08-104653 • • 0 Mechanical
City of FedioeramieWntasyery
Services CommunityF)Doe.vBeoxID9718 Permit #: 08-104653-00-ME
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
RI
PrProjtecAtdNdaremses.:
35711E3S2ND AVE S Parcel Number: 114000 0150
Project Description: Replace gas furnace with new gas furnace.
•
Owner Applicant Contractor
GLENDALE HEATING&A/C GLENDALE HEATING&A/C
WILLIAM A RILES
G
12462 DES MOINES WAY S LENDHA053Q2 (11/2/09)
35713 2ND AVE S
FEDERAL WAY WA 98003-8614 SEATTLE WA 98168-2266 12462 DES MOINES WAY S
SEATTLE WA 98168-2266
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Mechanical Valuation 2664.76 Is this an or'-':---- OnlineO.T.C.application9
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Yes
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Furnaces. 1
PERMIT EXPIRES Tuesday, March 31, 2009
Permit Issued on Thursday, October 2, 2008
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 n accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: //.,e/t /(:-lt ' =-71{.
/(/Z.Hi-,4 Date: / 7 /O
- 4446,
THIS CARD IS TO MAIN ON-SITE, .
CITY OF 4tommunitY p Inspection m t Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104653-00-ME
Owner: WILLIAM A RILES
Address: 35713 2ND AVE S
FEDERAL WAY, WA 98003-8614
This card is part of your required inspection documents. 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) El Final-Mechanical(4065)
Approved Approved to release testApproved
By Date By Date By A�%' Date lVjJ
b 34g
i
.
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
III
cee.deAaV - - v -
PERMIT SF MF CO EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES .
33325 en AVENUE
.WA 9'�WWI 0 2 2L APPLICATION
FEDERAL WAY.FAX
88069-97
zss-ss5•zsor FAx sss�-�6o9 11) _" ''''.--------1---—
www.cUutoffederalu,a/(u.com F
The fol mlirlp is requite i�k t�dli dere application will not be accepted. Please print legibly(in ink)or type.
SITE ADDRESS 357 I ? O SUITE/UNIT
ASSESSOR'S TAR/PARCEL it 1.1_ Li J (0 11_ '5 0— LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) l r0U V t C A Li Mawr �1/1 Si YI - .
fxLwoteaao•I��Ww d
• I'ROJP:('IINFOR NIA"TION
TYPE OF PERMIT o sUIIAINQ 0 PLUMBING ILI6ECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onig)
,ct ti ,ta‘. G ;. urmati IlL, vu� 1 1,1.rrad .
PROJECT NAME(Name of$uslness or Owner Last Name) -P1,11,i 4
■ I'C:OI'll: INFORMATION
OWNERPROPERTY ""ME PRIMARY D6roi / 191-All 5 ( )f3k9- )t 6
MAILING ADDRESS CITY. ATE.ZIPE-MAIL ADDRESS
X67I . . l W? S,� Ft .�r 1�, Ivy
CONTRACTOR
�$D�3
CONTRACTOR COMPANY NAME NRuth i APPLICANT NAME OFFICE PHONE
aii
ie.
�(� C/,,,t.,V uC/ ! W// �� CM: 11 tib a U p fLII.PHONE
CITY OF FED AY B(1S NESS LICENSE NUMBER EXPIRATION DATE `FAX NUMBER
t�- "_ _aha - da ._bL l Z " D% `a0�) a� � -� ��
CO/!K a�o1 ngWM CON RACPOR'S IIEGISTRA110N MUT ER EXPIRATION DAZE - .:AIL.ADDRESS
.,u,,741.8 i.. > CLE-iVb11�DC 2 . 11 Od' Di
APPLICANT COMPANY GI
I ( 1 i yl '{�h APPLICANT NAME ( OFFFICCIPHONE)43--D1/6,
�Q� • vi
/ f J( l^iIPHJONE
1 � r' I.�c�IN;`,�/ M,�/�Y1�1a aY W al1[oi t �J(J) b1 D- aWg
MLATIONSHIP TO PRQIE.".I FAX NUMBER ti-111 o Architect o Tenant a Agent Other C)) \Y(A ri l)y (�p(p) 3- U��t)
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS/
CONTACT - ( ) -
LENDER NAME Per RCW 19.27.095:
Lender lnjbrwtation is required if project value exceeds$5,000
MAILING ADDRESS CITY.STATE.ZIP PHONE
. ( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRIIIIKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES o NO
WATER SERVICE PROVIDER a LAKEHAVEN o BIGBLINE a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLJNE a PRIVATE(SEPTIC)
..11111111111111111.111111111111.111111111111111111/1.11.1
AREA DESCRIP ION EXISTING PROPOSED TOTAL
Sia.FT. SQ.FT. Sg.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
MOM PROIOYD TOTAL TOTAL XISIT OAT 701`AL MIMI=SI TOTAL St
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• PIX I I RES
Indicate number of each type of jixtu a to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ -21 i q h ii -�q (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GA8 WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS Icommnrieq
COMPRESSORS 1 FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orrub/shower combo) LAVS®athmom amts) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS Risen
ELSCTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of pe►.1ury that the bkfonnationibrnished by me is true and correct to the best of my knowledge.and further,that I
am authorised by the owner of the above premises to petjorm the work Jbr which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim/Including coets,expenses,and attorneys'fees incurred in the investigation and defense of
such claim)),which may be made by any person,including the undersigned,andjued against the City of Federal Way,but only where such claim
arises out of the retianos of the city,including its officers and employees,upon the accuracy of the rmation supplied to the city as a part of
this application (� `�
NAME/TITLE 1 . c0DATE O) b I D1k11
ore) rnt►e)
RELATIONSHIP TO PROJECT o Owner a Agent ). [3Architect o Other
❑NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO RABIC PLAN? o YES o 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