13-102052City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: EVANS
Project Address: 3917 SW 317TH ST
Project Description: Remove/replace gas furnace
Mechanical
Permit #: 13 -102052 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 8731981760
Owner
ARRlican
Contractor
ROBERT EVANS
RANGER HEATING & COOLING
RANGER HEATING & COOLING
3917 SW 317TH ST
4014 61ST AVE E
RANGEHC9050M (9/18/14)
FEDERAL WAY WA 98023 -
FIFE WA 98424
4014 61 ST AVE E
FIFE WA 98424
Additional Permit information
Is this an Online or O.T.C. application? .................Yes
Mechanical Fixtures
Furnaces ........................................ 1
PERMIT EXPIRES Tuesday, November 5, 2013
Permit Issued on Thursday, May 9, 2013
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: Date:
FINALED
CITY CW
Federal Way
PERMIT #:
13 -102052 -00 -ME
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
Address: 3917 SW 317TH ST
Project: ROBERT EVANS FEDERAL WAY, WA 98023-2134
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.
Rough Electrical
Approved1:1
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
' anoF PERMIT%PPLICATION
Federal Way RECEIVED
PERMIT NUMBER l _ l (% 2 (� z _ TARGET DATE '�MAY 0 9 2013 4
_
FEDERALCITY OF
WAY
SITE ADDRESS
SUITE/
r /,
L
PROJECT VALUATION
OQ
t
ZONING
ASSESSOR'S TAX/PARCEL � _ -
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
u QFnq ce
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAMEBINARY
�V4 S
PHONE
I �— 50 — 16/2
MAILING ADDRESS ��
IV 2 11
E-MAIL
CITY
L,/,+
C/T
ZIP
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00-a
NAME
PHONE
.LC
M=0 p
E-MAIL
CONTRACTOR
ZIP
FAX
WA ST TE O,NTf RjACTCOR'8 I/CENSE#
EXPIRATION DATE
L
FEDERAL WAY BUSINESS LICENSE #
N i,T Icy ( 2 O
/
NAME
rRIMARY PHONE
MAILING ADDRESS � � � �
E-MAIL
APPLICANT
CITY / ZIP 0 7
FAX
NAME
PRIMARY PHONE
PROJECT CONTA
DRESS
E MAII
(The individual to receive an
respond to all corresponden
CITY STATE ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27-095)
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. 1 certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws 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' 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,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: DATE �— �— � 3
PRINT NAME: QA
.11
Bulletin #100 —January 1, 2013 Pagel of 3 k:\Handouts\Permit Application
MECHANICAL PERMIT
Indicate how many of each type
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
fixture to be installed or relocated as
FANS _
FIREPLACE INSERTS _
T FURNACES _
GAS LOG SETS _
GAS PIPING
VALUE
SO/F�[MECHANICAL WORK
f this project. Do not includeproject. not include existinqures to rem
to rem
GAS PIPE OUTLETS OTHER (Describe)
HOODS (C - d.1)
HOT WATER TANKS (Gaa)
REFRIGERATION SYST
WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VA LUE OF PLUMBING WORK
PLUMBING PERMIT
EXISTING/PREVIOUS USE
LOT SIZE (ln Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
Indicate how man o each type offtxture
to be installed or relocated as
part o this project. Do not include existingfLxtures to remain.
BATHTUBS (o Tub/Shower Combo)
LAVS (iandSinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utuity)
WATER HEATERS (Fredric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE (ln Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
Bulletin #100 — January 1, 2013 Page 2 of 3 k.\Handouts\Permit Application