08-101638Gity of Fe
• deral Way
Community Development Services 10 Mechanical Permit #48-101638-00-wfie
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection (253) 835-3050
Project Name: MUSSA
Project Address: 139 S 358TH ST
Project Description: Funace replacement
Owner
JOAN DEE MUSSA
MOHAMMED MUSSA
139 S 358TH ST
FEDERAL WAY WA
98003-8616
Ad
Mechanical Valuation ............................................ 251
M
Furnaces ...
....................1
Owner
Applicant
DENNY CAMPBELL
27615 SE 403RD ST
ENUMCLAW WA 98022
140010020
C HE* 'G , 'C
"l'9/10)
581
A U I MA 98021
t;
....... ............................... Yes
• THIS CARD IS TVMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 101638 -00 -ME
Owner: JOAN DEE MUSSA
Address: 139 S 358TH ST
FEDERAL WAY, WA 98003 -8616
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� &J Date -5- -0
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
cm or � �W
Federal 1..i
A 7
PERMIT
ODIUYDBV=PMW SBRV�
93925dTM A"BNUS . &PR o 9 zoos
FEDERAL WAY, WA..98063 -971 8 ,
253- 83SZ607• X253- 835.26- APAWCATION
00
FEDE
ThelbUot ring is required i =tion - an incomplete aooiication aril not be
SITE ADDRESS `
Ck - LCz L �L 3_ a
SF MF CO 09�tL PL DE EN FP
Please print legiblU (in ink► or
SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # — — _ - LOT SIZE (q, )
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
4+��bn�t��WvrMwtd.eota�/
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (P,Covide detaile4 description of work included on this permit -Onlul
PROJECT NAME (Name of Business or Owner Last Name) 1-4
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME' L
PRIMARY PHONE
MAILING ADDRESS
CITY STAT4 ZIP f (--1
COMPANY NAME
4- c '
APPLICANT NAME
OFFICE PHONE
5 3)
�_� , l
LINO ADD SS
J
CITY, ATE, ZIP
A.V00b lVr,, Cs"
CELL PHONE
OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
13 L
CONTRACTORS REGISTRATION NUMBER (copy of card ragniwith c•ch appUcation) EXPIRATION DATE
J I` Z .2 c.)/ /c 1 /
P _T 0 z te� _�
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑:Tenant
❑ Agent ❑ Other (Describe)
PROPOSED USE _
EXISTING ASSESSED /APPRAISED VALUE VALUE OF PROPOSED WORK i$
SPRINKLERED BUILDING? d YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED %REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
0 0
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
s . FT.
TOTAL
s . FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
sasm�o
rsorouo
"T"
"NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
number of each type of fixture to be installed or relocated as part of Otis project. Do not include existing fixtures to.
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS )or Tub /Shower combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHINO MACHINES
LAVS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS )cemmoraid)
RANGES
GAS WATER HEATERS
WATER CLOSETS aoaeq
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certVy under penalty of pedury that the in formation 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 dgfense of
such clainq, which may be made bg any person, including the undersigned, and flied 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 Wormation supplied to the city as a part of
this application. —
NAME /TITLE DATE
( stun) (Title)
RELATIONSHIP TOP ECT Q Owner a Agent pNContractor o Architect O Other
Bulletin #100 — January 1, 2006 Page 2 of 4 MandoutsTermit Application