09-104126 Mecharcal
City of Federal Way Q
Community Development Services Permit #: 09-104126-0(? iVIE
P.O.Box 9718
fiederal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: VANN
Project Address: 30313 1ST AVE S Parcel Number: 062104 9119
Project Description: Installation of gas furnace/heat pump,gas fireplace insert and gas piping.
Owner Applicant Contractor
LANCE VANN LANCE VANN LANCE VANN
30313 1ST AVE S 30313 1ST AVE S 30313 1ST AVE S
FEDERAL WAY WA 98003-4035 FEDERAL WAY WA 98003-4035 FEDERAL WAY WA 98003-4035
dditional Permit information'.
Mechanical Valuation 7500 Is this an Online or O.T.C.application? Yes
Mechanicalct> rs
Fireplace Inserts 1 Furnaces 1 Gas Piping 1
Gas Pipe Outlets 2
PERMIT EXPIRES Sunday, April 18, 2010
Permit Issued on Tuesday, October 20, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use yiilbe in accordance with the laws, rules and regulations of the State of Washington
-- / and the City of Federal Way.
Owner or age : �- �� - Date: /O,/
r Of O Cl
a7 y�5�J9
-F THIS CARD IS TO REMAIN ON-SITE ,
CITY°FConstruction.Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 09-104126-00-ME Address: 30313 1ST AVE S
Owner: LANCE VANN FEDERAL WAY, WA 98003-4035
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARDS 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 '\c 5 Date (y- '? -f By Date
Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
Building Divisio�5
41/41,
CITY OF 33325 Eighth Avenue South
o.' „.- Fed a ra i VVay Federal Way,WA 98063-9718
Phone 253-835-2607
Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: -03 ( /Sit /l -t. S ' PERMIT#: o"1 -ko4 IX6---,14 -
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IF YOU HAVE ANY QUESTIONS CALLS 't
IF Sz e ( (253) 835- .Z6
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
/0—Zv2—o ' S'
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page(of (
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-- ' C IV PERMITFCO PL DE EN FP
Federal Wayslaw-
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CO5MU 5 rDEVELOPMENT28 5RVICES 1 20 APPLICATION / -... / -.
609
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SITE ADDRESS
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SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
OF - 0 (00,, L UY - 9C l �
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NAME OF PROJECT
(Tenant or Homeowner Name) Gj
-_,C. Iw") e_t \;C,iK.
0 BUILDING 0 PLUMBING IN MECHANICAL
TYPE OF PERMIT
❑ DEMOLITIONir� ❑ ELECTRICALS 0 ENGINEERING ❑ FIRE PREVENTION
�I I rl-c 1? h e c•• 1' c V / 1`�J
PROJECT DESCRIPTION 1-61 t C ^e, ( -c j_ 1:-),_,,, f
Detailed description of work to1,�1C�_1 I (`J {`,�/ 1
be included on this permit only c Cl : 1,-,c p c1/4c e
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NAME
PROPERTY OWNER I C' t . � - \f CtY1 rl (x4)Pi/ - ( g /t/
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
3042,1 ' ► < 4--- ANe S ' es`ik'ci <�r4.460-<<frt-'
OWNER IS ALSO: ® CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME- PRIMARY PHONE
�ClY) LC.. VG,vl n ( ) -
MAILING ADDRESS,CITY,STATE,ZIP FAX
CONTRACTOR
' CN)'3)( � I<-)-, A 1 V < ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
�1 '/� .� PRIMARY7P ONEE
APPLICANT N �E L l V 1 ,'- .. \iC I I �' I pc(c) / - &C / L 1
MAILING ADDRESS,CITY,STATE,ZIPFAX
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and -Ci I/ ) (i.. _ ;, i', 1,11.-) (29 �I 3(1 G (' I ci
respond to all correspondence MATING ADDRESS,CITY,STATE,Z FAX
concerning this application) 7()3 i - 1 C�.�-X L - _
J
ALTERNATE CONTACT NAME: 'y/PRIMARY PHONE E-MAILL �q
-1t 111 C.t �L i) ( (<1 .33-/- (e 7�65 ��j�, �(�7) (c'wpr CO v-'•‘...
PROJECT FINANCING NAME
s 141 OWNER-FINANCED
Required for projects with (.. } ` C , N r l
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095) ( )
I certify under penalty of perjury y whrieify h
best of my knowledge, the Information submittedthatItam inthe supportpropertof this
ner permitorautapplicationozedagis
nt trueofthe and correpropertyct.I
ownercertifyI certthat I wtillat complytothe
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to t city as a part of this application.
SIGNATURE? ,', - n-•--- DATE /0/r 0/09
PRINT NAME:_ -c\n C Vr4 Vl V."
Bulletin#100-4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
ANO
MECHANICAL FIXTU
Value of Mechanical Work$ 7) S V_c ) (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number 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)
'%l AIR CONDITIONER ax FIREPLACE INSERTS HOODS(Commercial)
BOILERS 7<- FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate number 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(xitrheu/utility) WATER HEATERS(Eteot)-ic)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION 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
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
BASEMENT __......_.....__._...._...._....._....__..__.__.._....._....---.-----.---...-._....._._..._..._..._..... ..
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**IVEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL- NEW/ADDITION
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction # of
in Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-4/17/2009 Page 2 of 4 k:\Handouts\Permit Application