10-103785 • • Mechanical
Way +
CommunityCityof DevelopmentFederal Services Permit #: 10-103785-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 253 Line:Request ec
Ins tion
Ph:(253)835-2607 Fax:(253)835-2609 p ( ) 835-3050
Project Name: KRISKO
Project Address: 32313 4TH PL S Unit N2 Parcel Number: 926660 1020
Project Description: Installing 12000 BTU ductless heatpump
Owner Applicant Contractor
RENEE K KRISKO VALLEY FURNACE INC VALLEY FURNACE INC
32313 4TH PL S SUITE N2 PO BOX 507 VALLEFI161R6(12/26/11)
FEDERAL WAY WA 98003 PUYALLUP WA 98371 PO BOX 507
PUYALLUP WA 98371
Mechanical Valuation 4400 Is this an Online or O.T.C.application? Yes
�
Air Handling Units 1 Air Conditioners-Stand Alone Un 1
PERMIT EXPIRES Wednesday, March 2, 2011
Permit Issued on Friday, September 3, 2010
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
an e City of ederal Way.
Owner or agent: - Date:
PIS afr / o
THIS CARD IS TO REMAIN ON-SITE .. .
CITY OF ; ' z, �� 0Construction Indiction Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 10-103785-00-ME Address: 32313 4TH PL S Unit N2
Owner: RENEE K KRISKO FEDERAL WAY, WA 98003-5805
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) El Gas Piping (4125) El Final-Mechanical(4065)
Approved Approved to release test Approved `
By Date 'By Date By * Date 9 /2.7/ 2
E Rough Electrical 111 Final ElectricalCI Right of Way
Approved Approved Approved
By Date By Date By Date
CITY O40116A.
F
Federal Way IV E OPERMIT SFOF CO(E)L PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION / l
253-835-2607•FAX 253-835-2609
wO O 1
tow ci tuofederalwau.com
'' � 4 'A'i'
SITE ADD
3a31 CPS4Lpia S . redena w
SUITE/UNIT• ZONING ASSESSOR'S TAX/PARCEL#
ni0 zo
rxo
NAME OF PROJECT
(Tenant or Homeowner Name) k; (i` (t ! (l ct Cj
0 BUILDING 0 PLUMBING aMECHANICAL
TYPE OF PERMIT
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
Uri&arri idac) isru. Pull ft SS //-Pt-hip
PROJECT DESCRIPTION /
Detailed description of work to
be included on this permit only
NAME ttr� PRIMARY PHONE
PROPERTY OWNERi��`,_(?(�C� ,k ri SIt G�, ) �rj- L'�g.c/-C
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
3i:�i 3 1-1441 IPI. S n
OWNER IS ALSO: [J CONTRACTOR El APPLICANT El PROJECT CONTACT
NAME PRIMARY PHONE
\(,tVt Fi 't'i _Enc. (L ) s tS' -3577
•. NTRACTOR MAILING ADD ,CITY,STATE,ZIP FAX
0,0 BO(5b-7 Rueytitz,Lp 1,0,4 `l g 37l (2,53 )._Uzi - 7/e
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
1411,4 -
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
OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
( )
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: �� DATE
PRINT NAME: ,53 cYy
Bulletin#100—4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
. ". ,. 7;Wiz. 3, .4, °J a 0.. ;:. UR E
Value of Mechanical Work$ V II c'/- , GiG� (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number 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)
/ AIR CONDITIONER FIREPLACE INSERTS HOODS(commerciai)
BOILERS FURNACES HOT WATER TANKS(Gas)
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(kitchen/Utility) WATER HEATERS(Etectric)
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
•
LESIDEITIAL
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 Construction # of
in Square Feet Occupancy Group(s) Type Stories Additional Information
NEW BUILDING
ADDITION
;:p ,. , COMMERCIAL- REMODEL/TENANT IMPROVEMENTS -E .0
AREA DESCRIPTION Area Construction # of
in Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-4/17/2009 Page 2 of 4 k:\Handouts\Permit Application