07-100693'City of Federal Way
Com,Tunity Devqlqpment Services Mechanical Permit #: 07-100693-00-M*E
P 0. 136k 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: MORRISON
Project Address: 31350 39TH CT SW
Project Description: Remove and replace furnace.
Parcel Number: 873198 1870
Owner
Applican
Contractor
STANLEY D ANDERSON
ATEKA HEATING
ATEKA HEATING
PAULA C ANDERSON
906 PIKE ST NW
ATEKAHA943UI 3/21/08
AUBURN WA 98001
906 PIKE ST NW
AUBURN WA 98001
Additional Permit Information
Mechanical Valuation ............................................ 2757.35 Over the Counter Permit? ...................................... Yes
'k
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record,-
Federal Way 1VR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-100693-00-ME
Owner: STANLEY D ANDERSON
Address: 31350 39TH CT SW
FEDERAL WAY, WA 98023-2109
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) '0 Gas Piping (4125) 0 Final - Mechanical (4065)
Approved Approved to release test Approved
By Date % By Date %-By- Date zklo-7
C
FederalWay RECENED PERMIT SF MF CO EL PL DE EN FP
_eOwmu;M DEVELOPMENT SERVICES
.3-3325 8m AVEPUE SOM - PO BOX 9718
FEDERA WAY, WA 98OW 9718 To
253-835-2607- W 253-835-2609 FES o s 2AIPPLICATION
Thefollowing is re A WAY
P4091wWan incomplete application will not be accepted. Please print legibly. (in ink) or type-
PROPERTY INFORMATION
SITE ADDRESS SUITE/UNIT #
ASSESSOR'S TAX/PARCEL LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acrne Estates, Lot 1)
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prouide detailed description of work included on th' t onlu�
is psrw
y1P—V-twQAL C) \D J
PROJECT NAME (Name of Busines o4ner Last Na A0 \T61 e'qv
PROPERTY
OWNER
CONTRACTOR
COPY f �"d -q.1-d
.1th —b PP11C.Ai..
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
vq�
t>ovq'�
PRIMARY PHONE
I (5s7K)
MAILING ADDRESS
I cz-'!��o 3�111"' (--*-'�Lo I
CTM, STATE, ZIP
-;t"�ez'A oLv�t 6K'0��
E-MAIL ADDRESS
1 --- -- .
COMPANY NAME
kieokw�c'
PPLICANT NAME
OFFICE PHONE
us-s
7X,5�q
MAILING ADDRESS
PC �ke-- L3
LAIT
CITY, STATE, ZIP
S
CELLPHONE
1�57D --3y-s�
FAX NUMBER
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER PIRATION DATE
FAX NUMBER
Iq DD &:d --7
(as-'-.J
CONTRACTOR'S REGISTRATION NUMBER f I EXPIRATION DATE
E-MAIL ADDRESS
AT-6--f -\A tAf �,q
COMPAr NAME C
APPLICANT NAME
OFFICEPHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
E) Architect 0 Tenant 0 Agent 0 Other
[_7E ('0, 4,,,- ct ��- f- PHONE E-MAIL ADDRESS
NAME
Per RCW 19.27.09s:
Lender information is required ifproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILDING? 11 YES 0 NO FIRE
WATER SERVICE PROVIDER 0 LAKEHAVEN o HIGM(LINE
SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE
70POSED USE
VALUE OF PROPOSED WORK$
• %SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
SY
TAS'OMA 0 PRIVATE (WELL)
• PRIVATE (SEPTIC)
Indicate nurnber of each type offWure to be installed or relocated as part of this project. Do not include existing fixtures to remain-
A:ECU4AffCAL
Value of Mechanical Work $ (ACOP OF BID 4OR ESITMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS.
BAT14TUBS j.erub/ShCbo1
DISHWASHERS
DRINKING FOUNTAINS
ELRCTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS Lbd SETS
GAS PIPE OUTLETS
-GAS WATER HEATERS
HOODS (corsmarei.4
RANGES
REFRIG. SYSTEMS
LAVS Sinks) URINALS
g ?,AI TER SYST VACUUM BREAKERS
;R_
9
WERS
W �E WATER CLOSETS rr.iiq
r .
SINKS WASHING MACHINES
SUMPS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify underpenalty ofperjury Oat the information furnished by me is true and correct to the best ofmy knowledge, andfurther, that Z
am authorixed by the owner of the above p remises 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 lincluding costs, expenses, and attorneys' fees Incurred in the investigation and defense of
such clainal, which may bel6p%de by any person, including the undersigned, andfliedagainst the City of Federal Way, but only where such claim
arises out of the reliance Ofthe city, includinglits officers and employees, upon the accuracy of the Information supplied to the city as a part of
NAME/TITLE
RELATIONSHIP TO
I — (Tide) ,
o Ovimer o Agent 0 Contractor o Architect [I Other,
a NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT.
BUMDING SHIA& ONLY?
aYES ONO
BASIC PLAN? a YES
0 NO
ZONING DESIGNATION
CHANGE OF USE? a YES
0 NO
NEW ADDRESS REQUIRED?
13 YES- ONO, ------
UP/SEPA/SU?
a NO
PLATTED LOT?
a YES u NO
DEMO PERMIT REQUIRED? 0 YES
o NO
Bulletin #100 — January 1, 2007 Page 2 of 4 W4andoutsTennit Application