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07-100030City of Federal Way Community Development Services P.O. Box 9718 FederJWay, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Project Name: ERICKSON Project Address: 803 SW 295TH ST Mechanical Permit #: 07-100030-00-ME Project Description: Replace gas furnace with new gas furnace. Inspection Request Line: (253) 835 -3050 Parcel Number: 119600 4382 Owner Applicant Contractor ROGER ERICKSON GENESEE FUEL &HTNG CO INC GENESEE FUEL &HTNG CO INC BARBARA ERICKSON PO BOX 18206 GENESFH37006 9/1/07 803 SW 295TH ST SEATTLE WA 98118 PO BOX 18206 FEDERAL WAY WA SEATTLE WA 98118 98023 -8252 A+ dt'fif nal Permit lnformat"t n '- Mechanical Valuation .................. ..........................3000 Over the Counter Permit ? ...................................... Yes y. i I THIS CARD IS TO REMAIN ON -SITE + CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 100030 -00 -ME Owner: ROGER ERICKSON Address: 803 SW 295TH ST FEDERAL WAY, WA 98023 -8252 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. ❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065) Approved Approved to release test Approved By Date By Date By Date -� t(tt2c-6 CITY OF R E C aar • - ED Federal Way PERMIT COMAfUAfITYDBVELOPKW SBRVICSS�AN "'APPLICATION 3332,,, AVSNUS SOUl1i • PO BOX 971 FEDBRAL WAY, WA 980G4 -9718 , 2S3-83S -2607• FAX 2S343S -2609 UxM,diuefie,YMftgQmr1TYY OF FEDERAL WAY The following is requPHUM or�eN'lib�[ z an incomplete application will not be -PROPERTY •- • -07--L O U 4 , O SF MF CO (0 EL PL DE EN FP Ited. Please Print lepibbi fin ink) or type. SITE ADDRESS (J U %ij p(� SUITE /UNIT # . ASSESSOR'S TAX /PARCEL 11 - % LOT SIZE (s,) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) . (Attach aeperntr ~far WOW Aval d --t- -q . PROJECT INFOIUIATION TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING BCHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT. DESCRIPTION (Provide detailed description of Mork included on this permit onlul PROJECT NAME (Name of Business or Owner Last Name) I t- PEOPLE INFORMATION PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER NAME PRIMARY PHONE om 12 1 1. 5© n . (' !:!j MAILING ADDR&W CITY STATE, ZIP Cy COMPANY NAME APPLICANT NAME APPLICANT NAME OFFFIICE_PHONE CITY, STATE, ZIP CELL PHONE' RELATIONSHIP TO PROJECT ❑ Architect ❑.Tenant ❑ Agent o Other (Describe) / J -7 MAI RE33 CITY, ST T ,ZIP ( ELL PH ONE _ OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER /CONTRACTOR'S J REGISTRATION NUMBER (copy of and requircd with epch application) � � - EXPIRATION DATE COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP CELL PHONE' RELATIONSHIP TO PROJECT ❑ Architect ❑.Tenant ❑ Agent o Other (Describe) FAX NUMBER ( - EXISTING USE PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED %REQUIRED? R YES ❑ NO WATER SERVICE PROVIDER D LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER o LAKEHAVEN . ❑ HIGHLINE 0 PRIVATE (SEPTIC) W PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING 8 . FT. PROPOSED S . FT. TOTAL S . FT. BASEMENT FIRST EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS SECOND FANS HOODS (commereid) WOODSTOVES THIRD FIREPLACE INSERTS RANGES MISC (Describe) FOURTH FURNACES GAS WATER HEATERS ADDITIONAL FLOORS (DESCRIBE) GAS PIPE OUTLETS DECK(COVERED ?) GARAGE. ❑ CARPORT O SHOWERS WATER CLOSETS lroaeq MISC (Describe) . NUMBER OF FLOORS stnaraa raoroseo mrv. GAS PIPE OUTLETS SUMPS RAINWATER SYST -NEW HOMES ONLY*" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ number of each type of fixture to be installed or relocated.as part of this project. Do not include existing fixtures to remain.. MECHANICAL Value of Mechanical Work-* AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODS (commereid) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS (or1Lb /shoe combo) SHOWERS WATER CLOSETS lroaeq MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAYS (B,Ah."m yk.1 VACUUM BREAKERS ELECTRIC WATER HEATERS I cert(jy 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 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 any claim /including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which m 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 reli of the city, including its officers and employees, upon the accuracy of the Wormation supplied to the city as a part of this application. NAME /TITLE G&4 i L TE (Sign cure) (nom) RELATIONSHIP TO PROJECT QQner O Agent ��ontractor ❑ Architect o Other Rn1letin #I M — .Tanuary 1. 2006 Paae 2 of 4 k\ Handouts\Permit Application'