08-103680City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
S
Mechanical Perm: 08- 103680 -00 -ME
Project Name: SYNDER
Project Address: 32602 7TH AVE SW
Project Description: Remove /replace gas furnace
Inspection Request Line: (253) 835 -3050
Parcel Number: 926492 0870
Owner
Applicant
Contractor
DIANE M SNYDER
NORDIC HEATING INC
NORDIC HEATING INC
MICHAEL & DIANE SNYDER
PO BOX 2581
NORDIHI099BJ (1/9/10)
32602 7TH AVE S
ENUMCLAW WA 98071 -2581
PO BOX 2581
FEDERAL WAY WA 98023 -4901
ENUMCLAW WA 98071 -2581
Additional Permit Information
Mechanical Valuation ................. ...........................3500 Is this an Online or O.T.C. application? ................ Yes
Mechanical Fixtures
........................... ;
FPA, ,f ��
THIS CARD IS TO MAIN ON -SITE T
CITY OF fommunity Develo m t Ins ection Record
p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 103680 -00 -ME
Owner: DIANE M SNYDER
Address: 32602 7TH AVE SW
FEDERAL WAY, WA 98023 -4901
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 Bri7S Date lil— l3
For inspector reference o
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
—i
C,,,,,A RECD
Federal
I3 AUG o 5 Zoos PERMIT��
333758TM AVENUE
AY,WA-198063-9718. SOUTH •POBOX971d i CATION
FBDBRAL WAY,
253.895 2607• :2$8.8 O F FE D
vnuw.dtrrofl4 ;demhl oar
is required infd'iWaiion - an incomplete application will not be
SITE ADDRESS
OK /o -3 �so
SF MF CO E tL PL DE EN FP
rted. Please print leatblu Rn ink) or tope.
SUITE /UNIT #
ASSESSOR'S TAX /PARCEL M _ _ _ _ - _ LOT SIZE (s,)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(hooch mpamrt~ia &Mft bpci dmai dwq
PROJECT • •
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE •• •
PROPERTY
NAME PRIMARY
OWNER
CONTRACTOR
K oll
APPLICANT
CONTACT
LENDER
EXISTING USE
COMPANY N E
gARY
MAILING AD//D��R j / W
V V'n -Sr
CITY, !TAT ZIP
r w`/.
COMPANY N E
APPLICANT NAME
QFFICE PHONE
LINO ADDRESS
P4 &X I
CITY !T E, ZIP
v � yL `Q7%
CELL PHONE
(� 3
- os��
CITY OF PEDERAI. WAY BUSINESS LICENSE NUMBER
-B
EXPIRATION DATE
FAX NUMBER
-
_
L
- ❑ Other (Describe)
( j ) . .' %
CONTRACrORB REGISTRATION NUMBER (copy of aard raquirod with a•ch application(
EXPIRATION DATE
COMPANY N ME
+NT NAME
OFFICE PHONE '
IMA (LING ADDRESS
. ' �3
AT , ZIP
CELL PHONE'
s3) F3/
RELATIONSHIP TO PROJECT
^
'Agent.
FAX NUMBER �ey
❑ Architect ❑ : Tenant
- ❑ Other (Describe)
( j ) . .' %
EXISTING ASSESSED /APPRAISED VALUE $.
SPRINKLERED .BUILDING?
WATER SERVICE PROVIDER
SEWER SERVICE PROVIDER
PROPOSED USE
VALUE OF PROPOSED WORK S CAL ->a t a—,
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
0
•
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
s . FT.
TOTAL
s . FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED ?)
GARAGE 0 CARPORT 0
saeroio raoroeso TWAL
NUMBER OF FLOORS
I-NEWHOMES ONLY- NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate
of fudure to be installed or relocated as part
MECHANICAL
Value of Mechanical Work $ � 2
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub /shower combo)
DISHWASHERS
OAS PIPE OUTLETS
WASHING MACHINES
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
_ FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
not
GAS LOGS
HOODS (commerd�
RANGES
GAS WATER HEATERS
WATER CLOSETS rro&q
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
to•remain.
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cart(& under penalty of perjury that the information 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 .inade. 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 filed against the City of Federal Wag, but only where such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the in formation supplied to the city as a part of
this application.
NAME /TITLE r`' /� 95L DATE
RELATIONSHIP TO PROJID& q Owner Agent o Contractor o Architect O Other
Bulletin #100 —January 1, 2006 Page 2 of 4 MandoutAPennit Application