07-106198It
C,jity Development s Mechanical Permit #• 07- 106198 -00 -M E
Cc.nmunity Development Services •
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: GERMER
Project Address: 32325 10TH AVE S
Parcel Number: 150240 0520
Project Description: Replace existing gas furnance with new gas furnace. & Replace gas hot water heater tank
with new has hot water tank.
Owner
Applicant
Contractor
ALLAN GERMER
ALLAN GERMER
ALLAN GERMER
32325 10TH AVE S
32325 10TH AVE S
32325 10TH AVE S
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Ad 0,1' itf Information
Mechanical Valuation ................. ...........................2312 Over the Counter Permit ? ...................................... Yes
MeohanlcaF Fft, Ures ,
Furnaces .......................................... 1 Hot Water Tank ............................. 1
PERMIT EXPIRES Fridav, November 13, 2009
November 13.2
I hereby certify that the above inforrnation is correct and that the Instruction o
the occupancy,and the use will be In accordance with the laws, rules and reg
and he City of Federal Way.
Owner or agent:
r'11
the
Date: l 1 15 " y I
THIS CARD IS TO REMAIN ON -SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106198 -00 -ME
Owner: ALLAN GERMER
Address: 32325 10TH AVE S
FEDERAL WAY, WA 98003 -5925
This card is part of your required inspection documents. Scheduled inspections maybe 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 fl, . p
For.jnsppctor reference on
D Rough Electrical D FINAL - Electrical
Approved Approved
By Date By Date
�r 1M RECEIVED �e 12-'
PERMIT
C0KwMTYDEYEL0PIlBM'8&RY= I SF MF CO .ME EL PL DE EN IT
ss2�zF ro97j00V 1 3 2[�(17P LI CATI O N
FEDERAL WAY, WA 9806 &971 d
QITY o Fpi =RAL WA
The following to requiQ6V0GiaDionT -• an incomplete application will not be acts ted Please rint.le ib in or
P' PP P P g Hl ( BSI type.
J`SITE ADDRESS _ _ J � Z S_ A34- A C SUITE /UNIT #
ASSESSOR'S TAR /PARCEL # — — — — - — — LOT SIZE (31)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
( Aaadi +epmoMaQe.Jb►lsa•WI�Qpo�+r1 .
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING D PLUMBING. MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
]IPROJECT DESCRIPTION (Provide detailed description
YPROJECT- NAME (Name of Business or Owner Last Hamel
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
f
APPLICANT
PROJECT
CONTACT
LENDER
EXIISTING USE
NAME
APPUCANT NAME
OFFICE PHONE
( )
PRIMARYPHONE
CITY, STATE, ZIP
CEM PHONE
r
CITY OF FEDERAL WAY BUSINESS E NUMBER. EXPIRATION DATE
FAX NUMBER
( )
MAIUNO ADDRESS
E-MAIL ADDRESS
C E. ZIP
E -MAIL ADDRESS
If— V
CJ /4
COMPANY NAME
L-')
APPUCANT NAME
OFFICE PHONE
( )
MAIUNO ADDRESS
CITY, STATE, ZIP
CEM PHONE
r
CITY OF FEDERAL WAY BUSINESS E NUMBER. EXPIRATION DATE
FAX NUMBER
( )
CONTRALTO ' IBTRATION NU 1k RMPIRATION DATE
E-MAIL ADDRESS
COMP NAME
APPLICANT NAME
OFFICE PHONE
_
MAIUNO ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( )
NAME PRIMARY PHONE E•MAILADDRESS
NAME
Per AM 19.2.7.095t
Len anon is requfr Project value exceeds $5,000
N AD S
. STATE, ZIP
PHONE
ASSESSED/.
ur'UIIA , BIIILDI G? ❑
HATER SERVICE PROVIDER ❑
SEWER SERVICE PROVIDER ❑
PROPOSED USE
# v,
❑ NO FIRE
WORK
SYSTEM PROPOSED /REQUIRED ?1 ❑ YES ❑ NO
LAKER NE ❑ TACOMA ❑ PRIVATE (WELL)
LAKEHAVEN ❑ iIIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT •••
AREA DESCRIPTION
BASEMENT
AREAS
.EXISTING
SO. FT.
PROPOS
S
TOTAL
so. ipt'.
FIRST
a YES. o NO
BASIC PLAN?
SECOND
a NO
ZONING DESIGNATION
THIRD .
CHANGE OF USE?
o YES
a NO
ADDITIONAL FLOORS (DESCRIBE)
o YES o NO
UP /SEPA /SU?
DECK (0 COVERED OR 0 UNCOVERED ?)
o NO
PLATTED LOT?
o YES a NO
GARAGE 0 CARPORT 0
DEMO PERMIT REQUIRED?
a YES
a NO•
NUMBER OF FLOORS
BO O
7OT"`
'O7"� sr
'°r"c+soroesnar
MALar
" "NEW HOMES ONLY". NUMBER O ROOMS ESTIMATED SELLI . PRICE $
Indicate number o inst d or relocated as part�of project not include existing factures to remain
II?EGFIAIVIC.9L
Value of M 1 Work's (A OF BID OR 9MMfA MUST BE INCLUDED WITH APPWCA770NJ
AIR HAN U EVAPORATIVE COOLE OAS PIPE OUTL� WOODSTOVES
BBQ3 GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE RTS ommud�
COMPRESSORS FURNACES RANGES
DUCTS REFRIG. SYSTEMS'
BATHTUBS (orTub /wh combo)
DISHWASHERS
iMNHINO FOUNTAINS
HOSE
LAYS Is.uwomstnlc�►
RAINWATER SYST
SHOWERS
SUMPS
URINALS
VACUUM BR �ER.S WATER
WASIOG MACHINES
MISC (Describe)
I certify under penalty of perjury that I am the property owner or authorised agent o the e .
g f property owner. I cert�(fy that to the beat of my
knowledge, the information submitted in support of this permit application is true and eorrecL I eertV S that I will comply with all applicable
City of Federal , Way 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 reVensibility for compliance with local, state, or federal laws regulating construction or environmental laws.
1 further agree to hold harmless the City of Yedecal Way ae to any claim (including costa, 'expenses, and attorneys, fees incurred in the
investigation and defense of such claiml which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the reliance of the city, including Its officers and employees; upon-the accuracy of the information supplied to
the city as apart of this application. _ ,1)
SIGNATURE:
o NEW o ADDITION
a ALTERATION
a REPAIR a TENANT IMPROVEMENT
BUILDING SiELI. ONLY?
a YES. o NO
BASIC PLAN?
o YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
a NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED?
a YES
a NO•
Bulletin # 100 _ August 16,20D7 Page 2 of 4 .
MIlandoutsTennit Application .