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07-100818r City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Mechanical Permit #: 07- 100818 -00 -ME Inspection Request Line: (253) 835 -3050 Project Name: WREDEN, Project Address: 30029 8TH AVE SW Project Description: Oil furnace to oil furnace changeout in crawl space; Parcel Number: 515320 0501 Owner Applicant Contractor JAMES R WREDEN ROSSOE ENERGY SYSTEMS INC ROSSOE ENERGY SYSTEMS INC LESLEY R WREDEN 9367 RAINIER AVE S ROSSOES964RS 12/10/06 30029 8TH AVE SW SEATTLE WA 98118 9367 RAINIER AVE S FEDERAL WAY WA SEATTLE WA 98118 98023 -8203 oir ':!A€iditit�rtl Peir�mit lnfOnrr�iti ©n,- Mechanical Valuation ................. ...........................4674 Over the Counter Permit ? .......... ............................Yes K F THIS CARD IS TO REMAIN ON -SITE CITY Of Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 100818 -00 -ME Owner: JAMES R WREDEN Address: 30029 8TH AVE SW FEDERAL WAY, WA 98023 -8203 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 e, Goi Date r. 5tP ©MMUN�1'QEVEEIV IED BY _ V Federal WafRECEIVE® MFNTDEPAp 1Vr__ — — — — PERMIWe r p SF MF CO L PL DE EN FP COMMIINI'IYDEVELOPMENfSERVICES A `k ZOO 33325 8TH' AVENUE SOUIH • PO BOX 9718 n AP P LI CATI O N r FEDERAL WAY, X 53-8 3-9 B 4 U D 253 -835 -2607• FAX 253 - 835 -2 www.cituoffederalwau.com 1 W The following irei-k��pOn Van Incomplete application will not be accepted. Please print legibly (in Ink) or type. SITEADDRESS30M61 ' ` Y`cc2. -SW SUITE /UNIT # ASSESSOR'S TAX /PARCEL # J 2 Q - 0 LOT SIZE (sp LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach --p-& PWefa L�wft IBal dsa'IPli-0 PROJECT •• • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING A MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION kProuide detailed description of work included on this permit on1 a r--)K( I N A^ A A A 1 1 � NO ,n T h I _ I A, PROJECT NAME (Name of Business or Owner t a 1( \l re PEOPLE INFORMATION PRIMARY PHONE OWx R ramie �eS�1e -1,� ,�CPC�P�'� (�- -s)9�1 - CONTRACTOR copr .M aS h APPLICANT -PROJECT CONTACT LENDER C ANY NAIVE APPLICANT NAME OFFICE PHONE S CITY, STATE, ZIP (20(Q) I - -SSG MAILING ADDRESS P U f yi ,, STATE � M A " 1' „ qcg II U l PRIMARY PHONE CITY OF FEDDE WAY BUSINESS ENSEQN,UMBER, DATED FAX NUMBER —RAL %�EXPIRIRAVTIO`N CONTRACTOR'S REGISTRATION NUMBER DATE E -MAIL ADDRESS gEXPIRATION COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent ❑ Other FAX NUMBER ( ) - NAME PRIMARY PHONE E-MAIL ADDRESS NAME Per RCW 19.27.095: Lender information is required ifproject value exceeds $5.000 MAILING ADDRESS CITY. STATE. ZIP PHONE EXISTING USE EXISTING ASSESSED /APPRAISED VALUE $_ SPRINKLERED BUILDING? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN SEWER SERVICE PROVIDER ❑ LAKEHAVEN PROPOSED USE VALUE OF PROPOSED WORK FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO • HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) • HIGBLINE ❑ PRIVATE (SEPTIC) i PROJECT ..• AREA DESCRIPTION AREAS FMSTING FT. PROPOSED SQ. FT. TOTAL SQ. FT. BASEMENT ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT FIRST BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? SECOND ❑ NO ZONING DESIGNATION THIRD CHANGE OF USE? ❑ YES ❑ NO ADDITIONAL FLOORS (DESCRIBE) UP /SEPA /SU? ❑ YES DECK (O COVERED OR ❑ UNCOVERED ?) PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? GARAGE ❑ CARPORT ❑ ❑ NO NUMBER OF FLOORS enerM rnoroeM TMAL rerecanervroer TO= raaraemsr Torwtar "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ E FIXTURES Indicate number of each type offmiure to be installed or relocated as part of this project. Do not include existingfixtures to remain. araa:na, ,y� w Value of Mechanical Work $ 4614' (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WrM APPLICATION) AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS BATHTUBS (or Tub /Shower Combo) DISHWASHERS DRINKING FOUNTAINS ELECTRIC WATER HEATERS HOSE BIBBS EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS LOG SETS LAVS (Bathroom St k.) RAINWATER SYST SHOWERS SINKS SUMPS GAS PIPE OUTLETS GAS WATER HEATERS HOODS (como-rcw) RANGES REFRIG. SYSTEMS URINALS VACUUM BREAKERS WATER CLOSETS Ilbiko WASHING MACHINES WOODSTOVES MISC (Describe) MISC (Describe) I certVy 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 toork 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 4f the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this ap ion. NAME/ "TE 2 RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect ❑ FOR 0MC2 USE ONLY ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP /SEPA /SU? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Bulletin #100 - January 1, 2007 Page 2 of 4 k\Handouts\Permit Application