10-104477 • Mechanical
City of Federal Way • _
•-•—• Permit 10-104477-00=ME
� Community Development Services #:
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 if I Inspection Request Line: (253)835-3050
Project Name: STOUGHTENGER
Project Address: 33418 28TH PL SW Parcel Number: 010060 0510
Project Description: Replace gas furnance.
Owner Applicant Contractor
RANDY&CARYN STOUGHTENGER TAHRAN AIR LLC TAI-IRAN AIR LLC
33418 28TH PL SW 4912 68TH AVE NE TAHRAAL941OF(4/27/12)
FEDERAL WAY WA 98023-2744 OLYMPIA WA 98516 4912 68TH AVE NE
OLYMPIA WA 98516
Mechanical Valuation 1000 Is this an Online or O.T.C.application? Yes
Furnaces... 1
PERMIT EXPIRES Tuesday, April 19, 2011
Permit Issued on Thursday,October 21, 2010
I 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: Date: f0/.0://40l
ptsiAuita> u` $ 10
•
' _" THIS CARD IS TO REMAIN ON-SITE
CITY OF ` ' 9 = Construction Insliction Record =-
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 10-104477-00-ME Address: 33418 28TH PL SW
Project: RANDY & CARYN STOUGHTENGE FEDERAL WAY, WA 98023-2744
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) ❑ Gas Piping (4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date 'By Date By fC Date /78//0
•
0 Rough Electrical Final Electrical El Right of Way
Approved Appro cd Approved
By Date By Date By Date
Illik‘) ' '' CZre OF 'A • PERMI
\iff 0 PL DE EN FP
JO - / a V -7 7
Federal Way
cowl-INITY DEVELOPMENT SERVICES APPLICATI}FICEI 15 CO
.3a
2.53-335-2607.FAX 253-835-2609 31'7
0 CI 21 204,0
SITE ADDRESS CITY OF FEDERAL WAY SUITE/UNIT#
33qio c2t3,0, /at... s,......3
F. .0- -AzAt2C--- c,>,1,42,DS.).01, 543 0c73
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
1,4-) / 0 0 6 6 _ 0 5 / 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ...RLMECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) J4 -Y14 5-roilLG4-Frni66.A.
------- -
,1124 > r:71-4Ccft.rr
PROJECT DESCRIPTION ACCPa
Detailed description of work to 2x)Z 6-.ppc teocy -rt.› go-4- '4' efric,,-6-Kic ie.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER CAA-sin/ c-roct&t-Fre-Ni(-76,la_ as-s-c,S-3 -6-60(7
MAILING ADDRESS E-MAIL
33cpe, ,v2/3-7-44 A. Sc )
CITY STATE ZIP
7612-41, W-A'Y 6J4 "Ice30,9
NAME PHONE
• --7-0+toza iv -74u2_1 c-C-C.- 360 "3'1 49.79.5-
MAILING ADDRESS E-MAIL •
CONTRACTOR Li 1.v2 6E314' ieiv . 'tie 7704dcAruil 1 ie./ 44orrnAn.
CITY STATE ZIP FAX
oz_.yryvvi-,4 cA4 1'0576 560 eisci 094.?
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PHONE
CALA N-6 -771114/2-401 36c)-
. _.
APPLICANT MAILING ADDRESS E-MAIL
qg j'at ce.-1;g1 4 vi: (46. -r-zi 44021W MAL 0 Pf dr/41-6 it,
CITY STATE ZIP FAX
, OC--)1,17)014Ei%-)/ef g t3S-7 6, 3.so ,--(5-4 o5211,
PROJECT CONTACT NAME PHONE
(The individual to receive and ,D cull.,4. --77frop-A Is) 3 ).c. 3S-11 ,9c 3, _--,-
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) HI I.; 6e,--71-1 A ye., ME, TAP RAN /9 02—6)AttirMlil
CITY STATE ZIP FAX
04-4 ni Pep 14.1A cias-?6, .3 () cise72 ogay-
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME o OWNER-FINANCED
Required value of$5,000 or("gre---- ,----
(RCW 19.27.095) MAIL G ADDRESS'PITY,STATE,ZIP PHONE
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 wilt 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 apart of this application.
SIGNATURE: DATE /0/70C9
PRINT NAME: .-2,1:4)Ai - --- —77tr-hie,PN/ - -
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
1.I 'kill allEMESER
00(0.
VALUE OF MECHANICAL WORK $ /49:XI•Y u V ' (a copy of bid or estimate must be provided)
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 1L— FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST •
DUCTING GAS PIPING WOODSTOVES
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�-�:rifri�.i? ii.3Kh•:�:..9!..IS•::''F�i:�4:?tiJ�dV.S: ;%`•'�y'?''�:�t ? � ���`�5����i:`:��2�: ::�'' %:�>''�'k :;%�i�? Eta<
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(Rand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
'AINS SHOWERS VACUUM BREAKERS
DRI ING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
SUMPS WASHING MACHINES `•':'6F`L`A ?E1 £%```.
HOSE :.BBS #�; r?
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::::..........................:::.• • ' ::::...........
CRITICAL AREAS ON PROPE WATER PURVEYOR SEWER PRVEYO
EXISTING/PREVIOUS USE SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes❑ No o Yes ❑ No
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AREA DESCRIPTION(in square feet) PROPOSED TOTAL FOR OFFICE USE
40401§011111•11111111111111111111111111011.1I
.:::..............:,•::::::::• EXISTING :::::.:::::::•:; .' — — -----.____
INPAIENSIBle
( Mobile .'::
FIRST FLOOR (orHome)
, .•::::::::nen: ::::r: n•:.:r...�.:....... ...................
COVERED ENTRY
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GARAGE 0 CARPORT 0
STAG PROPOSED TOTAL
Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS 4
� 4
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Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information S care Feet T� a Stories
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ADDITION
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Area Construction #of
AREA DESCRIPTION in Square Feet Occupancy Group(s) Type Stories Additional Information
TENANT AREA ONLY
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Bulletin#100-April 14,2010 Page 2 of 3 k:\Handouts\Permit Application