07-105356t
^ City of Federal Way
Crowunity Development Services
P.O. Sox 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: FERNSTROM
Project Address: 31426 47TH PL SW
r
Mechanical Permit #: 07- 105356 -00 -ME
Project Description: Replace 70,000 btu gas furnace
Inspection Request Line: (253) 835 -3050
J
.... -.. Parcel Number: 211572 0360
Owner
Applicant
Contractor
CAJ FERNSTROM
NORTHWEST PERMIT INC
WASHINGTON ENERGY SERVICES CO
AMY M FERNSTROM
1345 GULF ROAD
(WESCO)
31426 47TH PL SW
POINT ROBERTS WA 98281
WASHIES9710B 9/2/07
FEDERAL WAY WA 98023 -2093
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation .................... ........................3134.41 Over the Counter Permit ? ...................................... Yes
Mechanical Fixtures
Furnaces ....... ............................... 1
PERMIT EXPIRES Sunday, September 27, 2009
Permit Issued on Thursday, September 27, 2007
I hereby certify, that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: NW PZrvv.9 ? Date:O °�-7 U�
A THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105356 -00 -ME
Owner: CAJ FERNSTROM
Address: 31426 47TH PL SW
FEDERAL WAY, WA 98023 -2093
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 f
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
DECEIVED
Federal Way PERMIT
COMMUNITY 0$virwPMENr smvlcm E P 2 6
�3a5 896 a PX`� :� a8 APPLICATION
FEDERAL WAY. WA W63•V716
unljlerauuay.comCITY OF FEDERAL WAY
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SITE ADDRESS 31426 47TH PL SW sUI=/UMT
ASSESSOR'S TAX /PARCEL # 2 1 1 5 7 2_ 0 3 6 0 LOT srzz lsn
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(AmnQh 60M41C ~fm IffT ft Lpai dm HpU m/
' • JECT IN-FORMATIO
TYPE OF PERBUr ❑ BUILDING ❑ PLUMBING O'MECHMOAL
❑ DEMOLITION ❑ ELECTRICAL ❑ EN(:UMBRING ❑ FUM PREVMMON SYSTEM
PROTECT DESCRIPTION (Provtde detailed descrivtion of work included on this aerndt onlu)
Replace 70,000 btu gas to gas furnace
PROJECT )LAME (Ncnne Qf Business or Otoner last Name) —Fer- strsm
PEOPLE •• •
PR0PME NAME CAJ FERNSTROM PR- v1ARYPHONFr
owrr�x .•• - -•- • - - - -- (2s3 ) 835 -4022
CONTRACTOR
Q�L
rn j;j P.C.►_) a i
31426 47TH PL SW
WA 98023
1_ Northwest Permit Inc I Naidn Khan 1 ( 360 )---q-4-5 -2787 1
1345 Gulf Road
Q Architect ❑ Tenant
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-.. • • ,••L• ;t-LL nr.
I�oint Roberts;t-LL , WA 98281 ( )
FAX N1 7MRTR
❑ Other (Describe) ( ) _
CONTACT N AME FrOMARYPRONE M- MAILADDRESS
Naida Khan (300 ) 945 - 2787 m AjAf&nwnPrmltrmm
AREA DESCRIPTION
EXISTING
PROPOSED
TnTA,L
BASEMENT
$0. FT.
S . FT.
9 . FT.
FIRST
SECOND
THIRD
FOURT74
ADDITIONAL FLOORS (DESCRum
1)F,(`x (r(IVFRED?)
GARAGE ❑ CARPORT ❑
TMAL.Unf IRR Sir...
"roTALPAOl Oti�O ir:
TmALfIP ',.
NUMBER OF FLOORS " 9RO9Q'� TOTAL
' *NEW HON,tF.S ONLY"' NUMBER OF BEDROOMS CrnA,rA'PL
T &E r Iwrn Tnt
w
QfMErhnntrnl Wnrlr $j_1 34.41
Ariz HANDLING UNITS EVAPORATIVE COOLERS GAS WQS REFRIG. SYSTEMS
BBgg FANS T IOOD , (�ommeroe.q WOGDSZ Ov ra
F30ILERS FIREPLACE INSERTS RANGES MISC (oe_ke.ribc)
COMPRESSORS I FURNACr•.S GAS WATER fIGA77:RS
DUCTS GAS PIbF: OUTLETS
BAMI UHS wriublall Combo) SHOWERS WATER CI.C7RF:T:C (ron.y MiA. C (Dcooribe)
DISHWA3KCRS SINKS DRINKING FOLWAINS
GAS PIPE OUTLETS SUMPS RAINWATER. SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS (b„ ib,00m s(nkA) VACUUM sRr•,AKERS ELECTRIC WATER HEATERS
certify under ,penalty ofPcdurg that the WOrmatton furnished by me is true and cease. to the hest o m knowledge, am authoriavd by the owner the above rent of my edge. and further, that r
premises; to pe{fg c the uwrk far which the t+ermit aDDltcacion is mnAn. I fi rrhar saran to hold
hu h claim), ), city may e m Wpb a y any claim (iding ing costs, expenses, jI attorney :'fees incurred in the investigation and defove of
such eIaimb the may be inapt¢ by any person, Including the undersigned, and fated against the City of Federal Way, but only where such claim
a+Lsas out of the reliance 41 the City, including its QpRcer9 and employees, upon the accuracy of the information lied to the
this application. �(P'P� city as a part of
NAME/TITLE )DAT13 D -
(S1gnRm I (11e1cI
ItELATION5I11P TO PROJEur ❑ U cr Agent D Contractor ❑ Architect ❑ Other
o I11EW ❑ AIyDITlOI(P. ...• o ALTERATION
14viLLfitnci,�:L �J1Yl.YY o >tES : a NO' '
ObiiNt�`•Ita11fATT0N•
'�NL�,90•A'GnIiF�B;R$El�? a YFS '. a Nd
FZAT�Y7b T:d7C? a YES '. td' NO
C REPAIR r� TE,NAId'I'.r(�PItOVE71lfYT
BASIC PLAN ?, .. q YES
CHA1' OZ.Or ustt<? .. ' rJ YES.
bp/
AFY9V'1
Bulletin #100 — January 1, 2006 Pagc 2 of 4 k�klandoutsTennit Application