09-100275 City of Federal Way M' !hanical
Community Development Services Permit #: 09-100275-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: BEAVER
Project Address: 34720 31ST PL SW Parcel Number: 279150 0490
Project Description: Remove old furnace and install a new furnace
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Owner Applicant Contractor
MARVA BEAVER NORPAC HEATING&A/C INC NORPAC HEATING&A/C INC
34720 21ST AVE S 3414"A"ST SE SUITE 102 NORPAHA123M5 (9/13/09)
FEDERAL WAY WA 98023 AUBURN WA 98002 3414"A"ST SE SUITE 102
AUBURN WA 98002
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a
Mechanical Valuation 1736 Is this an Online or O.T.C.application Yes
y
Furnaces... 1
PERMIT EXPIRES Monday, July 20, 2009
Permit Issued on Wednesday,;January 21, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us *II be in accordance with the laws, rules and regulations of the State of Washington
and t City o Federal Way.
Owner or agent: Date:
d
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Alit* THIS CARD IS TO&MAIN ON-SITE
CITY OF ommunity '
i o u ty Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100275-00-ME
Owner: MARVA BEAVER
Address: 34720 31ST PL SW
FEDERAL WAY, WA 98023-3055
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. p0 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 By x___\ Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
CITY oF RED ? - o o a..�5�
Federal Inlay V i - RM IT a021
COMMUNITY DEVELOPMENT SERVICES
r" SF MF Co OL PL DE EN FP
33325 8 AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9718 JAN 2 1 UI • L I C AT I O N TD
253-835-2607•FAX 253-830T9 v '
✓tl� FEDERAL WAY / /
c_'.dhloled€rahVam
The following is required infor s-an incomplete application will not be accepted. Please print legibly(in ink)or type.
■ PROPERTY INFORMATION
SITE ADDRESS 3 5,7ac. 3/gr. A. 5.1e SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# a 7 ¢f / S co - 0 K ? LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING NI MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
P'1N400t. oIcQ c4e.VRPGC 2. 0-414 eP ... ot,8Pii./ �e /Ufrer' �.ilrivtc--S._
PROJECT NAME(Name of Business or Owner Last Name) 73f•d VI N
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER rnANtc VEcc-c1 fp" (d06) S3/ -7338
MAILING ADDRESS . CITY,STATE,ZIP E-MAIL 94.0.,1 3 ADDRESS
.3.17a0 3122- pt. .5rv. Fe ht... l cvafr rv/t,
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Noe- .,... l'ifm--.. ,•=i ifI}a.; et>,...o. 47fot9.ulS DI✓L est> (AS3 ) 931 -o 60$
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
3,1/y A sr-1g- #•/o,. 6c.,..-v w.4 Fge907- (dp&) -/o -gls3
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
19-To', /Pi Si.-0°-131-- AsttB/lc1 (as, )75/ -c4 417
COPY o(card required CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with each application llvp.PA f!g/a'I 3 WI S V/3iv? Dtw.0 Q ®„ a p
� acme.64:24‘
APPLICANT COMM��PANY NAME //1J APPLICANT NAME y�� OFFICE PHONE
MAILING ADDRESS/0 -h K e,°E. /9,.. C..,..0. ,v.r/!.i /,/_!/1t✓. - ( 3)9i 3/`D`�MO CITY,STATE,ZIP CELL PHONE
3Y t t 4 sr s - "4/ov- �h4 u.•,u ttP4 TB em::='z- (2.12G) s/a - is13-7
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent 6{J)ther (As3) 31 - 04`/7
PROJECT jNAME PRIMARY PHONE E-MAIL ADDRESS `�
CONTACT �C oyyeS AFL„i. ( 2s3) r3! - 'L ' !�,✓wt/tse14b# ,bef tC.
LENDER •NAME ' Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
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■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ /7 36-
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
AREA DESC PTION � EXISTING PROPOSED TOTAL
SQ.FT. S e.FT. S•.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT C}
EXISTING PROPOSED TOTAL TOTAL a7ISTJNO SP TOTAL PROPOSED SP TOTAL SI
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
U FIXTURES
i
Indicate number of each type of fixture to '- installed or r located as part of this project. Do not include existing fixtures to remain.
MECHANICAL �''
Value of Mechanical Work$ )7, (A • " ' OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BHQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS J FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tob/Sho*.ercombo) LAYS(Bathroom Sulks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roller)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE B1BBS SUMPS
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SIGNATURE
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.
NAME/TITLE t�P.?7f 11 1 , [ =-t�-L— 6g.YtfK. f! ose<ef•E DATE 'C:2S
(Signature) (Tine)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent i17:Contractor 0 Architect ❑ Other
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o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES 13 NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-April 2,2007 Page 2 of 4 k\Handouts\Permit Application
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