16-103743City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: WEIS
Project Address: 413 S 289TH ST
Project Description: Replacement of gas furnace and A/C unit
a
Mechanical
Permit #: 16- 103743 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 515298 0160
Owner
Annlicant
Contractor
KURT R WEIS
EAST HILL HEATING & COOLING
EAST HILL HEATING & COOLING
413 S 289TH ST
(MECHANICAL)
(MECHANICAL)
FEDERAL WAY WA
8114 114TH AVE E
EASTHHC980LC (7/22/18)
98003 -3609
PUYALLUP WA 98372
8114114TH AVE E
PUYALLUP WA 98372
Additional, Permit Information
Mechanical Work Valuation ? ......... ........................8250.00 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Air Conditioners - Stand Alone Un 1 Furnaces .......... ............................... 1
PERMIT EXPIRES Sunday, January 29, 2017
Permit Issued on Tuesday, August 2, 2016
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 he City of Federal Way.
Owner or agent: 4 Date: L
THIS CARD IS TO ON -SITE y -.
or Construction In Won Record
Fit V/ INSPECTION REQ TS: (253) 835 -3050
PERMIT #:
16- 103743 -00 -ME Address: 413 S 289TH ST
Project: KURT R WEIS FEDERAL WAY, WA 98003 -3609
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
as Piping ( )
0
Final - Mechanical (
Approved
Approved to release test
1BY
Approved
By Date
By
Date
Date S — A fl,_ •1,6
Rough Electrical Final Electrical Right of Way
Approved n Approved Approved
By Date By Date By Date
41k
CITY OF
Federal Way
PERMIT NUMBER
# PERMI'0APPLICATION
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003 -6325
253 - 835 -2607 + FAX 253 - 835 -2609 + permitcent m;a euIn
/03�43 . ML::_
AUG 0 2 2016
TARGET DATE
OF FEDERAL way
SITE ADDRESS
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SUITE /UNYUDS
PROJECT VALUATION
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ZONING
ASSESSOR'S TAX /PARCEL #
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TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING RI ECHANICAL [--]DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME q
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PRIMARY PHONE
Z3-5% -I& O
PROPERTY OWNER
MAILIN ADDRESS /1/
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NAME
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PHONE
MAILING ADDRESS U
E -MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
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MAIL NG ARPRESS
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APPLICANT
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FAX �,Ua.: I�•
PROJECT CONTACT
NAME
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PRIMARY PHONE p
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MAILING ADDRESS
2 -a
E -MAIL
(The individual to receive and
respond to all correspondence
CITY
r Id.
STATE
LJ,4
ZIP
S 66
FAX
concerning this application)
PROJECT FINANCING
NAME
01
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 and defense of such claim), 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 a part of this application.
SIGNATURE: 3-4—
X (/v✓4 -- DATE
PRINT NAME:
Bulletin #100 –January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application