09-104669 * r •
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Mechanical
City of Federal Way
Community Development Services Permit 00-
M E
#: 09-104669-
P.O.Box 9718
Federal Way,WA 98063-9718 f
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: WELLNITZ
Project Address: 214 S 315TH PL Parcel Number: 794300 0180
Project Description: Replace gas furnace
Owner Applicant Contractor
PAT&SUSAN WELLWITZ ADVANCED FILTER&MECHANICAL INC ADVANCED FILTER&MECHANICAL INC
214 S 315TH PL (GENERAL) (GENERAL)
FEDERAL WAY WA 98003 418 VALLEY AVE NW UNIT B115 ADVANFM044RD(12/29/10)
PUYALLUP WA 98372-2503 418 VALLEY AVE NW UNIT B115
PUYALLUP WA 98372-2503
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Mechanical Valuation 3218 Is this an Online or O.T.C.application? Yes
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Furnaces 1
PERMIT EXPIRES Saturday, May 29, 2010
Perm' f on day, •vernber 30, 2009
I hereby certify that the abov_ ' formati,n is co oct and t t the construction on the above described property and
the occupancy and the u - ' ' i -ccord with t, /,-w rules and regulations of the State of Washington
a tthhe Ci' .- ed al Way.
Owner or agent: L!%� Date: 9Z
PtRA4.1.0i> 5/14 it o
THIS CARD IS TO EMAIN ON-SITE
f
CITY OF • Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 09-104669-00-ME Address: 214 S 315TH PL
Owner: PAT & SUSAN WELLWITZ FEDERAL WAY, WA 98003-5248
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.
El Mechanical Rough-in (4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By y t_.4....l 5":./1 Date 0
/
/
G
El Rough Electrical Final Electrical `El Right of Way
Approved Approved Approved
By Date By Date By Date
2(403SY` __e_ _ - / 6 /e(2("9
CITY eMr11111 OPERMIT SF CO EL
Federal Way PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION / /
253-835-2607.FAX 253-835-2609
www.cituoffederalumzu.com
SITE ADDRESS
(Lf C.5'. 315 ?L ig- 11t- o C
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SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL t
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NAME OF PROJECT ,
(Tenant or Homeowner Name) e h `" !^ ` ��
❑BUILDING 0 PLUMBING .MECHANICAL �` L.
TYPE OF PERMIT � 0'
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
byn�2' '.-:-.?::: %,7-4 ,, /� �
s
GA
NAME PRIMARY PHONE
•
PROPERTY OWNER eP `i' 4 eF 06-04-::3 t Q eb‘.1%.0L Z_ (25-24, ,.7 74.
MAILING ADDRESS,CITY,STATE,ZIP ��"� E-MAIL
2c K so. ,215`%. 'PL.
OWNER IS ALSO: CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
J-'°+ t� -g--L\ 4, .(03172 - Z/tit 0
CONTRACTOR MAILING ADDRESS,CI ,STATE,ZIP FAX
`4 l c -u - )-e. CJ. 41A-)PL-. 37((2r=52t 726- 1.2
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE X
M 7 P24n 171 4/it D
NAME PRIMARY PHONE
APPLICANT ( ) -
MAILING ADDRESS,CITY,STATE,ZIP FAX
( ) -
PROJECT CONTACT PRIMARY PHgO,NE
(The individual to receive and a ,� )26 l- .›PHONE
E+a
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) I4 t v 'k �, ( —5 �/143)2 -�t((C__?M ,
ALTERNATE CONTACT NAPRIMARY PHONE E-MAIL
( ) -
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Wa • !talons pertai Mg to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does ,• rem,ve the own responsibility for compliance with local, state, or federal laws regulating
construction or environmenta •urs.
I further agree to harmless t : City o e• •l Wa to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation an- defense of clai w ch ma •444-- made by any person, including the undersigned, and filed against the
city, but only where ch claim • s out o t - Tian o-the ty, including its officers and employees, upon the accuracy of the
information suppl • a part t -appli - • ll
SIGNATURE: % DATE /!/ 43.-°/ 2)2
PRINT NAME: i �'
Bulletin#100-4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
,MECHANICAL FIXTURE
Value of Mechanical Work$ (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(commercial)
BOILERS J V FURNACES HOT WATER TANKS(Gaa)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURE ,
Indicatesnumber 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 Sinka) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$�Z1��_
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals ,
*•NEwaofEs ONLY
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEWIADDITION
AREA DESCRIPTIONArea Construction #of
in Square Feet Occupancy Groups) Type Stories Additional Information
q
NEW BUILDING
ADDITION
COMMERCIAL;-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
Occupancy Groups) Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
«. ,
Bulletin#100—4/17/2009 Page 2 of 4 k:\Handouts\Permit Application