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07-105292 /of Federal Way tyDevelopment Services • Mechanical Permit. 07-105292-00-ME P.O.Box 9718 al Way,WA 98063-9718 °h'f 335-2607 Fax:(253)835-2609 ���/ Inspection Request Line: (253)835-3050 Project Name: COOK A Project Address: 31256 8TH AVE S Parcel Number: 858800 0155 :oject Description: Replace gas boiler&gas piping. Owner Applicant Contractor KEITH&KAREN COOK PAUL MOON BOILERS NORTHWEST 33826 31ST AVE SW BOILERS NORTHWEST BOILENL944O2(9/22/08) FEDERAL WAY WA 98023-7797 PO BOX 2690 PO BOX 2690 NORTH BEND WA 98045 NORTH BEND WA 98045 , Additional Permit Information Mechanical Valuation 6500 Over the Counter Permit? Yes MechanicalfixturesL Boilers 1 Gas Piping 1 Gas Pipe Outlets 2 PERMIT EXPIRES Thursday, September 24, 2009 Permit Issued on Monday, September 24, 2007 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 th the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: --2---Z---Z---c--- Date: �J--O--? THIS CARD IS TO REMAIN ON-SITE CITY OF . - P.ommunity Developmat Inspection Record_ Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 07-105292-00-ME Owner: KEITH & KAREN COOK Address: 31256 8TH AVE S FEDERAL WAY, WA 98003-5301 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. Mechanical Rough-in(4165) ❑ Gas Piping(4125) Final-Mechanical(4065) Approved Approved to release test (S_ I' Approved By Date By 0/( 17Api Date q of By C Date %.,/1.-07 • • For inspector reference only _ 0 Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date t 4 RECEIVio . �„a:� SEP 2 4 2QQ7 01-- • 5J' �' Federal way PERMIT ,, COMMUNITY DEVELOPMENTSipuF FEDERAL WAY SF MF COdr) EL PL DE EN FP 33325 8TH AVENUE SOUTH•PO 9 FEDERAL WAY,WA 98063-9718 (�. ANG oAPPLICATION TD 253-835-2607•FAX 253-835-2609 yuww.cituoffederalwau.com The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. PROPERTY INFORMATION SITE ADDRESS 31a=>C.:=> C:S' -1\--‘t--Q-- S F k...-),-Ps SUITE/UNIT# ASSESSOR'S TAX/PARCEL# F 5 6 E' Q - _ s L\ s LOT SIZE(sf) • LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) `a•rS(o \i‘-'P's- 5 1*-�c9 __ "''j t'c (Attach separate page for lengthy legal descriptbN �(J1 • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING XMECHAINICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) Po -Qr- 2'e cC1.--0n-e„r\'c .-- 5, •? ,F,:(\_3 C ,,,.,N\---\,A-s) PROJECT NAME(Name of Business or Owner Last Name) ©� ae c ,M Cj�-� \t‘.ii:,-.12-.. -\-- 1-1-__( h-, • PEOPLE INFORMATION PROPERTY IsLAmE PRIMARY PHONE OWNER C-c V-- raS- "?b1 -`1 MAILING ADDRESS IITY,STATE,ZIP E-MAIL ADDRESS 33 � 3\�\ i 3 R``.--42`T.` c TA.--."(CCM CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE .CS.Cr\ArC5 ..- "ae- c--LLC--"k�-c,,�\ vvv c c (COS)gam- O\- 1 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE VC) ' — &CFiC) 44 c C' 5Y0t5 (acs Q 33`7 - sss) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER ( S) ' � - Cl3) CONTRACTOR'S REGISTRATIION NUMBER ^ EXPIRATION DA E-MAIL ADDRESS-MAILADDRESS C:13,-- - E )*L 1 �j --3 "'S- * SLG -� \Qr `• � \W c�1 nq `(� r- APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE ,A43-c---, ,OcrL .w --\- c \ me o,(. . (Lia-s)E5, - bi31 LING ADDRESS CITY,STATE,ZIP CELL PHONE c'o ` . ` 6c--10 N o \-t. \-- .24.0. %N►A iels (avQ 33L1 - SSS 1 RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑Agent *-Other Cr..3.t\4,,--CCS- (( eg:Z-CSX PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT C_Q-r-t. e (ck- (aS3) ?C - SD--. '(Zc.�_ 1.c LENDER NAME Per RCW 19.27.095: Lender Information is required(fproject value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) • DETAILED BUILDING INFORMATION EXISTING USE rA PROPOSED USE CF EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ G Eco SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) t k 110 411 PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL BASEMENT SQ.FT. SQ.FT. SQ.FT. FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS BLS 9rIIYG PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include exis ' . * • es to remain. Vol'MECH CAL of Mechanical Work$ GS CDC) A COPY OF BID OR ESTI MUST BE INCLUDED WITH AP •1 ) AIR HANDLING UNITS EVAPORATIVE COOLERS _ GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) I BOILERS FIREPLACE INSERTS HOODS(Commercial) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe) DISHWASHERS _ RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS roue() ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE 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. C, SIGNATURE: DATE Property Owner and/or Authorized Agent FOR OFFICE USX ONLY o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC 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—August 16,2007 Page 2 of 4 k\Handouts\Permit Application