08-102408 •
1 City of Federal Way
Community Development Services Mechanical Permit #f148-102408-00-ME
P.O.Box 9718
,
Ph:(253)Federal 835-26Way07WA Fax:(253)98063-9718 835-2609 Inspection Request Line: (253)835-3050
Project Name: KIDD x
Project Address: 32740 30TH AVE SW Parc: umber: 9 10660
Project Description: Remove/replace (1)gas furnace and(1)gas water heater
Owner Applicant •ntra• •
MICHAEL&LIANNE KIDD AFFORDABLE GAS SERVICE AF' 49 ABLE G •V
4826 LAKEMOUNT DR SE 4864 NE SHELTERED BAY LN ORGS9,• . (3/ •
OLYMPIA WA 98513-4551 HANSVILLE WA 98340 4. ' D
4 A 98
Additional Permformation
Mechanical Valuation 5123 • is an o O.T
* o O.T ? Yes
Mech , es
Furnaces 1 of Wate 1
P- :� ' S ' nday, November 16, 2008
•rm , on Tuesday, May 20,2008 ,,
I here that the �,6. inform- •n is correct and that the construction on the move dea Abed pope t"td-
th ancy rid the use be in --c dance with the laws,rules and regulations of the S�'of Washing n
..
h: City of Federal Way.
Owner t: df/ 1 170r Date: A i A _
/ '
,
• THIS CARD IS TIVEMAIN ON-SITE -
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-102408-00-ME
Owner: MICHAEL & LIANNE KIDD
Address: 32740 30TH AVE SW
FEDERAL WAY, WA 98023-2762
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.
0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By A ate0gal
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
May 15 08 09: 59a Jeff :'Portteus 360-838-0092 p. 1
RECEIi�D •
".` _AA\ Cg' / 0 2— gr' 0
CITY,I,G
Federal Way MAY 1 5 2008 PERMIT VI - --
COMMUNITY DEVELOPMENT SERVICES SF MF CO E LPL DE EN FP
333258^,AVENUESO1�V2N PQBQX 9728 ,ti
253 3 25�F FEDERA �GI CATI / /
.,.;ofer,1401;..d.-rol,,. o,,, CDS
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
MI PROPERTY INFORMATION
1
SITE ADDRESS_ 3D-140 - • iNvC. EW 1F-eje.tCi_t WSUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _I ) ( 0 "'1 - _Q_! (_a LOT SIZE(sM
LEGAL DESCRIPTION(e.g.Acme Estates.Lot I)
(Attach meparabc PSI r lengthy legal descriptbN
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING KMECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
Re( (Ge(r‘,c - rrto`c•e_ 4-- ( Cl` Q r '1ec l--
PROJECT NAME(Name of Business or Owner Last Name) 1 ` bb
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Mke-k ReA K 1 cld (s.3) 4-v{ - 15a 6--
MAILING ADDRESS CITY.STATE.ZIP E-MAIL ADDRESS
37.1 4aq A Sw cerl er'o_l W izof,w Ft 9%03
CONTRACTOR COMPANY E � S\CE ArPLlcaxr NAME O( PHONE -C O f
I
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
41.1�4 NE" She,-l-ered�Y 1,N 1-Ar sv it't e,W it a 340 ( ) -
CITY OF FEDERAL WAY BUS[ LICENSE NUMBER EXP TION DONE
FAX NUMBER
Q3— L02� N ( / CTE EO ) 638 - o -
CONTRACTOR'S REGISTRATION NUMBER ON DATE E-MAIL ADDRESS
Pr -d2G-S 1% D3 3/a3i0`1 Z-CsRsmAnii3VY1SM.C6v\
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Cr f-og--1>tc L- C-s s SeV%CS - ( ) -
MAILING ADDRESS CITY.STATE.ZIP CELL PHONE
( ) -
REIATIONSHIP TO PROJECT � � FAX NUMBER
O Architect ❑Tenant ❑Agent !/Other CDn4Yb,C*' ( ( ) -
PROJECT PRIMARY PHONE E-MAIL ADDRESS I
CONTACT V ( o )(0S o opl I
E c tt
LENDER NAME Per RCW 19.27.095:
Lender Information is required(f project value exceeds$5,000
MAILING ADDRESS CITY.STATE.ZIP PHONE
( ) -
II DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES o NO
WATER SERVICE PROVIDER a LAKEBAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
May 15 08 10: OOa Jeff Portteus 360-638-0092 p. 2
•
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT 0
6II8TING — PROPOSER, TOTAL TOT.YLsasmrs sr Torm.PROPgn®ST TOTAL sr
NUMBER OF FLOORS
•'NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Tndicntn number of each type of fvcture to be installed or relocated as part of this project. Do not include existing ftxhu-es to remain.
MBCHANICAL
Value of Mechanical Work$ i a3.$S (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS I GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Coam.ere.r)
COMPRESSORS L FURNACES RANGES
DUUIJ GAS LOG SLID REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or7ub/Shower Combo) I.AVS(B..thmnmSink.) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS nnmeo
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I ant 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 e reliance of the city,including its officers and employees, upon the accuracy of the information supplied to
the city as a part • this app!' 'don.
SIGNATURE: . • ,R,t DATE S,/S/p
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? n YES c NO
ZONING DESIGNATION CHANGE OF'USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—January I,2008 Page 2 of 4 klFlandouts\Permit Application