14-100563 Mechanical
City of Federal Way 14-100563-00-ME
Community&Econ.Dev.Services Permit #:
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: O'DONNELL
Project Address: 29841 8TH AVE SParcel Number: 515190 0220
Project Description: Gas furnace change out
Owner Applicant Contractor•
MARY A ODONNELL RANGER HEATING&COOLING RANGER HEATING&COOLING
29841 8TH AVE S 4014 61ST AVE E RANGEHC905OM(9/18/14)
FEDERAL WAY WA 98003-3722 FIFE WA 98424 4014 61ST AVE E
FIFE WA 98424
Additional Permit Information`
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Furnaces
PERMIT EXPIRES Sunday, August 3, 2014
Permit Issued on Tuesday, February 4, 2014
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
e City of Federal Way.
Owner or agent: Date:
` THIS CARD IS TO REMAIN ON-SITE
4F `" Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 14-100563-00-ME Address: 29841 8TH AVE S
Project: MARY A ODONNELL FEDERAL WAY, WA 98003-3722
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 to on the back of this card.
Mechanical Rough-in (4165) -El Gas Piping(4125) Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By c 5 Date //2,1 hp
0 Rough Electrical Final Electrical Right of Way
Approved1:1 Approved Approved
By Date By Date By Date
CITY OF PERMIT APPLICATION
Federal Way
DIVED
PERMIT NUMBER (4 - ( 0 ® 543 _ 1_ FEB 0 4 2014
11 - - TARGET DATE
CITY OF FEDERAL WAY
SITE ADDRESS SUITE/
UCIDS
a " g. tal 4 VE S
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
11000 (A' - - -
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT CJ/-P �N ,�
--
PROJECT DESCRIPTION ri14 t L CG o s,.I
Detailed description of work to ✓//
be included on this permit only
NAMErt Ar I PRIMARY PHONE
PROPERTY OWNER 0 k/0�11I Z//
MAILING AD Aril
i
4a41 ilf Vk VE ^STATEs E-MAIL
CITY Vtl/44 J � ' ZI R O ���
NAME /� /l�/Q�- f ots Sr co V(j. C L C PHO NE � V V sin,
MAILING�WDRESS / �/�/� E-MAIL
CONTRACTOR f �l� �• r �� �" a SLs.Q�,�'gwJ �A �
CITY F_ TE- ZIP
/J'1J_ �� FAX
1
WA STACQNT-RI�CTOR'S LICENSE#a�� EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME //[[''jj1i�((����//''GG E. �/'1[•C/.+/ 9 PRIMARY PHONE
APPLICANT
MAILINGi,c�ADDRESS�s 4 vE S E-MAIL ..
CITY
NAMEr�/ 4/470 r _ 1 ZIP el.7y FAX
�/- PRIMARY PHONE
PROJECT CONTACT
--- (The-individual-to-receive-and --.....M ILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 will 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 a part of this application.
SIGNATURE: DATE ' / j
PRINT NAME: S,C.aseet Oe.
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
110 •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ q/a)p, �0
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)
MR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS I FURNACES HOT WATER TANKS(cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
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(Hand Sinks) TOILETS WATER PIPING
in
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utaity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? 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 - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
DCIS:,:
GARAGE ❑ CARPORT ❑
OTHER"(elescribe)";" —...._.. — ........
EXISTING PROPOSED TOTAL
Area Totals
**NEW'ROM S;ONLI '
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Occupancy Group(s)
Construction #of
Area Additional Information
in Square Feet Type Stories
YEW BUILDINCa
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Occu anc Group(s Construction #of
Area p y PI Additional Information
AREA DESCRIPTION )
In Square Feet Type Stories
TOTAi."BUILDING
TENANT AREA ONLY
ECT.AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application