07-103952c
City of Federal Way
Community Development Services
P.O. Box 9718
Federal VSey, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: LANE
Project Address: 28325 15TH AVE S
Project Description: Gas furnace replacement
Mechanical Permit #: 07- 103952 -00 -ME
Inspection Request Line: (253) 835 -3050
i °. Parcel Number: 025130 0130
Owner
Applicant
Contractor
LORRIE V LANE
BRENNAN HEATING & A/C LLC
BRENNAN HEATING & A/C LLC
28325 15TH AVE S
4601 S 134TH PL
BRENNHA971R9 12/29/07
FEDERAL WAY WA 98003 -6100
TUKWILA WA 98168
4601 S 134TH PL
TUKWILA WA 98168
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FINq�.ED
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THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 103952 -00 -ME
Owner: LORRIE V LANE
Address: 28325 15TH AVE S
FEDERAL WAY, WA 98003 -6100
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 Date
For insp ector reference
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVEb.BY
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Thef011Owing is required information - an incomogate application will not be acce
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SF MF 6040EL PL DE EN FP
SITE ADDRESS
ASSESSOR'S TAX/PARCEL # 3 0 1 -3 surrz/UMT
LOT SIZE (sl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) `67F R,
TYPE-OF-PERMIT`
MECHANICAL
E3 DEMOLITION 0 ELECTRICAL E3 ENGINEERING' ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION p,,r6jgde detailed description of work &wluded. on JW .
it o►lUj
CnAa cZ 'A'. I
PROJECT NAME (Name of Business or Owner Last Name) LA ql5,*
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
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compAj;i NAME q
APPLSCANT NAME
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COMPANY NAME
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"UNU—ADDRESS
APPLICANT NAME
OFFICE PHONE
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RELATIONSHIP TO PROJECT
'0 Architect Q TcnAnt 0 Agent D Other (Describe
FAX NUMBERhh
NAME
PRIMARY PHONE
9- ADV�RESS =,
Cnyv STATEj
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 13 YES 0 NO
WATER SERVICE PROVIDER a LAIMUVEN a luanuffs D TACOMA 13 PRIVATE (WELL),
t3EWER SERVICE PROVIDER -- 0 LAKMIAVEN ❑ HIGHLINE 13 PRIVATE (SEPTIC)
t
AREA DESCRIPTION EXISTING PROPOSED'. " TOTAL
S . FT. 8!R. FT. S . FT.
BASEMENT
F�RS'C•
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED ?).
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS s?nsrarq rxoro.eo Toni.
"NEW HOMES ONLY"'" NUMBER OF. BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offUCture to be installed or relocated as part of Ods"projed. Do not inck de. extstIngfixicpes' to- remain.
MECUAWCAL
Value Mechanical Work $ 4 0
•
of ,
AIR HANDLING UNITS _
EVAPORATIVE COOLERS
GAS LOOS
REMO. SYSTEMS
BBQS
FANS
HOODS (C.mm. retry
WOODSTOVES
BOILERS
,FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS .FURNACES
GAS WATER HEATERS
DUCTS
OAS PIPE OUTLETS
PLUMBIMG
BATHTUBS (QCTUbj3hW& rComby
SHOWERS
WATER CLOSETS (1oilsQ
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS ...�T
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE DMES
LAVS
VACWM BREAKERS
ELECTRIC WATER.. HEATERS
• BLOCK
t certVv under penalty of perjury that the tgfarmation jW-0i shed by me is true and comtst to the best of m y knowledge, and further, that I
am authorised by the owner of the above promises to perform the work for which the permit application is .inade. I further agree to hold
harmless the City of Pederat .We y as to any claim (including costs, expenses, and attorneys' fees incurred in the Investigration and dgfense of
such elahN, which may be made by dny person, including the undersigned, and; filed agdinst the City of lsderat Way, but only uihere such claim
arts as out of the reliance of the Fitt#, including its gUleers and-employees, upon the accuracy of the.igformation supplied to the city as a part of
this application. J
NAME /TITLE DATE laab�
t$ignaci� I l'�1
RELATI011SHIP TO PROJECT q Owner o Agent on(ractor o Architect ;o' Other