07-104146City of Federal Way
Community Development Services Mechanical Permit #: 07- 104146 -00 -ME
"
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: SNELLENBERG�
Project Address: 4952 SW 324TH PL Parcel Number: 873219 0250
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Project Description: Replace existing gas furnace with new Lennox gas furnace
Owner
Applicant
Contractor
LORI SNELLENBERG
GLENDALE HEATING & A/C
GLENDALE HEATING & A/C
4952 SW 324TH PL
12462 DES MOINES WAY S
GLENDHA053Q2 11/2/07
FEDERAL WAY WA 98023 -1909
SEATTLE WA 98168 -2266
12462 DES MOINES WAY S
SEATTLE WA 98168 -2266
Additional Permit Information
Mechanical Valuation ................. ...........................2870 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Furnaces ......................................... 1
PERMIT EXPIRES Sunday, July 26, 2009
Permit Issued on Thursday, July 26, 2007
I hereby certify that the above information is correct and that the construction on the above described Property and
the occupancy and-the us wi11 be in accordance with the laws, rules and regulations of the+ State of Washington
and the City of Federal Way.
Owner or agent: Date: /
FINALED
THIS CARD IS TO REMAIN ON -SITE ~
CFff OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104146 -00 -ME
Owner: LORI SNELLENBERG
Address: 4952 SW 324TH PL
FEDERAL WAY, WA 98023 -1909
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 LB y Date
For infector reference on_y
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
&RECEIVE®
°�rai�L 2 6 2007 PERMIT SF MF C L PL DE EN FP
COxGWuUTr DEVZLOPe6TAr SMAM
33925 8TMAYENU6 SOUTH• PO B07C 9718
FEDERAL W
APPLI CATI O N
ZE7 DING DEPT. L�� The foUawbw it required infornuttion - an inwm leoe application wlU not be amweed. Pleas pint I o9 ft ((n ink) or 4w.
Srm ADDRE88 '� J 1' ?� ,3�1 1' L /� E d (J�1� I,LX / l}AArrE/uw .
ASSESSOR'S TAZ/PARCEL • J 2 1 - v� LOT SIZE (sfi
L$QAL DESCRIPTION (e.g. Aune Estates. Lot 1)
TYPE OF PERMIT ❑ BUILDING ❑ PLUMWNG P-16CHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ EN(iIINzZWrO ❑ FIttSNPREVENPION SYSTEM
DESCRIPTION (Prooide detaged description of work included
PERTY
OWNER
r�
5 n� 1l
PHONE
(;s -
PHONE
c ) -
MAHM ADDRESS
�
CInY.
E-MAIL ADDRESS
CTIY OF FEDERAL WAY HUSIIIESS LICENSE NUMBER
S
0,12
Sw 3a L
—
FAX NUMBER
CONI7�R
CO�J VC�t' l
APPI]CANT NAME
OFFICE PHONE
c i•'X' � d (3 - CJv
MAij•iT10 ADDRESS ^
PHONE
c ) -
CE[L PHONE
�
L(7
-
CTIY OF FEDERAL WAY HUSIIIESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect o Tenant ❑ Agent o Other
cownucmirsimammmoN NUMBER
EXPIRATION DA
E-MAM ADDRESS
PH ADDRESS
CONTACT CONTACT '—� V�cl`c b
LENDER
NAME
APPUCANT NAME
OFFICE PHONECOMPJ
�
PHONE
c ) -
(e LL
ADDRESS .
by
CITY 8'TA
CELL PHONE
j- l
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect o Tenant ❑ Agent o Other
e ) ')q2i
PH ADDRESS
CONTACT CONTACT '—� V�cl`c b
LENDER
NAME
PerJiCW 19.17.095:
Lower ieommadm is ngwrod (f p l#od mlae =0000 $6.000
MAIINO ADDRESS
CITY. STATE. ZIP
PHONE
c ) -
EEIBTlNG USE U8E
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRENELSRED BU;�;Z�R �L!&XZKA:V�ZN FIRE SUPPRESSION SYSTEM PROPOSED/R19QM- .o? o YES o NO
WATER SERVICE ❑ ffiQffi.IIgE ❑TACOMA ❑PRIVATE (WELL)
SEWER SERVICE ❑ ❑ ffiOHLLOIE ❑ PRIVATE (SEPTIC)
S
AREA Dasc>nrtox
EIQBTngo PROPOSED TOTAL
. FT. 69. FT. 89. FT.
BASEMENT
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
FIRST
BOILERS
FIREPLACE INSERTS
HOODS m mnerawp
SECOND
FURNACES
RANGES
DUCTS
THIRD
REFRIG. SYSTEMS
Pumimm
BATHTUBS W ub /show cowbo)
TAVS wwh. sh"
ADDITIONAL FIAORS (DESCRIBE)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DECK (0 COVERED OR 0 UNCOVERED ?)
SHOWERS
WATER CLOSETS ab&q
C WATER HEATERS
GARAGE 0 CARPORT O
WASHING MACHINES
HOSE BIBBS
SUMPS
NUMBER OF FLOORS
msrna
woo®
TOM
70LnLe�NOr
rera.rwr�r
r0EALr
••NEW HOMES ONLY"• NUMBER OF BEDROOMS ESTMIED SELLING PRICE $
Indkate number of each type 4f, jbdur a to be installed or relocated as part of dds Project Do not Include existing fixtures to remain.
Value of Mectwnkal Work 8 (A OF BID OR ESTIl WE MUST BE INCLUDED WITH APPLICA7TOM
'7O
,'�
AIR HANDLING
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS m mnerawp
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS IAG SETS
REFRIG. SYSTEMS
Pumimm
BATHTUBS W ub /show cowbo)
TAVS wwh. sh"
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS ab&q
C WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
o YEB o NO
1 cereW under you t Rf Dsdury that the b&rmation,f undshed by me is true and a set to the best 4f -y . and jUrther, that r
am authorised by the owner of the above premim to pedbrm the work jbr which the permit application is mods. l.ffurther agree to note
harmless the Ctty N lydovd Way as to any claim gneluding costs. expenses. and attorneys' fes incurred in the ira+e0tipat[on and dVintse of
such claim), which may be made bg any person. Including the undersigned, and.l ed against the CUM oFedsral Way but ono► -h— such claim
arises out Qf the the chU. including its ti ions and employees. upon the accuracy Qf the Wbrmatlan supplied to the eft as a part of
this app(
NAME/ / DATE
(stgn.u,re) MUC)
RELA77ONBUHUEP TO ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑Other
FOII'.
❑ NEW ❑ ADDITION
❑ ALTERATION
o REPAIIt ❑ TENANT D[PROVEBZNT
Bunavlo 811ELI. ONLT?
o YES ❑ NO
BASIC PLAN?
❑ YES
o NO
ZONINO DESIGNATION
CHANGE OF USE?
o YE8
❑ NO
NEW ADDRE88 REQUUM?
❑ YES ❑ NO
UP /BEPA/SU?
a YE8
o NO
PLATTED LOT?
o YEB o NO
DEMO PER3MT UIRED?
❑ YEB
o NO
Bulletin #100 - April 2, 2007
Page 2 of 4
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