08-100567 41
City of Federal Way 111111
Community Development Services Mechanical Permit, 08-100567-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Res 53) 835-3050
Project Name: NORWOOD
Project Address: 32541 42ND PL SW t el . '' I' 873201 0540
Project Description: Replacement of gas furnace and water heater.
`
Owner Applicant >, ` C ntractor
SANDRA NORWOOD SOUTH WEST PLUMBING SOUTH EST PLUMBING
32541 42ND PL SW 2401 SW SKA STP01106(4/1/09)
FEDERAL WAY WA SEATTLE W 106-1445 24Q ALASKA ST
98023-2649 TLE WA 98106-1445
A.A 'ermit in ati
Mechanical Valuation 48 Over 1\Nig a;t(111111r Permit? Yes
Mec ical Fixtures
Furnaces.. Hot Water Tank
ER XPIRES Friday, February 5, 2010
'ermit Issued on Tuesday, February 5, 2008
I
lcertify tha above information is correct and that the construction on the above described property and
o pancy and use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
r or agent: �'c Date: o —... OC9
,._.,41/4
THIS CARD IS T A REMAIN ON-SITE ti
CITY OFr Community Develop ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-100567-00-ME
Owner: SANDRA NORWOOD
Address: 32541 42ND PL SW
FEDERAL WAY, WA 98023-2649
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By C�(.� Dat
By oe
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
.c,r iiat, RECEIVED
or
! 40)(6,
Federal Way - 1- o c
werx�unrrlroevscorwr�vrseev�ces FEB 0 5 2008 PERMIT SF MF CO E EL PL DE EN FP
33325 STM AVENUE SOUTH•PO BOR 9718 Clese
FEDERAL WAY,WA 98063-9718 c( �� Y �T To
253-835-2607•PAR090 E !�P�r+��. �''�+I C A T I O 1\ ��
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CDS `�
The following is required information—an incomplete application will not be accepted. Please print legibly(in ink)or type.
/
I. PROPERTY INFORMATION�/
)ITE ADDRESS 6 /// L g n I s IA/ leder(! ppay SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# 6,- 7_"
- LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot.1)
(Mach separate Page far IeneuW legal e..aiIpeon)
■ PROJECT INFORMATION
'TYPE OF PERMIT 0 BUILDING 0 PLUMBINGMECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
R-plal'ene1? 0 Y jQS *Z-p Neale,- e rv,rneee,
.)4 PROJECT NAME(Name of Business or Owner Last Name) NO 1 1/1,
I. PEOPLE INFORMATION
>CPROPERTY NAME PRIMARY PHONE
OWNER . gridirg, 4/0ir14,0ps3)Si3 .--9.53/
M5LINO 2-piE/ L/?/� / L15/_ , CITY,--e ewtiiyRt,/ E-MAIL ADDRESS
CONTRACTOR PANY NAME VI/' APP/ NT NAME / OFFICE PONE
UTA �,�r P(vvnI; ,ion 7 1v'- (2o6 ?-3,2-/777
MAILING DD CITY STATE,ZIP CELL PHONE
4�D W�aS 5�a �`/� r9 4!r(tab ( ) -
IFY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPI DATE FAX NUMBER
/q -C, Gf- /07/86-00 -l3/ 1),�og ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
x411,vp07 ic 6 12--3/-e 8
)(APPLICANT COMPANY NAMEAPPLICANT NAME OFFICE PHONE
-vi ti �•�sT P/im 4i ( )
MAILINO ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent ❑ Other ( ) -
(`PROJECT NA4,cu,',
PRIMA PHHOONNEt c E-MAIL ADDRESS
✓\CONTACT Perry ( )07�r - 3��i�
LENDER NAME Per RCW 19.27.095:
Lender ormation is requ 1j pro value cads 5,000
MAIA SS CITY ATE,ZIlk NE
■ DETAILED BUILDING INFORMATION
EXISTING USE , PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES CI NO i=.\SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICp PROVIDER 0 LAKEHAVE, ❑ HIG IP NE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHA' N 0 HIGHLINR 0 PRIVATE(SEPTIC)
MI PROJECT FLOOR AREAS ``
AREA DESCRIPTION EXISTING PRO'•SED TOTAL
SQ. FT. Q.FT. SQ.FT.
BASEMENT
FIRST '
SECOND ,,
THIRD 'N
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0 f
NUMBER OF FLOORS `` srD16 I PROPOSED I TOTAL TOTAL r TOTAL PROPOSED IP TOTAL sr
14.
**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 existing fixtures to remain.
MECHAMCALz.`/ 7 7 00 .
Value of Mechanical Work$ !J J 1 (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(commode)
COMPRESSORS Tilt—
FURNACES - RANGES .
DUCTS. • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBSsrx.re LAVS(Bathroom RINALS MISC(Describe)
• DISHWASHERS 4 RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS = +. WATER CLOSETS(Tolle) •
ELECTRIC WATER HEATERS SINKS WASHING MACHINES .
HOSE BIBBS SUMPS
• SIGNATURE •
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 apart of this application.
\\\\4
SIGNATURE: ., ----......./ ..-..‘k------ DATE —3 -O 8
Property Owner r Authorized Agent
a NEW o ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application