09-104915 • Mechanical
j r. City of Federal Way •
Community Development Services Permit #: 09-104915-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p G
Project Name: MAGNIZA
Project Address: 30657 11TH AVE S Parcel Number: 091900 0155
Project Description: Replace furnace
Owner Applicant Contractor
CHERRY MAGNIZA ADVANCED FILTER&MECHANICAL INC ADVANCED FILTER&MECHANICAL INC
30657 11TH AVE S (GENERAL) (GENERAL)
FEDERAL WAY WA 98003-4121 418 VALLEY AVE NW UNIT B115 ADVANFM044RD(12/29/10)
PUYALLUP WA 98372-2503 418 VALLEY AVE NW UNIT B115
PUYALLUP WA 98372-2503
•
Maia' a�
Mechanical Valuation 2180 Is this an Online or O.T.C.applications Yes
iita � %;/4,-/:Y,!t� '+�..,„ ?3�t? Z. .. . .,.
Furnaces,.......
PERMIT EXPIRES Tuesday, June 15, 2010
Permit issued o m hursday, r} -ember 17,2009
I hereby certify that the above Inform.:0 is c► rt an• the constr ionon the above described property and
the occupancy and the use w?--cc. •ance �t laws,yule a r lations of the State of Washington
• � ;�C of - ra y.
Owner or agent: Date: -I
FINL03 /a
THIS CARD IS TO REMAIN ON-SITE
crrY'oF • Construction Ins tion Record -
Federal Way
INSPECTION REQ TS: (253)835-3050
PERMIT#: 09-104915-00-ME Address: 30657 11TH AVE S
Owner: CHERRY MAGNIZA FEDERAL WAY, WA 98003-4121
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date Date 3_-3-.-2e)4)
0 Rough Electrical Final Electrical ® Right of Way
Approved Approved Approved
By Date By Date By Date
ir. aF iiii - - 10_ L2.�s
VderaI Way PERMIT
COMMUNDYDEVE 2, Pi. ' ci SF MF CO�EL PL DE EN FP
33325 DERALNDEs . ;x. : P P LI CATI O N ID
FEDERAL WAY,.A •+ •x••71: / /
253-835-2607•FAX 253-835-2809
wunn ciluoffecieraiwau.com if',,.9
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
�^�1G
C 3lA✓e� MI PROPPE`RTY INFFORMATION
SITE ADDRESS ) 7 L I - "
' seD SUITIWUNIT#_
ASSESSOR'S TAX/PARCEL# - __ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(AINcheeaaraffi page.*lergthy legal description)
MI PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 1CNIECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed de of work included on this permit onlu)
1.4=vQz- S�1 p.a 14=.-4-,e.e •
PROJECT NAME(Name of Business or Owner Last N k /1 `
PROPERTYOWNER NAME �,1 e' ✓.�/� WO /7/Zair7.5 )/PHONI L -- , ,
MAILIN ADD CPIY.ST�� y"` C./ E-MAItADDRESk
3 j6.15 7 /< -7c--) /--e-b U„0,-�J
CONTRACTOR COMPANY NAME LICANT NAME l OFFICE PHONE
LL Q C gS 77c - /~z`F O
icetit
MAILING ADD A11/47'k4-
-(. ,, TE.ZIP CELL ONE
Cr1Y� DE� B LI E6 NSE NUMBERtiLij EXPIRATION DATE FAX ) / - ,g'6'C)
( ) -
[fie!GI card s CONIRACIOR'S REGISTRATION NUMBER EXPIRATION DALE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAIIdNG.-DRESS CITY,STATE,ZIP (`PI L PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant ❑Agent ❑Other `� ( ) -
PROJECTCONTACT NAlvir 4e-- 1)—C—C S /2 -�(1a PRIMARY PHONE ADDRESS o
LENDER NAME /s..- ^ Per RCW 19.27.095: 'Q2-13,-4,
".Q Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE _
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ (j �_
SPRINKLERED BUILDING? ❑YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGBLINE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SA.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR 0 UNCOVERED?)
GARAGE ❑ CARPORT 0
memo - PROPOSED 'ram. TOTAL sOBT!QSF MAL tMPO®er TOTALS"'
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each 4jpe of f rture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$_24,15-V (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial!
COMPRESSORS / FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Mar/Shower Comboj LAYS wathreom sirdw URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(mud)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner premises to the work for which the permit application is made. I further agree to hold
harmless the City of Way as/to any cl ncluding expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which made by ny ncluding the :7= ,and filed against the City of Federal Way,but only where such claim
arises out of the MI of the ci• ,includi its officers upon the accuracy of the information supplied to the city as a part of
this application. ,_'` .
NAME/TITLE (veal DATE
RELATIONSHIP TO PROJECT ❑ Owner o Agent )(Contractor o Architect ❑ Other
,FOR OFFICE USE ONLY
❑NEW ❑ADDITION ❑ALTERATION a REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES o NO IIP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Penult Application
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