09-104770 Mechanical
City of Federal Way • Q
Community Development Services Permit #: 09-104770-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: SCARSELLA
Project Address: 32003 40TH PL SW Parcel Number: 873190 2660
Project Description: Gas furnace and hot water tank installation
Owner Applicant Contractor
JUDITH SCARSELLA M M COMFORT SYSTEMS M M COMFORT SYSTEMS
32003 40TH PL S 18103 NE 68TH SUITE C-200 MMCOMMC934B4(1/24/11)
FEDERAL WAY WA 98023 REDMOND WA 98052 18103 NE 68TH SUITE C-200
REDMOND WA 98052
Additional Permit Information
Mechanical Valuation 5000 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Furnaces 1 Hot Water Tanks 1
PERMIT EXPIRES Saturday, June 5, 2010
Permit Issued on Monday, December 7, 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 will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: ��. ', --v Date: l
riN*I- 'O `V
THIS CARD IS TO R MAIN ON-SITE .
CITY OF °- -= • Construction In ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-104770-00-ME Address: 32003 40TH PL SW
Owner: JUDITH SCARSELLA FEDERAL WAY, WA 98023-2447
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 Approved / j
By Date .By Date By 0117-Date
! i/ �A
Rough Electrical Final Electrical I=1Right of Way
I=1Approved CIApproved Approved
By Date By Date By Date
• ..,41/4.. &t.„ 0
t - td_tOct -757i1
(911k- /D1/ 726
[QTY OF L , ERMIT
Federal Way SF MF CO/1CCIL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES lip --
/ /
253-835-2607•FAX 2 -835-2609 �Ec/A7Pt.'
26
CIT
www.cit o eller�w. ,,, " /j0.
SITE ADDRESS 3ac-ol o ‘' Til 4. ' FICPf.R111, VIA 5 ) 01/4.1A 9C d 5
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
dyt
NAME PROJECT �e'E ��
(Tenant or or Homeowner Name)
❑BUILDING ❑ PLUMBING 'MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
4,AS t.--1044"&r +- 1 tot w v( '1-m-iu4 1,4i'ku-
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PEOPLE
NAME ice,l PRIMARY PHONE
PROPERTY OWNER J tM> ) Q 1CcS LLh (Ob-- Cr5 0q 74
MAILING.3 a 3 S-
42)3 44,0111
STATE, E-MAIL
I 9xi FOM-1
TOWNER IS ALSO: 0 CONTRACTOR a APPLICANT [] PROJECT CONTACT
_- NAME
PRIMARY PHONE
�/ yJJ1'% Carl 4 i-' ' S^ Nh1' ( bbl ) - -7/.20
MAILING ADDRESS,CITY,STATE.ZIP f7 p,*d i
CONTRALTO Y , L _ �� C.c 5 L FAX
/ / /1,/r r> S' sr :?a C (yar) -- t,g'8L
1 / WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAYBUSINESS LICENSE#
/22/17C.Q/nI)1ce; 3 9/3 y 1 /,,,21t'ii aD D7 -/OL -70/ v -RL
NAME PRIMARY PHONE
APPLICANT ( ) -
MAILING ADDRESS,CITY,STATE,ZIP FAX
( ) -
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and ( ) -
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( ) -
PROJECT FINANCING NAME
El OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY 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. l s
I further agree to hold armless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and define of such claim), whi may be made by an person, including the undersigned, and filed against the
city, but only where such*Lim arises out of the r lance .f the city, inc ding its officers and employees, upon the accuracy of the
information supplied ty t.'e city as a part of th': a Ucclen.
SIGNATURE: L 1.2 C....ePg'
DATE P 7
RINT NAME: i-0" ' ,/ - ., -a A it—) I [_
Bulletin#100–4/21/2009 Page 1 of 4 k:AHandouts\Permit Application
411
•
4.)-t ECHANI L FIXTURES
Value of Mechanical Wor $ ,o c° ( COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type offix to be installed or relocated part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLEIb OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate number of each type offixture 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(Kitchen/minty) WATER HEATERS(Electric)
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
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL NEW/ADDITION
AREA DESCRIPTION Area OccupancyGroup(s) Construction #of
in Square Feet p( ) Type Stories Additional Information
NEW.BUILDING
ADDITION
COMMERCIAL- REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area OccupancyGroup(s) Construction #of
in Square Feet p( ) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
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