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08-105943City 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: JOHNSON Project Address: 1424 S 372ND ST Project Description: Install gas line from meter to house and furnace Mechanical Permit #: 08- 105943 -00 -ME Inspection Request Line: (253) 835 -3050 Parcel Number: 322104 9086 _Owner Applicant Contractor CLARENCEJOHNSON CLARENCEJOHNSON CLARENCEJOHNSON 1408 SW 372ND ST 1408 SW 372ND ST 1408 SW 372ND ST FEDERAL WAY WA 98003 -7503 FEDERAL WAY WA 98003 -7503 FEDERAL WAY WA 98003 -7503 Mechanical Valuation ................. ...........................2687 Is this an Online or O.T.C. application ? .................Yes �s�ri• <,.,,,, � �, .> a. ,.. °aa,r .. .. ....... .... ...s.,, ., �g � :,�a�s����.. .,�'„ ,�';� ...fie •�..a . «.. ,a �4A . Furnaces .......... ............................... 1 Gas Piping....... ............................... 1 Owner or agent: PERMIT EXPIRES Saturday, June 13, 2009 Permit Issued on Monday, December 15, 2008 above information is correct and that the construction on the use will be in accordance with the laws, rules and regulation: and the City of Federal Way. ��Lo ors Dai - THIS CARD IS TO REMAIN ON -SITE CITY OF Community Development Inspection Record Federal Wav IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 08- 105943 -00 -ME Owner: CLARENCE JOHNSON Address: 1424 S 372ND ST FEDERAL WAY, WA 98003 -7503 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 Date /f– – jW l —o By //Vi Date NO For in_pector reference only ❑ Rough Electrical O FINAL - Electrical Approved Approved By Date By Date Mechanical City of Federal, Way � 0 ./,� QQ Community Development Services Permit 1T. 08- 105943 -00 -ME P.O. Box 9718 Federal Way, WA 98063 -9718 Inspection Request Line: 253 835 -3050 Ph: (253) 835 -2607 Fax: (253) 835 -2609 p q Project Name: JOHNSON Project Address: 1424 S 372ND ST Parcel Number: 322104 9086 Project Description: Install gas line from meter to house and furnace Owner Anplicant Contractor CLARENCE JOHNSON STEVEN & PAM OTTESON CLARENCE JOHNSON 1408 SW 372ND ST 1408 SW 372ND ST FEDERAL WAY WA 98003 -7503 FEDERAL WAY WA 98003 -7503 Mechanical Valuation ................. ...........................2687 Is this an Online or O.T.C. application? ................. Yes Furnaces .......... ............................... 1 Gas Piping....... ............................... 1 THIS CARD IS TO VJMAIN ON -SITE " CITY OF tOMMUnity Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 08- 105943 -00 -ME Owner: CLARENCE JOHNSON Address: 1424 S 372ND ST FEDERAL WAY, WA 98003 -7503 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) Q Gas Piping (412$) Final - Mechanical (4065) Approved Approved to release test Approved By Date By Date By Date _ xh, L --e, For inspector reference O Rough Electrical Approved By Date 0 FINAL - Electrical Approved By Date GDYA8MTrDSVEWPAO Nr38R IM PERMIT aq 33325�A , WA 9 5 z° riAPPLI CATI O N FBDiBRAL WAY, WA 98063.971 u ffm 253- BSS2607• AU 2' 3 VS•2609 (:t_ - �_0. z_�j SF MF CO E EL PL DE EN FP I G � e ERAL WAIF The olio rnuine�o n - an incomplete application will not be accepted Please print legibly (in ink) or type. -0081TE ADDRESS _ -- L4 1-1 S SUITE /UNIT # _ ASSESSOR'S TAX /PARCEL # _ — — — - — _ — — LOT SIZE (sf) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) PROPERTY OWNER CONTRACTOR APPLICANT PEOPLE INFORMATION HAM as_ C_ f ah n Pomme PHONB (a5) ct an - Z,4 lab MARINO ADDRESS CrrY, STATE, ZIP E-M L ADDRESS _ co&w NY Nam APMJCMR NAIM ©FF= PHONZ .,.,...a�.,i �` Lendw iNfo nutdon if . _!"....` K Oeb�e f MAMO ADDRESS CTIY, STATS, ZP - O ADDRESS a". STATE, EP CELL PHONE - RELATIONSHP TO PROJECT FAX NUMBBR o Architect o Tenant o Agent o Other ( _ PROJECT NAM PRDMWPHONE S•MMADDRM CONTACT I _ LENDER NAME Aer RCW�,,1�E9.`2 .00.95. .,.,...a�.,i �` Lendw iNfo nutdon if . _!"....` K Oeb�e f MAMO ADDRESS CTIY, STATS, ZP .!"00O ... VjjM EX<STING USE PROPOSED USE EX[S=G ASSESSED /APPRAISED VALUE VALUE OF PROPOSED WORK SPRINEXaRED BUILDING? I] YES Iz NO FIR& SUPPRESMN SYSTEM PROPOSED /REQUIRED? O YES (3 NO WATER SFAMC)3 PROVIDER o LAKWAVEN o ]UGEMINE a TACOMA a PRIVATE (WELL) SEWER SERVICE PROVIDER o LAKERAVEN 11 i GEMINE 13 PRIVATE (SEPTIC) AREA DESCRII'TIOA E7Q$TIN(� PROPOSED TOTAL FIRST THIRD Indicate mwtber of each type of fvdm to be kstalled or relocated as part. of this project. Do not kdude exist& fucdtrss to remain. W OF BID OR ESTIMATE MUST BE INCLUDED WITfiAPPLICAT1OM Value of Mchaical Work UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS - WOODSTOVES AIR HANDLING BBQB FANS GAS WATER HEATERS _, MISC (DeacnU) FURNACES RANGES COMPRESSORS DUCPS. GAS LOG SETS REFRIG. SYSTEMS PLUAntm M[SC (Describe► URINALS BATHTUBS (srMe/w —co"l as LAVS I bl DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS Roma II ACTRIC WATER HEATERS SINKS WASHING MACHINES . HOSE BIBBS SUMPS I ow to ender psmift of pSONV thnt Zan the propniy oa+ner or authorised agent, of the propetl o I o thud to the best of my btaottidye, the b{/otwtallom sid jo, in wppert of this Banat epplicadon is trw. and.covrecL t cereft that I will odmpIg with all applicable city D f reawal, pal. - One pertstrdttg to dw tub awthDrixed bg the issuance of a pwwdt. I underitav" that Hte tstnanes of dd* B-ttdt does not smew the carrier's responsSU tg fa' a p&tance with local, stab, or federal &oars regulating osnstr ed— or atdnonmadai tom i /isrtha agree to hold harmtess tits Ctly o f B aY Wag ;tie b any claim It= n9 � expoures, and att9rn@s o fees Maurred in the kwastlyation and � of each clams, which may be made bg mW person, hio�� the � °� R� odd the � but orety where such claim miles out of the reliance of the edtA ineh"URY its Officers and anplogees, upon dw acamuM of dw itl/ormaaon supplied to the city as a Part of this application. SIQAATiJRE: �_ `-►� DATE! Property Owner and /or Authorized Agent AEW ADDRESS REQUIRED? , : -o YS$ o AO UP /SDPA /SU? PLATTED LOT ?,, o Tp _,o NO DEMO PER= REQUMED? o YES a NO Bulletin #100 — January 1, 2008 Page 2 of 4 MandoutsTem it Application