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07-106661
City of Federy Way E mmunity Development Services P.O. Box 9718 ederal Way, WA 98063 -9718 3)835 -2607 Fax: (253) 835 -2609 r Mechanical Permit #: 07- 106661 -00 -M E Inspection Request Line: (253) 835 -3050 Project Name: GREGERSON -- .. -, Project Address: 2761 SW 314TH ST Parcel Number: 150310 0300 Project Description: Replacing a gas furnace, installiig a h6t �v>E>rianl7c and a fireplace Owner Applicant Contractor CONNIE GREGERSON HERITAGE ENTERPRISES INC HERITAGE ENTERPRISES INC 2761 S 314TH ST 9001 PACIFIC AVE HERITEI969M6 (7/26/08) FEDERAL WAY WA 98023 TACOMA WA 98444 9001 PACIFIC AVE TACOMA WA 98444 :Additional Permit Information Mechanical Valuation... ......................................... 9967 Over the Counter Permit? ...................................... Yes Mechanical Fixtures Fireplace Inserts ............................. 1 Furnaces.......... ............................... 1 Gas Pipe Outlets ............................. 1 Hot Water Tank ............................ 1 PERMIT EXPIRES Friday, December 11, 2009 Pelt Issued on TUesdaaiy, December 11, 2007 I hereby certify that the above infoiMation is correct and that the, construction on" above desaoed the .occupancy and the use will be in accordance with the laws, rules and regulations of the State of V1lashinct6n and the Pity Federal Way. f e �xz -7- . Uwner or agent: _ Dater __ „__, u3#^� THIS CARD IS TO REMAIN ON -SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 106661 -00 -ME Owner: CONNIE GREGERSON Address: 2761 SW 314TH ST FEDERAL WAY, WA 98023 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 j. -/. p� By Date Z- -z# % For inspector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date 1 • CITY OF C ( _�,� r' "® © — ` O T ■ Federal Way PERMIT ' COMMUAWYDEVELOPMENTSERVICES DEC 1 1 2,,7 SF MF CO ©E EL PL DE EN FP .03325 8TH AVENUE SOUTH 83 -2609 8 �p I C A T I O N FEDERAL WAY, WA 98063 -9718 253- 835 -2607• FAX 253 -835 -2609 cituo( rawau.com F11--p,NGDE&_IAL i• The following is required ii oration -an incomplete application will not be accepted. Please print legibly (in ink) or type. SITE ADDRESS .2 9-V 1 3 ' V V ' 31�i'Vl J+ • TCUCO l Wd" iZ SUITE /UNIT # ASSESSOR'S TAX /PARCEL # I a -0 - f _s' _�z LOT SIZE (s, ) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separate page for lengthy legal description) PROJECT INFORMATION 1 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) keak -4ya a ran _ x net c ivy - i v. 0, E40k WaAz'c t 1. . A v - r, LA PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER CONTRACTOR COPY of card required with each application APPLICANT PROJECT CONTACT LENDER EXISTING USE NAW 1. oovk i P C Y V"l PRIMARY PHONE ) 9 - 900(o MAILING ADDRESS ,. 4 S:v 3 CI , STATE ZIP Q ( (b D2 S E -MAI ADDRESS I u a COMA ^ NAME l � ` ^ � � j � n � V 1 APPLICANT NAME OFFICE PHONE 2 MAILING ADD S r`' U a `-�`C_ a\) Q-. CITY, STATE, ZIP o CELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER RELATIONSHIP TO PROJECT FAX NUMBER 3153 CONTRACTOR'S REGISTRATIO MBER (�EXPIRA�TII�ON DATQE E- M�A1JIL ADDRESS COMPANY NAME � It-1411 _Ki J APPLICANT NAME OFFICE PHONE MAILING ADD r T CITY, STATE, ZIP CELL PHONE VA C a\) wc� RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant Kkge.t ❑ Other NAY,E PRIMARY PHAONE E -MAIL DDRESS NAME per RCW 19.27.0 rmation is required if project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP /PHONE l ) EXISTING ASSESSED /APPRAISED VALUE PROPOSED USE VALUE OF PROPOSED WORK $ col SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEI IAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) PROJECT ••- ` AREA DESCRIPTION EXISTING S . FT. PROPOSED 3 . FT. TOTAL 3 . FT. BASEMENT GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS FIRST COMPRESSORS Lt FURNACES RANGES SECOND GAS LOG SETS REFRIG. SYSTEMS ❑ YES ❑ NO THIRD BASIC PLAN? ❑ YES ❑ NO ADDITIONAL FLOORS (DESCRIBE) CHANGE OF USE? DECK (❑ COVERED OR ❑ UNCOVERED ?) ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO GARAGE ❑ CARPORT ❑ UP /SEPA /SU? ❑ YES ❑ NO NUMBER OF FLOORS 7"G PROPOSSO TOTAL T°TALXN 8r TOTAL PnaPossoar Tan¢ar "NEW HOMES ONLY ** -1VUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. AINCFIAMCAL Value of Mechanical Work $ 1, 1 �D �-• �i 0 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS (commehroiat) COMPRESSORS Lt FURNACES RANGES DUCTS GAS LOG SETS REFRIG. SYSTEMS BATHTUBS (or Tub /shower Combo) LAVS (Bathroom sinks) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS (Toilet) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS I certify 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 made. 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 Way, 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 a part of this application. NAME /TITLE a Ilo � - D (Signature) RELATIONSHIP TO iRkOJECT 1 I - ❑ Owner ❑ Agent (Title) Contractor ❑ Architect ❑ Other ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP /SEPA /SU? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Bulletin #100 -April 2, 2007 Page 2 of 4 k \Handouts\Permit Application -