10-101813 •
City of Federal Way • 0 Mechanical
Community Development Services », Permit #: 10-101813-00-ME
P.O.Box 9718 r r m.
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax(253)835-2609 Inspection Request Line: (253)835-3050
u. w b4..._: ,a r.„MFint
Project Name: NEUBAUER
Project Address: 2010 S 308TH ST Parcel Number: 053700 0325
Project Description: Remove/replace existing gas furnace
Owner Applicant Contractor
MARTIN R&DARCY J NEUBAUER A A A HEATING&AIR CONDITIONING INC A A A HEATING&AIR CONDITIONING INC
2010 S 308TH ST (GENERAL) (GENERAL)
FEDERAL WAY WA 22653 83RD AVE NW AAAHTRI971LW (6/19/11)
98003 KENT WA 98032 22653 83RD AVE NW
KENT WA 98032
•
Mechanical Valuation 6600 Is this an Online or O.T.C.application? Yes
Y
Furnaces I
PERMIT EXPIRES Sunday, October 31, 2010
Permit Issued on Tuesday, May 4, 2010
I hereby certify that the'aboveinformation is correct and that the construction on the above described property and
the occupancy a the use wib- i :ccrdance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: / P Date:.. (to
Ellh.
THIS CARD IS T .MAIN ON-SITE
CITY OF Construction I ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 10-101813-00-ME Address: 2010 S 308TH ST
Owner: MARTIN R & DARCY J NEUBAUER FEDERAL WAY, WA 98003-4822
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 ,O, Date .c 1 0D
•
Rough Electrical Final Electrical
El
Right of Way
❑ Approved ❑ Approved Approved
By Date By Date By Date
. / 0 - (D_/ /
Cert.OF• rl-Way
•PERMIT
EN FP
c()Z�-8 607EFAX s"R:5260yEs APPLICATION
iPtA,I:',I11•1 Car,0:11•Q1.Crt?F MAY oC
4 z .
SITE ADDRESS
71 Z 4 IT 9 , ♦.
0201 D S 30106' CDS
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 4600OO Q 5 31 c.) v -C) 3 2- 5
TYPE OF PERMIT 0 BUILDING 0 PLUMBING CtegECHANICAL
0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT1 ��
(Tenant Name/Homeowner Last Name) t'J a/
PROJECT DESCRIPTION Reg • • ` l ; � For s - cc. ou`l^ cf,? a nt V
Detailed description of work to
be included on this permit only
NAME �,�/ PRIMARY PHONE
,
PROPERTY OWNER H A�I f N e J V G . os —52q— t _
MAILING.ADDRESS - E-MAIL
2.0l 0 '5 30 Sr
CITY STATE ZIP
FeCie-Ae,Q W. LA--)A. 1goo 3
NAME MA toe 4-t ) A IC PHGNE
MAILING ADDRESS E-MAIL
(( ?Y
NTRACTOR as 3 83'-'-‘ A S °r"-eart- EC*cc
CI • STATE ZIP FAX
;�Jr1".!s';..-,,. 2r1 WA. ';YI'- _ 2 —6�D -��
WA STATE CONY R'S LICENSE# EXPIRATION DATE F.D.ERRAL WAY BUSINESS LICENSE#
A, t+,-TK l=am/' I IS X201( ��3 /• l z
NAME _ _-------__
PHONE
•
APPLICANT MAILING ADDRESS E-MAIL
• CITY STATE ZIP FAX
•
PROJECT CONTACT NAME
I ,f��.,,(_ (,,�j /� PHONE -- ----
(The individual to receive and e `-"�"`"� "�` '"` ��d 12
MAILDIG ADD•_;•
•
E-MAIL
respond to all cis application)
44-3 O2 d U ® h pC,C
concerning this application) r ' r
CITY STATE
W►ar ZIP
21 , 9.803 2.63-6 3e2
ALTERNATE `ACT NAME:. PHONE E-MAIL
.4-47-y- /xu6.97i.ev 237-5-2/- bT
PROJECT FINANCING NAME
�+
r•-i11.4-7-'( p t-t.ii�eY iER-FINANCED — --
Required value of$5,000 or more
(RCW 19.27095) MAILING ADDRESS,CITY,STATE,ZIP
24 S %3"-k.-t-
a PHONE
t
WA wry � 3 2f3 5z�- ��
_
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 • the city as a part of this application.
SIGNATURE: `/ f/�
` DATE 17
PRINT NAME: / ' - , Cf�i►d�
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
• •
VALVE of MECHANICAL WORK $ (0(600 (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS 1 FURNACES • HOT WATER TANKS(ces)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
.:::::.•,:.:::::.}}:.}::.::}::.}:.}:.}::::}:.}}}::.::::::::.::.::.;;•}:::::::;}>:•r:•:>:.:::>:->}:�>:.::}.}:;;:::�::'.::.::::;::£::::::::i : .. tfi, . : Tig-Pr::X17' .c ��;>.?:�<::'�:E
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or'Nb/shower combo) LAVS(Band Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
;`:i?:• .i:.•..,•."�.•..•..'..•.:�..•...•...o :i`ii :
HOSE BIBBS SUMPS WASHING MACHINES '%:�:?%:�`�:�:
.......................................................
CRITICAL
AREAS ON PROPERTY? 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
... . . ../.::ifs::.:f:..:.rr.....f.......r......... .........r...:..:..... ... .. ... .. ...f :.:.... ....
... : .. ............. ......f..:...:....... ..: . • ...... .. r....::w•••n•:v:}}:}::•::i:•lr C:iv:,:::1::Y�'+�;..
:.:f:.f,f.•r+.•:•. ...r:..:...r:......: ..ff,.,. ..fr.... -•:i :
.. ......ff.. .: ....... ......:.....:/.• ........ .....::.•:::• • .. .. .... r yl�, ,��",y�,: .}::L:".•'ri?:%.}}... .;•,f:•:'r}:•}i•:if:}:%:i::QX:}:�i�i'�:F:v:r.•.
w:r.:.::........ f.;{..;fn;.;r.:::^.v::•••:•....r....:..::i:..ffi:.:.::::r,rr.;v:+.:.:. ,�S•� ..: •t�• :• .4:?i}. +h}I�}: + f aYT e. ./.:.://.'.•y�f.:F.ff•}Y:L.v r::: : ...n.... ••••••••••••••:---w.•••.....
:,.:•,:;..;.;;+•�!`!`::f• :lr::<•:::f::.yf•:::::::.r. ::.::.:::::,.. k. llc3.# � :•F.�(:.}•::.�:::•... � :.., ... :•3•.:% r.::::..:....:.......::.
v•/.: :f+r^:.,::�...:...F....... :•::::x•J.y•r w. ::........... ..••:r:.:v+::.:....nom•::::..r::::. y ::}Y:r:::.:� ..
.}ur:n4}}i}ir':f'.r..'...}•: :.: v:::Y:::.r.....n::n..ff•...:•:::rf.:+� nv . :
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
..................:§:iii ... .. ::,:gi:.::•:::i•::•:r::::: ::::::g ::: :::::::iiiii:.... ..... iiiii......:.:: :::.ling.....
. .........
FIRST FLOOR(or Mobile Home)
:
COVERED ENTRY
GARAGE 0 CARPORT 0
-------------------
..........
...... ...
::
........::......
.__—_..
EXISTING PROPOSED TOTAL __—_..___
Area Totals
............................................
gliggiiiiiiiigiiiniMEM
ESTIMATED SELLING PRICE$ #OF BEDROOMS
'��¢a� �} • `;:`;:,::r%:t2�2:�•'•:'tai�3:'r;::i:'::::::;+:ti:i:%•'::�i!is: ::f'i:;•'::a}}:•}}:•:t•{:::::::•
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
:.......
in S uare Feet ::::::::::::•:TypeStories.::::::::::::::::•:::::::::::::::::::::::::::::::::::::::::.:
....,,:•} 'kit: ..Iti#I
ADDITION
Area Group(s)OccupancyGrou Construction #of
AREA DESCRIPTIONl Additional Information
in Square Feet Type Stories
: . :::::::::: :)+:'::i::: :::::::::::i:::giiiiigIiM:::::i§i:iii::%::::i::irk`::%?t``iiiM`::::::::::::i:: :i ii:isi:?:iaigii<E?:::=:':::::::::%::`:::�::::::'::i:`•:::: §i i§•$:::i:::ilii:i:::•1i: i:i::::iiiii i:i:i: i::ii i':�::: ::::::::
ii
..:1::1 ......................
TENANT AREA ONLY
Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application