16-104877 •
CJTY PERMI TleIPPLICATION
Federal Way PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcen m
(47
.401-1 � ' '� OCT 062016
PERMIT NUMBER � - � - �'I�
— — TARGET DATE
CITY OF FEDERAL WAY
SITE ADDRESS SUITE/UN1c )s
.33Loi g 3` k ,Gk,--c-
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ aq o to I 'gI - o ' - 0
TYPE OF PERMIT ❑,BUILDING 0 PLUMBING 1ECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT S ],, 5 '7T2
1��
PROJECT DESCRIPTION 1 Q C A Y .A.
q Q S U f ( (-
Detailed description of work to
,‘tiee
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MI a S h-\- .95-2 ' ,i1 . 0 .1 S
LING ADDRESS EMAIL
CITY
� STATE ZIP
IPHONE
,c4v11A,,1 ooB. 0
MAILING
lo o RESSS r3LI_/1E-MAIL
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CONTRACTOR1 CLI► 1'�� �
CITY STATE ZI FAX ��l-� "A . tornS.e�-A'1.�... W d— 1\0 IS D Of • `oZ 4 kg . OS
"AT{E C O RATt LICE 170 ' EXPIRATION DATEei FEDERAL WAY BUSINESS LICENSE#
NAME J `�1 -y\-?p PRIMARY PHONE
APPLICANT MAILING ADDRESS ` E-MAIL (n'��/
CITY STATE ZIP FAX �
N E PRIMARY PHONE
PROJECT CONTACT %1.-L. W I {
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME _. .. ...
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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 a defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where uch claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information s plied o the city as a part of this application.
SIGNATUR qDATE J/�vt)1 I
PRINT NAM i 0.1 VY\\
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
•
I VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS I FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS)l Itchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
COVERED ENTRY ,, --------.—._ ._._•.—._
GARAGE ❑ CARPORT 0
Area Totals EXISTING PROPOSED TOTAL
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Area in
AREA DESCRIPTIONg,uare Feet Occupancy Group(s) Stories Additional Information
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
S uare Feeta Stories
TENANT AREA ONLY
•
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8352607 Fax: (253) 835 -2609
Project Name: ASHTON
Project Address: 33618 38TH AVE S
Project Description: Replace gas furnace
FILE
� � y
Mechanical
Permit #:16- 104877 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 618143 0740
Owner
Applicant
Contractor
MICHAEL J ASHTON
JAIMIE HOWBRENNAN HEATING & A/C
BRENNAN HEATING & A/C LLC
33618 38TH AVE S
4601 S 134TH PL
(GENERAL 01)
FEDERAL WAY WA 98001 -9568
SEATTLE WA 98168
BRENNHA971R9 (12/29/17)
4601 S 134TH PL
TUKWILA WA 98168
Additional! Permit Information
Mechanical Work Valuation? ... ............................... 2950 Is this an Online or O.T.C. application ?.................. Yes
Furnaces
PERMIT EXPIRES Tuesday, 4 April, 2017
Permit Issued on Thursday, October 6, 2016
1 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: OKII 1 K1 ""' Date:
1(- V&4- ,% �) ft —Lk
`k-
MY or
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
16104877 00 Address: 33618 38TH AVE S
TERI ASHTON FEDERAL WAY WA 98001 -9568
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)
ED
Gas Piping (4125)
Final Electrical
Final - Mechanical (4065)
El
Mechanical Rough -in (4165)
1By
Gas Piping (4125)
Final - Mechanical (4065)
By
Date
Date
By C
Date
Rough Electrical
Final Electrical
El
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date