08-100519 15
r
City of Federal Way Mechanical Permit : 08-100519-00-ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 6`2,'/-
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Ph:(253)835-2607 Fax:(253)835-2609 /I/�U� Inspection Request Line: (253) 835-3050
Project Name: ROBINSON
Project Address: 31320 10TH AVE S Parcel Number: 787540 0220
Project Description: Replace gas to gas Bryant 80k btu furii4ice+
Owner Applicant Contractor
MICHAEL ROBINSON NORTHWEST PERMIT INC WASHINGTON ENERGY SERVICES CO
TRACIE M ROBINSON 1345 GULF ROAD (WESCO)(General)
31320 10TH AVE S POINT ROBERTS WA 98281 WASHIES971OB 9/2/09
FEDERAL WAY WA 98003-5306 2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation 3866.06 Over the Counter Permit? Yes
Mechanical Fixtures
Furnaces..
PERMITIXPIRES Sunday, February 7, 2010
y n. n,,,, (j��gll, ,,,',',,4,,
,:..i P _'_ ,iii d on Thus ayo,February 7, l 'OP: �L , — -i,'
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I hereby certify thatthe above information is correct and,that the const a ctic on the above de bed property and
the occupancy and the use will b in accordance With the laws;rutes and regulations of the State of Washington
MOV
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(Ern"
:"" the ' of Federa Way. �J
Owner or agent: U 1� 4 e-/(A- ! (111,. Jl A _ Date: G - —1- G
THIS CARD IS TO leVIAIN ON-SITE
Ciro OF
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-100519-00-ME
Owner: MICHAEL ROBINSON
Address: 31320 10TH AVE S
FEDERAL WAY, WA 98003-5306
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) 0 Gas Piping(4125) Ei Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By C Date 3 IQ •
•
•
For inspector reference only __ _ _ ___ --
0
..
Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
02-01-' 08 15:22 FROM- Ath T-196 P002/004 F-360
1111.
a
RECEIVED 0 ? / 0 0 5/ 7
CITY Oi
Federal Way PERMIT
COMMUNnYDEVELOPMENT SIM EB 0 4 2008 SF MF CO(IEL PL DE EN FP
9332580 AVENUE SOV(N.PO 120X 9716 ,�'�'LI CATI O N76
PEDE(L1L IVAY'IVA 53 8359 OF FEDER L A
253-dab-:607•FAX 259-895•
,,uuw.,,,,,.(ederar, gayu, CDS ,,,^-
The •llowi q is re•uired i ormatton-an incom•tete a•'lication will not be acce•ted. Please •tint le,ibl, an ink)or ,
■ PROPERTY INFORMATION
SITE ADDRESS 31320 10TH AVE S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 7 8 7 5 4 0_ 0 2 2 0 LOT SIZE(Vt)
LEGAL DESCRIPTION(e.g.Acme Estates, Lot 1)
Moth zeparata woo for kngWj 00 dt rfptGn/
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING a PLUMBING ie MECHANICAL
0 DEMOLITION 0 ELECTRICAL R ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of'work included on this Dermlt onlui
REPLACE GAS TO GAS BRYANT 80K BTU FURNACE
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY
Y)5eNMICHAEL ROBINSON 20303
MAILING ADDRESS CITY,STATE,ZIP
31320 10TH AVE$ Federal Way, WA 98003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
WESCO (206 ) 378 - 6608
042800
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
Thorndyke Ave W Seattle WA 98199
CM' ( ) -
m'OFF FEDERAL WAY BUS NRS$LICENSE NUMBER EXPIRATION DATE FAX NUMBER
Q
2 -4 .3-i _0 4 2_ 3 4- B k 12 / 31 / 08 ( ) -
CONTRACTOR'S REGISTRATION NUMBER(Dopy of cud required adth eaCb aPDIUcAtloo) EXPIRA"tlON DATE
W A S H I E S 9 7 1 0 B 09 / 02 /09
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Northwest Permit Inc Nelda Khan ( 300 ) 945 -2787
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
1345 Gulf Road Point Roberts,WA 98281 ( ) - _
RELATION IIP to PROJECT FAX NUMBER
o Architect 0 Tenant /Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Naida Khan (360 ) 945 - 2787 naida@nwpermt.com
LENDERS t!: :,? r�S: xItTN6�ta 4: ,i' ) .V''•'1):, NAME
maw,*ADDRESS ` CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE SFR PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEwImR SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
02-01—'08 15: 22 FROM— T-196 P003/004 F-360
• 41111
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.$'T. SQ. FT. SQ.INT.
BASEMENT
"FIRST •
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
•
GARAGE 0 CARPORT❑
ERIEMINO
NUMBER OF FLOORS vxosoma OTA1' •rr.,•,'c.R11T::,•:,:, BTAo fOt„�W��,........1 v..q, u�...... .R*;;i i:
,5.
"NEW HOMES ONLY” NUMBER OR BEDROOMS ESTIlvIATED SELLING PRICE„ $
FIXTURES
lndt o.te number of each type OA-tare to be installed or relocated as part of this project. Do not it clurip existing fixtures to remain.
"MECHANICAL 3866.06
,. Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS „ GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS tcnmr ne Jl WOODSTOVES
BOILERS _ FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS 1 FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTub/SbowerCombol SHOWERS , WATER CLOSETS Fula MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHINO MACHINES URINALS _ •HOSE BIBBS
LAVE(Ballroom Sinks.) VACUUM BREAKERS _ ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further,that 1
am authorized by the owner of the above premises to perform the work for which the permit application is made, I further agree to hold
harmless the City of Federal Way as to any claim(inciuding 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 oflnederal Way,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 a part of
this application.
/
NAME/TITLE , ►ATE I
(Signature) W Mtlel
RELATIONSHIP TO PROJECT ❑ Owner ► Agent Q Contractor 0 Architect 0 Other
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Bulletin#I00—January 1,2006 Page 2 of 4 k\HAndouts\Pcrmit Application