09-104898 City of Federal Way • Mechanical
Community Development Services Permit #: 09-104898-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609 P 4
Project Name: ECKERT
Project Address: 33361 12TH AVE SW Parcel Number: 926496 0100
Project Description: Remove/replace gas furnace
Owner Applicant Contractor
KENNETH&TAMMY ECKERT OLSON SERVICE GROUP INC OLSON SERVICE GROUP INC
4415 LEARY WAY NW OLSONES951L3(10/24/11)
SEATTLE WA 98107 4415 LEARY WAY NW
SEATTLE WA 98107
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Mechanical Valuation 4450 Is this an Online or O.T.C.application Yes
.. .�, <tq.:
PERMIT EXPIRESMMonday, June 14, 2010
t I n esc y, Decembl� ,2 , 9 � � r;
I hereby t at 'le.above orma�n is correct and that the.construction t above' n f r d
the occupancy'arid the use w��be in accordance�the tom,rules and reg do ns of thew ate t a`
nd the City of Federal Way.
Owner or agent: I /• Date: / 7-4 f
Z Z o9
f\v‘ '`"\-' s
THIS CARD IS TO REMAIN ON-SITE r .
0 Construction Ins tion Record
CITY OF
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 09-104898-00-ME Address: 33361 12TH AVE SW
Owner: KENNETH & TAMMY ECKERT FEDERAL WAY, WA 98023-5301
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.
0 Mechanical Rough-in(4165) - 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date Date
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
7 / // ply
����� 1/ � - l � `T � C 1S
�r16 2009 PERMIT SF MF Co , L PL DE EN FP
COMMUNITY AVENUE SCUM X9718
3332E DERVLWAY. AfE•63 LI CATI O N
FEDERAL WAY.WA 98063-9718 Ti.,
253-835-2tighrOPTE DERAL
The • • is .-`1 0 • ,Non-an , ,tete t•lication will rust be •. _•led. Please . tie•:.:.., or 1• .
El PROPERTY INFORMATION
SITE ADDRESS 3 3 3 &/ /2 '('<-A-U6 ' t) ��T 7) 1'v, ??ea 23 SUITE/UNPT# —
ASSESSOR'S TAX/PARCEL# Y 2 C 6 - 49 / 0 0 LOT SIZE(S_/) •
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 11 9//l/�!
(Attach separate pageJar leagd,g legal descr4 MR
• PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING 0 PLUMBING ,'MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit ordu)
te 2-,40 A- & S l/G/.// C
PROJECT NAME(Name of Business or Owner Last Name) E /7 e T
• PEOPLE INFORMATION
PROPERTY � ✓ PRIMARY PHONE
OWNER N e- v C/ T / (& ) 2-54,-_/3 a 3
MAILING ADDRESS CITY,STATE.ZIP
a...4
CONTRACTOR COMPANY NAME 1 APPLICANT NAME OFFICE PHONE
9 .5ot) EV 7 (02o6) 2- SS-2_2_
MAILING ADDRESS CITY.STATE.ZIP CELL PHONE —
(i /,lq/� -6 W N cGt9 W,4 ffioq ( )
CITY OF FEDERAL WAX BUS ESS LICE E1E NU ER EXPIRATION BATE FAX NUMBER
4 lZ � / / (Zoe) W)2- /3 CO
CONTRACTOR'S REGISTRATION NUMBER(copy-et ea required with each application) EXPIRATION DATE
;9 LS .0/1.1 e. S0' S / 6.---3 l-fzy / !/
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
L 5.A-) � c___7' ( )
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
,/d 1 ( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant ❑Agent ❑ Other(Describe) ( )
CONTACT NAME ).----- PRIMARY PHONE
(We) -5 E-MAIL ADDRESS
�, -
LENDER Per RCW 19.27.095: Lender information is NAME
required;f project value exceeds$5,000
MAILING ADDRESS CTI`. ATE.ZIP 1 PHONE
/ f ) -
IN 1)EI:11I,1-:11 HI 11.1)111r INFOR11.11101
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLEREIB BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEIIAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• I
PRO.IEC r FLOOR ARF ft
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS Irosuse r PROPOSED 'ram TOTAL EXISTING r
GEP TOTAL PROPOSED SF Tama
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
[LYll;Rt:5
irate n of each type of fixture ixture to be installed or relocated as part of this project. Do not ncluriv existing fixtures to remain.
ANICAL ST
ue o M ical Work $ . ,- fl ° V' �'� a�G� �'
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(c.ercio WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES _ MISC(Describe)
COMPRESSORS / FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or Tub/shower Combo) SHOWERS WATER CLOSETS;macs MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Salmi VACUUM BREAKERS ELECTRIC WATER HEATERS
OP.,(. LAMER SI(.h1 IUHL BI.UtK
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 authorized 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. J
NAME/TITLE DATE /2//5/-9 /
(Signature) (Time)
RELATIONSHIP TO PROJECT ❑Owner ❑Agent /ontractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR 0 TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES ❑NO
NEW ADDRESS REQUIRED? a YES c NO UP/SEPA/SU? o YES a NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES c NO
Bulletin#HUO-January I,2006 Page 2 of 4 k\HandoutslPemnit Application