08-102379City of Federal Way Mechanical Permit #48- 102379 -00 -M E
Community Development 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: QUON
Project Address: 1216 SW 346TH ST
Project Description: Changing out a gas furnace
Ac
Mechanical Valuation ............... .............................51
on ? ................ Yes
Date: V l -/—
r - THIS CARD IS T MAIN ON -SITE - -
CITY OF Community Develop . ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 102379 -00 -ME
Owner: CLEMENT QUON
Address: 1216 SW 346TH ST
FEDERAL WAY, WA 98023 -7040
This card is part of your required inspection documents. Scheduled inspections maybe 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 CO.) Date ', g
For inspector reference one
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
�,. REC9VED _ fi
Federal Way 'PERMIT d 3 7 L
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3-"2S � L BF ,Id MAY 1 L ATI O N
FEDERAL WAY, WA 98063-9718 O WX p
ITY OF FEDERAL A 2 I I
The ollog is re uired in o an inco fete a iication u�fli not be acce ted. please Fixint fe7, in or
PROPERTY •- •
SITE ADDRESS 12 t .6 .5; u/ 7j L/ % f if 5-t SUITE /UNIT
ASSESSOR'S TAX /PARCEL # 6 ro G - O C/ 3 G LOT SIZE (sjj
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aaaan -q--fe PWfa AwWw AWd d—odoq
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING WMECHANICAL
❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work induded on this permit onlul
G-FcrS rrPi G C!
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NAME (Name of Business or Owner Last Name) Lf G 1.
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
NAME PRIMARY PHONE
�PH'lP�tf' �Yarr (�53) 561 - 67G/
MAILINO ADDRESS CITY, STATE, ZIP
6 5 L.v 3 I ((! 4 LJ�" Crq / L✓aZ C? df G 2 3
COMPANY NAME /
(/4 /[° �ctrvlgce
APPLICANT Nf ME
�,�1
/
hde. rsay
OFFICE PHONE
12531 Sys - 3s ?
MAILING ADQDRE/Sn�3 `r CITY, STATE, ZIP
Pf
9�+ g
t4
CELL PHONE
CUT OF FEDERAL WAY BUSINESS LICENSE NUMBER RATION PATE • -
FAXLNUMBER
/
FAX NUMBER
(2/31 $qlJ a7 !ld
CONTRACTORS REOISTRATION NUMBER (copY of card required with each application(
EXPIRATION DATE
! 4 G LC-f1 1 6 l Z-(v
12/�6/a8
COMPANY NAME
V !1` Farv?,q c&
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
?f' 1A f' .,e r U E
CITY, STATE, ZIP —
l /u w �?',� ?
CELL PHONE
( - ZW 2
RELATIONSHIP TO PROJECT
o Architect o Tenant ❑ Agent J1 Other (Describe)] Uj�-j7r ,,c�/-
FAX NUMBER
AREA DESCRIPTION EXISTING PROPOSED TOTAL
80. FT. S . FT.
BASEMENT
FIRST
FOURTH .
ADDITIONAL FLOORS (DESCRIBE)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS sXosrmo IPROPOWA
"ArEW HOMES ONLY" NUMBER OF BEDROOMS
SELLING PRICE
type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECU4MC4L
/ J l ��
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (C.mm.,d.Q
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
L FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
PLIZAMNG
BATHTUBS (.Tub /:n.,,..c.me.( SHOWERS
WATER CLOSETS (r.a.q
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS psau.om
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I cert(jy under penalty of perjury that the i4orrnadon furnished by me is true and correct to the best 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 clainQ, 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 ofjleere and employees, upon the accuracy of the ir+formation supplied to the city as apart of
this application. %� p
NAME /TITLE DATE q— G y
(slgna uvel i (Tide)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent gContractor ❑ Architect ❑ Other
Bulletin # 100 — Januaiy 7, 2005 Page 2 of 4 k\Handouts\Permit Application