07-103102I
City of Federal Way Mechanical Permit #• 07-103102-00-ME
Community Development pment 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: NEIMEYER p
Project Address: 3914 SW 336TH PL _a Parcel Number: 921151 0410
r. L
Project Description: Replace gas furnace (70 btu)
Owner
Applicant
Contractor
WILLIAM G AMBACHER
NORTHWEST PERMIT INC
WASHINGTON ENERGY SERVICES CO
NANCY NEIMEYER
1345 GULF ROAD
(WESCO)
3914 SW 336TH PL
POINT ROBERTS WA 98281
WASHIES971013 9/2/07
FEDERAL WAY WA
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation .................... ........................3574.25 Over the Counter Permit ? ...................................... Yes
Mechanical Fixtures
Furn.� . ............................. , 1
f:%tAg.5D
THIS CARD IS TO REMAIN ON -SITE r
CITY OF 4A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 103102 -00 -ME
Owner: WILLIAM G AMBACHER
Address: 3914 SW 336TH PL
FEDERAL WAY, WA 98023 -2969
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)
Approved
Date
Gas Piping (4125)
Approved to release test
Final - Mechanical (4065)
Approved
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
06- 06 -'07 14.54 FROM-
1r
RECEIVED
Federal Way PERMIT
CORfMUNRY DEV9W PAfENr SERV
333256^+6 IVAY, Ulii r PO 9 o 6 2007
FEDERAL IVAY, WA 88069.8718
253. 496,2607• FAX 253- M5.2809
IS, „ AL WAY
0
The fallowirca is > Ki(ifed 'in o tTdn - an incornalete an»lication will not be
SITE ADDRESS 3914 SW 336th PI
ASSESSOR,$ TAX /PARCEL 0 9 2 1 1 5 1- 0 4 1 0
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I)
(AOOM Seporaie p Vf jJ r lareft bgW d4" 10M
PROJECT INFORAUTION
T -284 P002/005 F -483
a7- - ro--3;t_o_z
SF MF CO �EL PL DE EN FP
r 7--1
oted. Please Print legibly tin ink) or type.
SY)ITE /UNIT )l
LOT SIZE (Sn
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING g(MECHANICAL
❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PRV ZNTION SYSTEM
PROJECT DESCRIPTION (provide detailed description of work inciuded on t)I'is Dermit onlu)
Replace 70 BTU Furnace Gas
PROJECT NAME (Name Qf Business or Owner Last Name)
PEOPLE •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAM& PRIMARY PHONE
Nancy Neimeyer I PAR ) 227 -2811
MAILING ADDRESS CITY, STATE, ZIP
3914 SW 336th PI Federal Way, WA 98023
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
WESCO
Melissa roda
(2066 ) 378 - 6608
MAILING ADDRESS
CITY, STATE, 21P
CELL PHONE
2800 Thorndyke Ave W
Seattle WA 98199
( ) -
CITY OF FEDERAL WAY S SINM LIOWSE WWSER
fitAZON DATE
FAX NUMBER
2. Q -Q -3' —1 -0 4 2— s3 .4 -B
L 12 / 31 /07
( ) -
CON7RACTOWS REGISTRATION NUMBER (Copy of card required with each apylleetlon)
EXPIRATION DATE
W A S H I E S 9 7 1
0 B
09 /02 /07
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Northwest Permit Inc
Melissa roda
( 360 ) 945 -2787
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
1345 Gulf Road
Point Roberts, WA 98281
) -
REIATIONSHiP TO PROJECT
FAX NUM R
❑ Architect o Tenant y6lgent ❑ Other (Describe)
( ) -
N Pi2IMAItY P1H[ONE [:MAIL t'Mrm [sS
Melissa Croda 360 945 - 2787 meliSSa @nwpermit.com
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5��
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MAILINO ADDRESS
em, STATE, ZIP
PHONIC
EXISTING USE SFR
EXISTING ASSESSED /APPRAISED VALUZ $_
PROPOSED USE
VALUE OF PROPOSED WORD
SPPXWLLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LuCERAVEN ❑ WGVLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ MGHLINE 0 PRIVATE (SEPTIC)
06- 06 -'07 14;55 FROM-
PROJECT FLOOR AREAS
T -284 P003/005 F -483
AREA DESCRIPTION
EXISTING
$2. FT.
PROPOSED
s . VT.
TOTAL
S . F>`.
BASEMENT
RAIN WAT211 SYST
URINALS
KOSE 51BBS
FIRST
RLEGTRIC WATER HEATERS
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SECOND
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ADDITIONAL FLOORS (DESCRIBE)
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DECK(COVERED ?)
GARAGE ❑ CARPORT ❑
.............
NUMBER OF FLOORS
eazaTato
Ynoroaw
TOTnf.
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�'t0'tA BT!4!ii::7
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••AEYI(/HOMES ONL4"r' . NUMBER OF BEDROOMS E,,- ,nMATED SELLING PRICE $
nwnber Qf each type
WCHANWAL 3574.25
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS Y Tuh /share<CGWbQ)
DISHWASHER$
GAS PIPE OUTLETS
WASHING MACHINES
LAVE jdaihroom Slnx4)
installed or relocated as part Qf this project. Do not include existing
EVAPORATIVE COOLERS GAS LOGS
PANS HOODS SCam,n.,a5.11
P'=('PLACE INSERTS RANGES
1 PYJPNACES GAS WATER HEATERS
GAS PIPE OU CLLPS
SHOWERS
WATER CLOSETS tmaol) —
SINKS
DRINKING FOUNTAINS
SUMPS
RAIN WAT211 SYST
URINALS
KOSE 51BBS
VACUUM BREAKERS
RLEGTRIC WATER HEATERS
to rema#L
REPRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Deteribe)
Z cert(fy under penalty of perjury that the £reformation furnished by me is true ana correct to the best of my knowledge, andfurther, that I
am authorized by the owner of the above promises to perform the work for which the permit application is made. I further agree to hold
harmless the City of tnederal 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, andflled 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 [reformation supplied to the city aY a part of
this application.
NAW /TITLE %� '�-t� - DATE
(ft'natur-0) tittle)
RELATIONSHIP TO PROJECT o Owner o Agent ❑ Contractor D Architect ❑ Other
Bulletin #100 - January 1. 2006
Page 2 of 4
k\Mandouts\Permit Application
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Bulletin #100 - January 1. 2006
Page 2 of 4
k\Mandouts\Permit Application