09-100352r a
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: ALDERMAN
Project Address: 2826 SW 341ST CT
Project Description: Remove /replace gas furnace
0 Mechaniud "
Permit #: 09- 100352 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 010921 0140
Owner
Aimlican
Contractor
MARY ALDERMAN
ADVANCED FILTER & MECHANICAL INC
ADVANCED FILTER & MECHANICAL INC
ROBERT ALDERMAN
(GENERAL)
(GENERAL)
2826 SW 341ST CT
418 VALLEY AVE NW UNIT B115
ADVANFMO44RD (12/29/10)
FEDERAL WAY WA
PUYALLUP WA
418 VALLEY AVE NW UNIT B115
98023 -7604
98371
PUYALLUP WA
98371
Mechanical Valuation ................. ...........................2700
Is this an Online or O.T.C. application ? .................Yes
PERMIT EXPIRES Sunday, July 26, 2009
Permit Issued on Tuesday, January 27, 2009
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agen . Date: G
eo\
Ilk\
THIS CARD IS T MAIN ON -SITE
C�aF Community Develop ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 - 3050
PERMIT #: 09- 100352 -00 -ME
Owner: MARY ALDERMAN
Address: 2826 SW 341 ST CT
FEDERAL WAY, WA 98023 -7604
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 Z�
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By . Date
cry of
Federal w E 1V E R M TT
COMMUMTY DEVBLWP60;lYr SERVICES
333258M AVENUE SOVM • PO BOX 971J A N 2 7
FEDERAL WAY, WA 98063 -9718
253 - 835 -2607• FAX 253 - 8352609
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The./blUrtg4itiiia
iocvi�e9 d i ii
SITE
Z0APPLICATION
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SF MF CO (ECEL PL DE EN FP
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� an iieaoYmplete application will not be acceptat Please print legibly (in ink4 or trW&
ASSESSOR'S TAR /PARCEL # SO L 0 -2 Z L -
SUITE /UNIT #
L Lv LOT SIZE (sp
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT •-
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING XMZC11ANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEIMUNG ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work mchi&d on this Hermit onlu)
• r e
Aff
PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
O�
v
APPLICANT
PROJECT
CONTACT
LENDER
E
PRIMARY PHONE
APPLICANT NAME
r
. / / in
DRESS
CITY, STATE, ZIP
E-MAIL ADDRESS
`
�O ADD its
Aw
`�`1' j`'��•��
MP NAME
`2
APPLICANT NAME
OFFICE PHONE
E
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( ) -
�O ADD its
Aw
`�`1' j`'��•��
CITY, STATE, ZIP
CELL PHONE _
OFF FED LLWAYIVJSUIESSU
JINUMBER C
TION DATE
FAX NUMBER
CONTRACTOR'
SR
TiOH DATE
E-MAIL ADDRESS
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
PerRCW 19.27.09S.
Lender h formation is required if project value exceeds $4000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
( )
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRUUMERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEIIAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 13 LAKFHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
. FT.
PROPOSED
SO. FT.
TOTAL
SO. FT.
BASEMENT
a YES a NO
BASIC PLAN?
FIRST
a NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
a YES
a NO
THIRD
a YES o NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
a NO
PLATTED LOT?
a YES o NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
a YES
a NO
GARAGE-F CARPORT ❑
NUMBER OF FLOORS
sa "M
TOTAL
TOTAL a►
IUMPOW0010ar
TOULar
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include a Stkg fixtures to remain_
ACRICSFAAAAMAL
Value of Mecltatucal Work $ / �� ( COPY OF BD OR ES =4TE MUST BE INCLUDED WH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLU11CMG
BATHTUBS (or Tab /sbmeco
DISHWASHERS
DRINKING FOUNTAINS
SI:ECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS ( story
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (c,
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS fro.q
WASHING MACHINES
WOODSTOVES
MISC 19own )
MISC (Describe)
I owt(fy under penally ofpwjury that s am the property owner or authortud agent of the property owner I caWV that to the bat of my
knowledge, the information sulmdtted in support of this permit application is true and correck r cwtO that I will comply with all applicable
City of Federal was regulations pertaining to the work — th-*Md bg the tssumnce of a permit. t understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local, state, -federal laws regulating construction or environmental laws .
t farther ogres to hold harmless the City of federal way as to any claim fiacluding cats, and attorneys' few incurred in the
investigation and defense of such clatnn), which may be made by any person, inclsdtng the underaignsd, and fl led against the city, but only
where such claim arises out of the reiiauux of the city, including its offloers and employees, upon the accuracy of the injbrmation suppUd to
the city as a part of this application. _
SIGNATURE:
� aye
a NEW a ADDITION
a ALTERATION
a REPAIR a TENANT IMPROvEMENT
BUILDING SHELL ONLY?
a YES a NO
BASIC PLAN?
a YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQU=D?
a YES o NO
UP /SEPA /SU?
a YES
a NO
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin #100 — January 1, 2009 Page 2 of 4 MandoutsTermit Application