Tuesday, August 4, 2009
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. /
Owner or agent: el bo 4 1 Date: y
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction I1 ection Record
INSPECTION REQUESTS: ( 253) 835 -3050
PERMIT #: 09- 102976 -00 -ME Address: 1216 SW 346TH ST
Owner: CLEMENT QUON FEDERAL WAY, WA 98023 -7040
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)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Cl_ Date _ _ ��
By Date �,��_ 8(4
ByL Date g ,l3-0
For inspector reference only
O Rough Electrical 0 FINAL -Electrical
By Date By Date
Federal V-CEIV E [*
PERMIT
COMMUNITY DEVELOPMENT SERVICES
3-3325 53 - 8352607E FAX 253-835-260 �.4 2009 APPLICATION
FEDERAL WAY, WA 9806317
www.tituo ederdwa .
The oltotDt " >'s�� FEDERAL WA
f ruJ _ q /F•WO-mation - an incomplete application will not be
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SF MF COL PL DE EN FP
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ted. Please print legibly (in ink) or tripe.
SITE ADDRESS I O' 16 i
(�') :P-464 1,
�
SUITE /UNIT #
ASSESSOR'S TAX /PARCEL #
'L 6 G
`i ? C- - G ® 3 0
LOT SIZE (s,?
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Att—A separate page for lengthy legal d--o Mon)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 1KMECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detail ed description of work included on this permit onivl
r1�h5 4 e? t-7 Ar C-1-4 ecloe c��t e�r(S�rtK�� 5�/SfPVe�►
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
14
APPLICANT
CONTACT
NAME PRIMARY PHONE
`evnet-i 6�uo✓r (2 >3) X6/'1(761
MXTLING ADDRESS CITY, STATE, ZIP
COMPANY /N`AME /
V,,I K' c�'
APPLICANT NA�"'E
s
OFFICE PHONE
(253) 24V
r
it rtC�ctsozf
(Z py�- s/
MAILING ADDRWS
O. f3dr 5U?
CITY, STATE, ZIP
f'� (fK f,✓�} 231
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
G -B
L l 2 /3 ( l
(2� �i��i 5710
CONTRACTORS REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
LlALL II• 1(2 i f—
-4
IL /Z7 /G
COMPA NAME
APPLICANT N E
OFFICE PHONE
471- �f -P?
l� t4 -d..
(Z py�- s/
MAILING ADD
CITY, STATE, ZIP –
CELL PHONE
72 id ' vier 01�
` 97 (
(
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent .Other (Describe) oh f C r
( 25 ) 9W - 5 710
NAME
t' %iC' v
LENDER
EXISTING USE
Sw
EXISTING ASSESSED /APPRAISED VALUE
=7 --;o1 0
ME
Y, STYE, ZIP (I
IFORMATION
PROPOSED USE
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
CtLeGM '
TOTAL I
I AREA DESCRIPTION I ESQ. FT. I P S FT. D I O FT.
BASEMENT
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED ?)
GARAGE ❑ CARPORT ❑
M"IDO PROPOSED TOTAL ALfROP036D
NUMBER OF FLOORS
"NEW HOMES ONLY " NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECFIANICAL O
Value of Mechanical Work $ ��
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (c —miaq
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORSA,t)e y
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
PLUMBING
BATHTUBS (orT4b /shower combo(
SHOWERS
WATER CLOSETS (loikt)
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS (so.—m sink.)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
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 ci , including its officers and employees, upon the accuracy of the information supplied to the city as apart of
this application. / S� �/ q
NAME /TITLE K e e e r DATE !U — l l
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 4V Agent ❑ Contractor ❑ Architect ❑ Other
Bulletin #100 — January 7, 2005 Page 2 of 4 k \Handouts\Permit Application