09-1037321
Mechanical
City of Federal Way Q �/� C
Community Development Services Permit #: 09- 103732 -00 -M E
P.O. Box 9718
Federal Way, WA 98063 -9718 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p a
Project Name: HERNANDEZ
Project Address: 1414 S 303RD ST Parcel Number: 025300 0160
Project Description: Installation of gas furnace & gas piping.
Owner
Applicant
Contractor
JAIME HERNANDEZ
JAIME HERNANDEZ
JAIME HERNANDEZ
1414 SW 303RD ST
1414 SW 303RD ST
1414 SW 303RD ST
FEDERAL WAY WA 98003 -4112
FEDERAL WAY WA 98003 -4112
FEDERAL WAY WA 98003-4112
Addith joi S k ICtt1..,
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Mechanical Valuation ................. ...........................1500 Is this an Online or O.T.C. application? ................. Yes
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Furnaces .......... ............................... 1 Gas Piping....... ............................... 1
P�Rmiir EXPiReS Wednesday. March 24, 2010
25 0 , 20 j.
�liimit Issued on Fr y September
I hereby, Certify. Bove llrtrril7atlln i rre artd that ttte Cotruc I tP
the occup r�f;al tl use v�ilf•be in �c ordancs withih4 fracas, rules iniireg�t�t�in,
s4rtrl tltiC`ity ofa�ri�±r'�Jl Wav
Owner or agent: 11! -- Dal
r- iNAurV q/30/Cq
�'�N
CITY OF
Federal Way
PERMIT #:
09- 103732 -00 -ME
THIS CARD IS TO MAIN ON -SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835 -3050
Address: 1414 S 303RD ST
Owner: JAIME HERNANDEZ FEDERAL WAY, WA 98003 -4112
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.
El
Mechanical Rough -in (4165)
Gas Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
10 -;?�, Date
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Value of Mechanical Work $ : ri (� (A COPY OF BID OR ESTIMATE MUST BE PROVIDED
Indicate number of each type offixture to be installed or relocated as Eart of this pNject Do not include ecistingfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (comnmri4
BOILERS Sf FURNACES HOT WATER TANKS (Gao
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (w Tub /showacon")
LAVS (Hmdsb&o
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitehm /utW
WATER HEATERS (Eixu;e)
HOSE BIBBS
SUMPS
WASHING MACHINES
TQ1'ALkIIfEiItB
GEAI�AL INF L' L. ►TiON'
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTDiG IMPROVEMENTS
EXISTING /Ppmous USE LOT SIZE (In Square Peet) EXISTING FIRE SPRn=ZR SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
AREA DESCRIPTION I Area
in Souare Feet
ADDITION
Area
uare Feet
TENANT AREA ONLY
Occupancy Group(s) Construction # of Additional Information
Type I Stories
Construction # of
Occupancy Groups) Additional Information
Bulletin # 100 — 4/17/2009 Page 2 of 4 k:\Handouts\Permit Application