08-101004r-
City of Pederal Way
Community Development Services Mechanical Permit: 08- 101004 -00 -M E
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: VURIKM.;.s
Project Address: 1404 SW 306TH ST r Parcel Number: 514930 0300
r
Project Description: Replace gas to gas Bryant 60k btu furnace
Owner
Applicant
Contractor
ROBERT J VURIK
NORTHWEST PERMIT INC
WASHINGTON ENERGY SERVICES CO
1404 SW 306TH ST
1345 GULF ROAD
(WESCO) (General)
FEDERAL WAY WA 98023 -3420
POINT ROBERTS WA 98281
WASHIES9710B 9/2/09
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation .................... ........................4933.17 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Jim ..........................
� ...........................
1'
P
hereby c #ktat,he bov
the occupancy and the use
Owner or agent:
ES Wednesday, March 17,
acid the Nv of F
Sit
I Way
THIS CARD IS T# EMAIN ON -SITE
��rr of Ocommuni Develo nt Ins ection 'Record
tY p P
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 101004 -00 -ME
Owner: ROBERT J VURIK
Address: 1404 SW 306TH ST
FEDERAL WAY, WA 98023 -3420
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 Date ® s
For inspector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVPD 0 .
A6 o /o0�
CffV OF
Federal Way FEB 2 7 2008 PERMIT - T
COMMUNrlYDEVEWPMENTSERVICES SF MF CO �E PL DE EN FP
$3826,09W.NUE6O1.1j$3 9�BF FEDER�P CATSON
rPnIw. wnr. w(ia Ie
ao7•z<y�•:rrsvr• rnx
uS.oc[fuolferiarnlwau,cgpL CDC
The otiowi is ifEH i ormatian - nn incom fete tiCatiUn iuiit not tie acre ted. Please orint to •bi in i7i Or
SITE ADDRESS 1404 SW 306TH ST SUITE /UNIT #
ASMSSOR'S TAX /PARCEL. # 5 1 4 9 3 0- 0 3 �0 0 LOT S ZE tsfl
LEOAL DESCRIPTION fe.g. ArMo Rctntac, Int 1),
(AuaeR seporaw p mc• er larglthy liyol AiAMJWWU
• •
TYPE OF PERMIT C1 BUnmiNG ❑ PLUMING 11MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING ID FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descrint(nn of work included on th(s permit onlu)
REPLACE GAS TO GAS BRYANT 60K BTU FURNACE
PROJECT NAME (Name of Business or Oumer Last Name)
PEOPLE •
PROPERTY
OWNER
Lois V :y_�i7i ti j7
APPLICANT
CONTACT
)ALA �11l—;3
NAME PRIMARY PI3 3NE
ROBERT VU RIK (Z$3 ) 839 -8346
MAILING ADDRE55 CITY. STATE. 7,111
1404 SW 306TH ST I Fpc.lpral Way, WA 98023
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
WESCO
CITY, STATE. ZIP
Point Roberts, WA 98281
(206 ) 378 - 6608
MAILING ADDRESS
CrIY, STATE. ZIP
CELL PHONE
2800 Thorndyke Ave W
Seattle WA 98199
( ) -
CrIY OF FEDERAL. WAY BUSINESS LICENSE NUMBER
ExrntATION DATE
FAX NCIMBFR
Z Q -Q-3-1942 3 -4^B
12 /31 /08
( -
CONTRACTOR'S REG15THATION Nl[M5FR (copy of cord regalred With each Application)
EXPIRATION DATF
W A S H I E $ 9 7 1
O i3
09 /02 /09
COMPANY NAME
Northwest Permit Inc
APPLICANT NAME
Naida Khan
OFFICE PHONE
( 360 ) 945 -2787
MAILING ADDRESS
1345 Gulf Road
CITY, STATE. ZIP
Point Roberts, WA 98281
C:FI.I. PHONE
( ) -
RF.iATI(1NRMP TO PRn IFrT
❑ Architect ❑ Tenant Agent n Otber (/Jescr(be)
FAX NUMBER
( ) -
NAME
Naida Khan
PRIMnRV PHONC
(36U yob - 2787
E•MAit, An17RF5S
nalda�nwpennit.wm
: 'PCT �G�F:. IS,. S' 7: O�St„ LEl7dH("LI�Ol77lQt10T[1!L'....
. ....ldpUllTBd tIj1G14IeDQIi{BRCCC71Ci5 $0 {ObU'
NAME
MAILING ADDRESS
cr Y, STATE. ZIP
PHONE
EXISTING USE SFR PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORX $
SPRINia.ERED BUILDING? ❑ TES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REgUIRED? n YES ❑ NO
WATER SERVICE PROVIDER ❑ LARM VEN ❑ HIGHLINE ❑ TACOMA, ❑ PRIVATE (WELL)
RWER SERVICE PROVIDER ❑ LASEHAVEN D HIGHLINE n PRIVATE (SEPTIC)
OF
PROJECT FLOOR AREAS
, I I
AREA AF,-VV4U'110N
V=3TINQ
FT.
PROPOSED
SQ. FT.
TOTAL
S9. FT.
BASEMENT
HOODS (cnmmcrc ) WOODSTOVES
BOILERS
FIREPLACE INSERTS _
FIRST
COMPRESSORS
FURNACES
CAB WATER HEATERS
SECOND
GAS PIPE OUTLETS
H03£ 5105$
I-AVS (Bathroom sinkel
THIRD
ZLECTIUC WATER HEATERS
n YES
a NO
FOURI7.1
Up /SEPA/SU ?..
tj YES
ADDITIONAL FLOORS (DESCRIBE)
'PIhl'M IOT?' NO
. . ..
DEMO PER3hT Ri1D?
DECK (COVERED ?)
GARAGE O CARPORT ❑
. 'l NO
OF FLOORS
roem er
TMAL MO MM
roru. r
�
"NP-W HUMES ONLY" NUMBER OF 075DROOM5 ES'I'tMATBD GULLING r• RIC= $
number gf each type
11VDCJ0A7C4L 4933.17 -
Value ofMechanicalWork S
or relocated as part of this prgjeci_ Do riot
in reniairl.
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS REFRIG. SYSTEMS
3595
rAN5
HOODS (cnmmcrc ) WOODSTOVES
BOILERS
FIREPLACE INSERTS _
RANGES MISC (Describe)
COMPRESSORS
FURNACES
CAB WATER HEATERS
DUCTS
GAS PIPE OUTLETS
H03£ 5105$
r
5ATHTUBS (or'n,h /4hina rA,"bn)
`.illVwl;l <a
WATERCIASET5 rrmeq MTUC (D�ertbe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SAW
WA.S•HINO MAli11(Nli;ti
URINALS
H03£ 5105$
I-AVS (Bathroom sinkel
_ VACUUM BREAKERS
ZLECTIUC WATER HEATERS
I certYu underpenalty of perjury that the infiwmation furnished by me is true and oorreet to the best of my knotolodge, and fiurther, that I
am authorised by the owner 2f the above premises to perform the work for which the permit appHeatton is made. i ,Jurther agree to nald
harrnIms the City of Fedeml way as to any claim (including costs, expenses, and attumeys'fms incurred in the lnoestiyation and defense of
such claim), which may be made by any person, including the undersigned, and filed against the City
.,o!f� Federal Way, but only where such claim lu i! arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. Q'& 7 1�
NAME /TITLE DATE C
tstg axtlrOi v MU.)
RELATIONSHIP TO PROJECT O Owner UAgcnt ❑ Contractor 11 Architect ❑ Other
Bulletin #100 - January 1., 2006 Page 2 of 4 kU.[andouts \Permit ApplicNtior
C3 NEW n'ADDM0W
o ALTEFATION
v, =PAIR ' a TRNAW tMVR6VICMRNT . .
S!StD GI SH7t> M O11TY:Y? o T", a NO' ..
BASIIC PLAN?
am.
P NO
ZONINd: DMGNATION
CIM10E OF USE?
n YES
a NO
NEW:ADDiMS8 REgUUMV? n YES: n NO
Up /SEPA/SU ?..
tj YES
, n NO, .
'PIhl'M IOT?' NO
. . ..
DEMO PER3hT Ri1D?
o XS9 ~
. 'l NO
Bulletin #100 - January 1., 2006 Page 2 of 4 kU.[andouts \Permit ApplicNtior