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08-104811City 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: KASPRICK Project Address: 30819 7TH AVE SW Project Description: Replace gas furnace and hot water tank. Mechanical Permit #: 08- 104811 -00 -M E Inspection Request Line: (253) 835 -3050 Parcel Number: 555770 0240 w er Applicant Contractor JON J KASPRICK NORDIC HEATING INC NORDIC HEATING INC 30819 7TH AVE SW PO BOX 2381 NORDIH1099BJ (1/9/10) FEDERAL WAY WA 98023 -4603 AUBURN WA 98071 PO BOX 2381 AUBURN WA 98071 Mechanical Valuation ................. ...........................4000 Is this an Online or O.T.C. application ? .................Yes Furnaces ......................................... 1 Hot Water Tank ............................. 1 PERMIT EXPIRES Wednesday, April 8, 2009 Permit Issued on Friday, October 10, 2008 1 hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use ill be in accordance with the laws, rules and regulations of the State of Washington Ntd the City of Federal Way. Owner or agent: `2l �. Date: �� THIS CARD IS TO MAIN ON -SITE iJ CI of ommunity Developm t Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 08- 104811 -00 -ME Owner: JON J KASPRICK Address: 30819 7TH AVE SW FEDERAL WAY, WA 98023 -4603 This card is part of your required inspection documents. Scheduled inspections may 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 C &J Date ❑ Rough Electrical Approved By I Date For inspector reference only ❑ FINAL -Electrical Approved By Date cmres A RECIN E 4La 9 _ D__'Z-_2LL ft Tway y OOFERMIT �� SF MF CO ME L PL DE EN FP COMMUN YDRYEWPAffiAT SBRVICBS OCT i O 2 33325 d*d AVSMB SOUTH • PO BOX 9718P LI] AT I O N FItDBA'AL WAY, WA 98063.9718 [-'��i'! Y V l l ss3 ass 2607• FAtcTS3 33s -a .Y 0 F F 3 wuw.dtuulfedemtu�au.m k t� The following is required igfomuQQSan incomplete application will not be accepted. Please print legibtiy (in inkJ or type. ASSESSOR'S TAX /PARCEL # 5 S ,S LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) SUITE /UNIT # LOT SIZE (Sfi (ftaeh &qmraftwwlbrkmwhudd m0doN PROJECT •• • TYPE-OF PERMIT ❑ BUILDING ❑ PLUMBING <V91WHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM ROJECT DESCRIPTION (Provide detailed description of work.mcluded on o i016 cy, , PROJECT NAME (Name of Business or Owner Last Name) PROPERTY NAME PRIMARY PHONE OWNER S �- PHONE MAILING ADD E33 Cr1D , ST�TE, ZIP E-MAIL ADDRESS 5 CONTRACTOR APPLICANT PROJECT COBTACT LENDER COMPANN/Yj NAME OFFICE RHONE MAILING ADDRESS CflY, STATE, ZIP AP7NT NAME RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent ❑ Other PHONE I (OMCE p NO AD CITY, STATE, ZIP 2� CELL PHONE CITY FEDERALVAY BUSINESS LICENSE NUMBT . I TION DATE FAX NUMBER CO CTO '8 VZGTTR&MON NUMBER " ERPM&TION Tffi J E-MAIL ADDRESS i 14 r 19 -- i COMPANY NAME APPI"J T IJAME Zmr OFFICE RHONE MAILING ADDRESS CflY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent ❑ Other FAX NUMBER ( - NAME PRIMARY PHONE E-MAIL ADDRESS NAME IF Per RCW 19.27.095. Lender Wormation is required if project valve exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP /PHONE EXISTING USE PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRW? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAUFUAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEIIAVEN ❑ HIGHLINE o PRIVATE (SEPTIC) AREA DESCRIPTION EXISTING S . FT. PROPOSED S . FT. TOTAL S . FT. BASEMENT a YES a NO BASIC PLAN? FIRST o NO ZONING DESIGNATION SECOND CHANGE OF USE? o YES o NO THIRD a YES a NO UP /SEPA /SU? ADDITIONAL FLOORS (DESCRIBE) a NO PLATTED LOT? a YES a NO DECK (❑ COVERED OR ❑ UNCOVERED ?) DEMO PERMIT REQUIRED? a YES a NO GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS rs<srBro rvusoaso TOTAL TOrALS7C8nMaSr TOT.arsoroesssr Tarnasr "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 existing fudures to remain. DffECIIAMCAL Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITHAPPLICA770N) _ AIR HANDLING UNITS _ BBQS _ BOILERS _ COMPRESSORS DUCTS BATHTUBS (.Tub /sho..r c..a* DISHWASHERS DRINKING FOUNTAINS ELECTRIC WATER HEATERS HOSE BIBBS EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS LOG SETS LAVS (Bathroom SfimM RAINWATER SYST SHOWERS SINKS SUMPS OAS PIPE OUTLETS GAS WATER HEATERS HOODS iCommmd�q RANGES REFRIG. SYSTEMS URINALS VACUUM BREAKERS WATER CLOSETS tro&q WASHING MACHINES WOODSTOVES MISC (Describe) MISC (Describe) I ca t{ fy tinder penally of perjury that I an the property owner or authorised agent of the property owner. I cer!{fy that to the best of my knowledge, the ftformation submitted in support of this permit application is true and correct. I eert(ft that I will comply with all applicable City of Federal Wag regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. 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 claim), which may be made by any person, including the undersigned, and flied against the city, but only when such claim arises o� reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this p n. / SIGNATURE: Authorized a NEW a ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? n YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? a YES a NO UP /SEPA /SU? a YES a NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO Bulletin #100 — January 1, 2008 Page 2 of 4 MandoutAPerni t Application