09-104275 City of Federal Way • • Mechanical
Community Development Services Permit #: 09-104275-00-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 q
Project Name: NEIGHBOR
Project Address: 32916 46TH CT SW Parcel Number: 802950 0620
Project Description: Gas furnace replacement
Owner Applicant Contractor
JAMES NEIGHBOR NARROWS HEATING&AIR CONDITIONING NARROWS HEATING&AIR
32916 46TH CT SW 5121 S BURLINGTON WAY CONDITIONING
FEDERAL WAY WA 98023-3216 TACOMA WA 98409 NARROI*216J3 (4/5/10)
5121 S BURLINGTON WAY
TACOMA WA 98409
AdtiffloniiiMilt Information
Mechanical Valuation 3000 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
fgf_. .r ,...
Furnaces 1
PERMIT EXPIRES Saturday, May 1, 2010
Permit Issued on Monday, November 2, 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: — Date: .e.11
FINALED 1 Z / off
• THIS CARD IS TO MAIN ON-SITE
CITY OF $� , - Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-104275-00-ME Address: 32916 46TH CT SW
Owner: JAMES NEIGHBOR FEDERAL WAY, WA 98023-3216
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By,/& Date /7,-/`C@
•
•
❑ Rough Electrical Final Electrical ® Right of Way
Approved Approved Approved
By Date By Date By Date
E lEC2-(e2-72,-
C2!_ /- 04i5
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Federal Way p 'ttl\! PERMIT
COMMUNITYDEVELOPMENTSERVICES N�v SF MF COPL DE EN FP
33325 FEDERAL
UE SOUTH•PO BOX 9718 p LI CATION PL
FEDERAL WAY,WA 98063-9718 r 1U
253-835-2607•FAX 253-8350 O� G
wtew.cttl o ederai o t Y! �-
The ollowin• is -' ired • o ma icon-an incom•lete a•.lication will not be acce•ted. Please 'rint Ie!•'L- (in ink)or ••.
Cr-
�•� PROPERTY INFORMATION
SITE ADDRESS32-C1/62 (��iii C 5� //�� SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# (,/ 0 ?j V - - 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1)
(Attach separate paget lengthy!gal description/
■ PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING <MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
�oo4� A%&imEi7
ell J) L?O
PROJECT NAME(Name of Business or Owner Last Name) 117 Fr A 7.' r
• PEOPLEAINFORMATION (� ��
PROPERTY N i1CC ll- 111 (PRI ) �1 _.0 12
OWNER rlll`(,J 10�°flD"1�"
MArtADS/Rrt, if 6, if
cis tv C&ITAiTE,ZIP
Vril um_ qB02,3
CONTRACTOR COMPANY NAME �� i APPLICANT NAME �.!•,✓/L� � OFFICE PHONE
i o5 i '�C� 6 (,'� ( 2-,--9019-- - 5s
MAILING ADDRESS CITY, ATE,ZIP CELL PHONE
S-11( S. ft/1/410)V b TAW fi-Lr t4--'l8'!o7 ( ) _
CnY OF FEDERAL WAY BUS CENSE NUMBER TION DATE FAX NUMBER
L - `/^77/'' -i C1 -. . L 'L- 13 L i7 /31 / t i' ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required each application) N EXPIRATI DATE
d � eLeI 2 L .a -3 ti / 5� / 'pit.
APPLICANT COMP APPLICANT NAME ) OFFICE PHONE
Jz 1 - i&Y (- Com►s C�thei4 (eV) ,7. - ig—
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
�Z 15 w7' `1�' oni4 vai- 79Y (--T _ --
RELATIONSHIP TO PROJECT //�� 'I7�a IM� / FAX NUMBER
❑Architect ❑Tenant ❑Agent Other(Describe) W�IT/ i `P"-�f lJ - ( ) -
CONTACT NAME _.;,, - 5 �r,,,f „ / � I� PRIMARYPHONE I% — ` E-MAIL ADDRESS
LENDER Per
rRR/C[lf/W�'K/11/9.27.095::-Lennd,`/err information is INrL/�k�17)/yi„L�7]�
required if project value exceeds$5,000
MAILING ADDRESS COY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• •
w `
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT Cl
NUMBER OF FLOORS EXISTING 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 offbcture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
IVIECValue o NICAL
fMech 300 a �� ti�
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS I FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATERCLOSLlb Croue() MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLICIb SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under pen in ' ry that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the . of h above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of - .1 W to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which m. I.: made . .ny person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reli. .f the ity including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
tf
NAME/TITLE DATE
113101
.ignature) (Title)
RELATIONSHIP TO ' - • ECT ❑ Owner ❑Agent contractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
n NEW r;ADDITION n ALTERATION n REPAIR n TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES c NO BASIC PLAN? ❑YES n NO
ZONING DESIGNATION CHANGE OF USE? n YES n NO
NEW ADDRESS REQUIRED? c YES ❑NO UP/SEPA/SU? n YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? n YES a NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application