07-101172city vfFederal
rCoTnmt�nity D®velopment S ervices Mechanical Permit #: 07- 101172 -00 -ME
Services
" P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: DUDLEY
Project Address: 4120 SW 315TH ST Parcel Number: 873198 2600
Project Description: Gas piping outlet installed to range;
Owner
Applicant
Contractor
MICHAEL & MARY KATE DUDLEY
BRENNAN HEATING & A/C LLC
BRENNAN HEATING & A/C LLC
4120 S 315TH ST
4601 S 134TH PL
BRENNHA971R9 12/29/07
FEDERAL WAY WA 98023
TUKWILA WA 98168
4601 S 134TH PL
TUKWILA WA 98168
a4dd(tt#aI Frmit Infar atlan
Mechanical Valuation ................ ............................900 Over the Counter Permit ? ...................................... Yes
M>chanical Fixt>ires
Gas Pipe Outlets ............................. 1
a
a PEotM' IT tXPOES Friday. March 13, 2009
I hereby
the occ
Owner or agent:
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- ' THIS CARD IS TO REMAIN ON -SITE r
CITY OF A Community Development Inspection Record .
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 101172 -00 -ME
Owner: MICHAEL & MARY KATE DUDLEY
Address: 4120 SW 315TH ST
FEDERAL WAY, WA 98023 -2131
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) Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By G �,..� Date — �- C 7 By C Date tl,' -v'7
RECEIVED BY
COMMUNITY DEVELOPVENT P#RART
Federal'A RECEIVED BY' .; `•..: { . T
r fMUNffyDEVELOPMENT DEPAf lVa R l7AA'k 9i .
COMMUNITDeMUOPU M URYICES � 1�l 1 b MF CO ME LPL DE EN FP
JJJ158TwAf'8/YUY,WA I•PO97j8 8MAR 0 5. o ,pLICATTO
FBOERAG WAY, WA 9806J•9718
'1S9dJS• '1607• PAX 259 -895 -2609 D , . �] •'�O /
Illttt!!l///"""111R U
The following is requ{red {nforntatlon _ rr, „.,.,,..... J--"—Oa rrv'CIC 9 r. r) r- Q A I CWA - -
SITE ADDRESS Z4 l go JIB 514S7-T4 -r
ASSESSOR'S TAX /PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Atteah - pm—~ fa WW ft A.VW droive -V
SUITE /UNIT f .
LOT SIZE (s,?
TYPE-ORPERMIT EJ BUILDING O.PLUI4SSING MECHANICAL -
C DEMOLITION 0 ELECTRICAL U ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Providd detailed desaiption of work included on vermit on
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY NAME (� �/ -yam
OWNER f A—n;;i t✓.u� /�
MAIUNO ADDRESS �� CITY,
4 (ao SO 315 2si-
CONTRACTOR
APPLICANT
CONTACT
LENDER
imi
01 g6al$
tars 1 X35-- 3 �-�7
APPUCANTNAME
N, Y : +►?�+7�1, 1V
MAIUN8Z
OFFICE PHONE "710
t.a�i0) p'� b 0
)REESS
CITY, AT , ZIP
Loo
CELL PHOjjs
F FEF18RAk A U91N S$ SE NUMB ExPlIZATION ATE 7-
AX NU ER
COI 'ITRACTOR3'REOISTRATIONRUMBER (ooP� o[acrd
regaked with eaoh applioattoa�
COMPANY NAME
APPUCANT NAME
R�Q JA�1 � AsA`r-t1.1, ILA /G 9WAL-)fQS41j
MAIUNOA VDRESS
OFFICE PHONE 1-�
`"�p) � - c1:U0
CITY, STATE, ZIP —
�J/pUl 8 t.3�-�ru 'PL
CELL P ONE
TUKWI �� °t � iloSl
C )
RELATIONSHIP TO PROJECT
o Architect O Tenant ❑ Agent ❑ Other (Describe �
...
FAX NUMBER
t any) �� 8 - '7aos-
NAME
daWNCA A LU5N'
PRIMARY PHONE
a a48 - '?1ec:'?..:..
& LADDRESS
NEI-
MAIUN ADDR&S$r. a s STATE.
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? o YES O NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? Cl YES O NO
WATER SERVICE PROVIDER O LAxmuvEN O HIGIILINE ❑ TACOMA 0 PRIVATE (WELL).
SEWER SERVICE PROVIDER ❑ LAKEIIAVEN 0 MGIILME 0 PRIVATE SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED. TOTAL
S . FT. 3 . FT. S . FT.
BASEMENT
FiR3T•
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS s�osParo PaoPOM TOTAL
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE
Indtbate number of each type of fudure to be installed • or relocated as part of this'projecK Do not infra a existing f mores to• rema&' L
Value of Mechanical Work
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS LOOS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (Commoretol)
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Descn'be)
COMPRESSORS
(SAS WATER HEATERS
DUCTS
I' OAS PIPE OUTLLTSN
PLU1�Il1tCi
BATHTUBS (wTubtsho combo)
SHOWERS
WATER CLOSETS (awo
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BMBS
LAVS (B.tb.oemBWu)
VACUUM BREAKERS
ELECTRIC WATER, HEATERS
1 eer t(fy under penalty of perjury that the information furnished by me is true and correct to the best of iqg knowledge, and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is .inade. 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 tiny person, including the undersigned, and; flied 4ainst the City of Federal Way, but only where such claim
arises out of the reliance gf the Fit#, including its gffieers and.smpio#ees, upon the accuracy gf the ir{ formation supplied to the city as apart of
this application.
NAME /TITLE DATE 5 La-%O-7
(Stgnaturej (Title)
RELATIpNSHIP TO PROJECT q Owner o'Agent Contractor o Aichitcct O' Other