08-101366City bf Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
a i 14
Mechanical Permit #: 08- 101366 -00 -ME
Project Name: KONKELL
Project Address: 29023 7TH PL S
Project Description: Replace existing gas furnace with a new gas furnace.
Inspection Request Line: (253) 835 -3050
Parcel Number: 515270 0080
Owner
Applicant
Contractor
FREDRICK KONKELL
GLENDALE HEATING & A/C
GLENDALE HEATING & A/C
BERNICE KONKELL
12462 DES MOINES WAK' S
GLENDHA053Q2 11/2/09
29023 7TH PL S
SEATTLE WA 98168 -2266
12462 DES MOINES WAY S
FEDERAL WAY WA
SEATTLE WA 98168 -2266
98003 -3607
/'A U_�
r � THIS CARD IS TO REMAIN ON -SITE t
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 101366 -00 -ME
Owner: FREDRICK KONKELL
Address: 29023 7TH PL S
FEDERAL WAY, WA 98003 -3607
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
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
-A 14 ECE
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Federal way �, Zoos PERMIT �� �`�
COMMUNI7Y DEVELOPMENT SERVICES''AR'` SF MF CO *)EL PL DE EN FP
33325 8m AVENUE SOUTH•PO BOX 9718I CATI O N
FEDERAL WAY.WA 98063-9718 „- 'FELE / _
ID
253835-2607•FAX 253845-2609 C
uv'w.cattaffederaiwau.corn
The following is required DStion-an incomplete application will not be accepted. Please print legibly(in ink)or type.
(n] z • PROPERTYnINFORMATION
SITE ADDRESS 2_"1 b^ / - i 1 ,-- pi 0 �Q SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 15 2_ 7 IL- n .(2_ 10 ,
) n 1 _ 1 0 I/ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Y 1 1MAJ 1A, I`ii II% I I
(Attach separate pagefor lengthy description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work Included on this permit onlz)
r 1. I,illi 'S132711 A JM/i i c,1 -
PROJECT NAME(Name of Business or Owner Last Name) 14k)411
• PEOPLE INFORMATION
OWNEPROPR ` p�rE�ra Kah 1 l T1� _ /� (PRIMARY) G �°I - n)C5
MAILING ADD 0I 0�. `.7 `0! [l 1 't a�� l���(✓V A {ln0`.. E-MAIL ADDRESS
CONTRACTOR COMPANY NAME 'A APPLICANT NAME OFFICE PHONE-
Glend �n ( C ) ?L -170
IL�°� % �Yus M '\� CITY,55E, pa °lI1[• CONE 1o0- )46)
CITY OF P DERAL AY BUSINESS LICENSE NUMBER }EXPIRATION DAZE FAX NUMBER
t _r 0 19"110 !ID — 16L EXPIRATION D g Ea&�-MAIL.&D 9.1,3-i 31) 1
COPi o7 card required CON11 R'3
.m. �' Gt, N�1-I D�3� a 11 . 0> ' 0�
APPLICANT COMPANY NAME C i ,PIN)" APPLICANT NAME OFFICE PHONE ---)A.,\ `Q
DRESS r C11Y. 1E. i PHONE U I
as trIP), SS ! 'L 4 I ? lull ors)6 ( PI “it)... ��
REtAIl TO PROJECT FAX NUb(BERl i
❑ Architect ❑Tenant 0 Agent o Other a' h f ( 6)0/9) Ol1� - `d7j'�
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES o NO
WATER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
Sg.FT. S9.FT. Sg.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
»mmm PRoeo® TOTAL TOTAL U 1 OST TOTAL reoeaeever TOTAL 67
NUMBER OF FLOORS
••NEW HOMES ONLY"• NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be ins or relgcatedas part of this project. Do not include existing fixtures to remain.
MECHANICAL ...SWM
Vahup of Mechanical Work$ -rP Ii • (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APF IJCATION)
3(g0-
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(comneaD
COMPRESSORS 1, FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/shower conte LAVS®ath,00m scowl URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roeeu
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the beat 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 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 of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. q f\ 1'I j �}
NAME/TITLE 1`1 V V`�91 „ .V10640) DATE ()/f ,i t/
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent `ta Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-April 2,2007 Page 2 of 4 k\Handouts\Permit Application
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