09-102652 .► s
* 2 ? 44 Mechanical
• City of Federal Way Q
Community Development Services Permit #: 09-102652-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph.(253)835-2607 Fax (253)835-2609 p a
Project Name: SAVAIKIE
Project Address: 4723 SW 313TH PL FILE Parcel Number: 211570 0140
Project Description: Replace gas furnace
Owner Applicant Contractor
CLEMENT SAVAIKIE ANDERSON NESLER CO INC ANDERSON NESLER CO INC
SA SUN SAVAIKIE P 0 BOX 597 ANDERNC9211P(4/17/10)
4723 SW 313TH PL MILTON WA 98354 P 0 BOX 597
FEDERAL WAY WA 98023 MILTON WA 98354
Additional Permit)
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Mechanical Valuation 2700 Is this an Online or O.T.C.application? Yes
� ; g ti ����`v
• echanical F�xt
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1 �.
Furnaces.,.. 1
PERMIT EXPIRES Saturday, January 9, 2010
Permit Issued on Monday,July 13, 2009 rir
I hereby certify that the above information is correct and that the construction on the above described prrty and
the occupancy and the use will be in accordance With the laws, rules and regulations of the State cWashington
and the City of Federal Way.
Owner or agent: ���4--- '� Date: 77// 4 ,.
Pt WALLL S/t5ti
THIS CARD IS TO MAIN ON-SITE
CITY OF - Construction I ection Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT#: 09-102652-00-ME Address: 4723 SW 313TH PL
Owner: CLEMENT SAVAIKIE FEDERAL WAY, WA 98023-2031
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.
E` Mechanical Rough-in(4165) Q Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date Bye-fin Dategs�Q
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
. .ECEIVEgi? 41/i_ - 0/ z,_ 6, 5-z___
- : Federal Watl1L 1 3 2-,9, PERMIT SF MF CoIVF EL PL DE EN FP
LICATION
CoMMf1NITY DEVELOPMENT SERVICES �pp pp /
253 835 wwty ELT. 9FEDER �►vA
www.c ra a
CCAS PROPERTY
SITE ADDRESS
Y 3 c-t) 7I3 /PZ Tom,y r 7617 a ,
41,2
SUITE/UNIT a ZONING ASSESSORS TAX/PARCEL#
z _1L5 _ ° - ° ±4- a
PROJECT
NAME OF PROJECT
(Tenant or Homeowner Name) (Zf{' (
❑BUILDING ❑ PLUMBING X 1CAANICAL
TYPE OF PERMIT ❑ DEMOLITION 0 ELECTRICAL ❑ENGINEERING 0 FIRE PREVENTION
X /e'�-A7. `C `.f"// f f ��-1�•G.'.e= e
PROJECT DESCRIPTION / �/
Detailed description of work to rel t .f C/
be included on this permit only
PEOPLE
NAME... ,PRIMARY PHONE
PROPERTY OWNER /+i 174 lam'- V ex,;f e. (45Y)rye d j
C ,7
MAILING ADDRESS.CITY.STATE.ZIP
/ .7I? 3 .51A.,.51A., 3/f l' p/ TENON.
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAM �t �r . t c7 G�; -"it e (? ))S 3�i�o
�� CONTRACTOR MAILING ADDRESS.an.STATE.ZIP FAX
PRIMARY PHONE
e2. L,r J.f7i ,4Y/� ter (z )4/z4 - ?,‘,4
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE C
17/1/0f R.n.)cf o,ilr.1 Y' 1/7 i/v
NAPIE PRIMARY PHONE
APPLICANT 14;111--e f
-p1r Ntc /1 e j,�-c.- (e_S-3) ,Fee_ .>,®
MAILING ADDIWS CITY.STATE,ZIP
/lJ((// ' ' �/// Cv /If', (zs. )JLF- -7
PROJECT CONTACT XA / PRIMARY PHONE
(The individual to receive and C / /''i r/4 ( fOT )cie - .4ci2
respond to all correspondence MAILING ADDRESS,CITY.STATE.ZIP A f �? FAX
concerning this application) 1A�1„"4:11,41X ��fi fl?,ll4Z (.. 0 ff.cr:7Y ( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( ) -
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more NAILING ADDRESS.CITY.STATE.ZIP
(RPRIMARY PHONE
CW 19.27.095)
( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such claim),which may be made by any person, including the undersigned, and filed against the
city,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy of the
information suppliedto the city as a part of this application.
SIGNATURE: C{'f.. ci / 4/(Jt/ I DATE 7//v/V ..
PRINT NAME: C4[y/t / s'$/'
Bulletin#100—4/21/2009 Page 1 of 4 k:\Handouts\Permit Application
. , I .
MECHANICAL FIXTURES
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fx uure to be installed or relocated as part of this project. Do not incl ide existing fixtures to remain.
AIR HANDLING UMTS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commerctaq
BOILERS j FURNACES HOT WATER TANKS(Gee)
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(utehrn/uuuryl WATER HEATERS(Eketric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ 2 Zoa'
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)
SECONDFLOOR ---.—_._—.-.-.--------.---..._.___..-_...._._._._._._.._....._.._._................
COVEREDENTRY —..__.....__.........._._._.._.__..__...._....._._......_._._........................_._....._......_..-.........._.-. _..._.
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
Area Totals °°° PROPOSED TOTAL
**NEW HOMES ONLY"
ESTIMATED SELLING PRICE$ _ #OF BEDROOMS
COMMERCIAL -NEW/ADDITION
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Stories Additional Information
TYPeNEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) qYPe Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—4/21/2009 Page 2 of 4 k:\Handouts\Pennit Application