08-101829 City 6fFederal
Community Developmentpment Services :y Mechanical Permit 08-101829-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: PETERSON
Project Address: 31025 9TH AVE S Parce\ mber: , 850 0120
Project Description: Installing 1 Bryant gas 60K btu furnace, 1 electric to g, eem 40 gallo\ .ter h; •r,
and gas piping to the furnace and water heater.
Owner Applicant \ Co 1 a .
EDNA PETERSON NAIDA KHAN .` ING • ERRVICES CO
31025 9TH AVE S NORTHWEST PERMIT f ESC al
FEDERAL WAY WA 98003-4769 1345 GULF RD ASH 1OB /t
POINT ROBERTS WA 9828. 2800 TH E W
EAT A 98199
•itional it Inf ation
Mechanical Valuation ver the ei Yes
ge
i . tures
Evaporative CoolersFan 1 Furnaces 1
PE EXPIRES Saturday, April 17, 2010
Permit Issued on Thursday, April 17, 2008
ereby certify th- e abov form. '• orrect and that the construction on the above described property and
the upancy a = .- use will b= in Ili .ccord- ce with the laws, yules and regulations of the State of Washington
an• the • F 4r� Way.
ner or agent: �� ��.,. / Date: " f r7i1.B
FIS
THIS CARD IST EMAIN ON-SITE
CITY OF . - °CommunitY Developffent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-101829-00-ME
Owner: EDNA PETERSON
Address: 31025 9TH AVE S
FEDERAL WAY, WA 98003-4769
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) El Gas Piping(4125) Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By / Date 5/01 , By Date—(
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
RECEtED 4111
Federal Way ?ERMIT SF aCOMMUNITY IISVE.LOPMENTSERv1CFSAPR 17200 '�, MF CO i j� PL DE EN FP
33ns R''AVENUE SOUTH•Po BOR 9778
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tl11 CC
The following is required irforr>Ct1dw}an incomplete application will not be accepted. Please print legibly(In ink)or type.
MI PROPERTY INFORMATION
ens ADDRESS_ 31025 9TH AVE S SUITE/UNIT _
ASSESSOR'S TAX/PARCEL* 08 8500120 _ __ LOT SIZE(sp
•
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(annnh.wpe„nw Pur for I#MAlNy INTI dneC"JNlnN
• ]?I?[I,rD'1'INFfRMATION
TYPE or PERMIT ❑BUILDING ❑ PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 EMOIIIEDRING 0 PINE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this perrniZ,Qntu)
metalling 1 Bryant g2s 60K btu furnace, 1 eleotrir.to pas RhPPm 40 gallon water heater.and gas piping to the furnace and water heater.
PROJECT NAME(PTamE ,r Owners Lo-v.Zernr) EDNA PETERSON
IN PEOPLE INFORMATION
PROPERTY NAME EDNAETERSON 1•KcMAKY PHONE
PETERSON OWNER ( 206 ) 356-8274
MAILING ADDRESS CITY,RTATY.,ZIP E-MAIL ADDRESS
31025 9TI I AVE$ Fodoral Way, WA 98003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
WESCO ( 206 ) 378-6649
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
2800 7horndyke Ave W Seattle WA 98199 ( ) -
CITY OF FEDERAL.wAY BUSINESS LICENSE NUMBER EXPIRATION DATES PAX NUMBER
2003104234BL 12/31/08 ( ) -
CONTRACTOR'a ruzatilTRATION NUMBER E��FIRATIOH DATE E-MAIL ADDRESS
WASH I E_S971 OB 09/02/09
APPLICANT COMPANY NAME: APPLICANT NAME OFFICE PHONE
Northwest Permit inc. Naida Khan _ ( 360 ) 945-278-7
MAILING ADORES!) er1Y,J'IATC,411' CELL THTOM%
1345 Gulf Road Point Roberts,WA ( ) -
RELATIONSIITP TO PROJECT FAX NUMBER
❑ Architect ❑ TonrAnt RI Agent ❑ Other (360 ) 945-2091
PROJECT NAME PRIMARY PHONE EMAIL ADDRESS
CONTACT Naida Khan/ Northwest Permit (360 ) 945-2787 naida@nwpermit.com
LENDER NAME Per ROW 19.27.095:
Lender information is required ifprojeet value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE,
Ili DETAILED S1.JIt.tIING INFORMATION
EXISTING USE Residential PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPORIATI WORK $
SPRINISLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAT{EHAVEN ❑ IIIGIILINE o TACOMA to PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKERAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
• •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ,F . SQ.FT.
liAP:M..t.:N'I'
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERF,D OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUNII3FR OF FLOORS must= PRppPOtn TOTAL TOTAL musrwb sr TOTAL MAMMA Ar TOTAL Ar
**NSIV ONLY** NTIMFtP:R OF 13r:f1RnnMS ESTIMATED SELLING PRICE S
• FIXTURES
Iridicato number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain..
MECHANICAL $10,006.00
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATTVE CQOT,F,,R$ 2 GAS PIPE OUTLETS WOODSTOVES
•+eQ� 1 w•w Err emnr,rr,A mr.•r.o r/CTon�r,,..,..1�..•1
BOILERS FIREPLACE INSERTS HOODS IcemmaK;ap
COMPRESSORS 1 FURNACES RANGES
DUCTS GAS LOG SETS REFRTG•$Y$TEM$
PLUMBING
BATHTUBS Ta Tub/anowti combo! LAVS Ifathroam Aink.1 URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS St-TOWERS WATER CLOSSE'TS!loam)
EL.ECTRTC WATER HEATERS SINKS WASHING MACHINES
tTOSE BIBBS SUMPS
J certify under penalty of perjury that I am the property owner or'toaflenrie wA agent if the property onme. f certtfo that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.t certify that I wilt comply with an applicable
City of Fedora/Wag 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 cornplianec with local,state,or federal laws regulating construction or environmental taws.
I further agree to hold hor»tInet filo*COR of Federal Way ac to any claim (including coats,expcnscs, and attorneys'fees incurred in the
investigation and defense of such claim), which may he 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 a part of this application.
•
STr.N Tug .• DATE____V7/
Property Ovmtr nd/or Authorized Agent
o NEW a ADDITION >,ALTERATION o REPAIR ❑TENANT IMPROVEMENT
Dynamic.C7, !.s.ems-1-r .,=•ao ,_,ado PAM*rr.disr? —ver _Are.
ZONING DESIGNATION CHANGE OF USE? o YES n NO
NEW ADDRESS REQUIRED? n YES a NO UP/SEPA/tail? n YES ❑NO
r� PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\I'erniit Application