10-102416 • Mechanical
City of Development
S Pertit #• 10-102416-00-M E
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: BREDIN
Project Address: 2009 SW 307TH ST Unit A Parcel Number: 770380 0250
Project Description: Replace gas furnace.
Owner Applicant Contractor
TERRIE BREDIN SARAH TURNER GLENDALE HEATING&A/C
2009 SW 307TH PL GLENDALE HEATING&A/C GLENDHA053Q2 (11/2/11)
FEDERAL WAY WA 98023-3441 12462 DES MOINES WAY S 12462 DES MOINES WAY S
SEATTLE WA 98168-2266 SEATTLE WA 98168-2266
Additional = nfo ttion
Mechanical Valuation 2950 Is this an Online or O.T.C.application? Yes
• fig*
Mechanical
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES Monday, December 6, 2010
Permit Issued on Wednesday, June 9, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
F1JMU$
7-14111 o
n
0 , . Mechani :a1
Cif i of Federal Way
Community Development Services Permit #: 10-102416-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Ins ection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: BREDIN;0 74..0
Project Address: 2009 SW MOW ST Parcel Number: 770380 0250
Project Description: Replace gas furnace.
Owner Applicant Contractor
TERRIE BREDIN SARAH TURNER GLENDALE HEATING&A/C
2009 SW 307TH PL GLENDALE HEATING&A/C GLENDHA053Q2 (11/2/11)
FEDERAL WAY WA 98023-3441 12462 DES MOINES WAY S 12462 DES MOINES WAY S
SEATTLE WA 98168-2266 SEATTLE WA 98168-2266
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Mechanical Valuation 2950 Is this an Online or O.T.C.application' Yes
,
Mechanical Fixtures -
Furnaces 1
PERMIT EXPIRES Monday, December 6, 2010
Permit Issued on Wednesday, June 9, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ill be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: 11/6-,;( Date: 6. fq (lie
,11-11,5 CARD IS TO AIN ON-SITE f
CITY OF i Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-102416-00-ME Address: 2009 SW 301ST ST
Owner: TERRIE BREDIN FEDERAL WAY, WA 98023
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.
❑ Mechanical Rough-in (4165) ❑ Gas Piping (4125) ❑ Final-Mechanical(4065)/
Approved Approved to release test jApproved
.By Date 'By Date By /[."I,,G Date --7/1//p
0 Rough Electrical Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
A. RECEIV ►D ill
F ...A.
ederal Way JUN 0 9 2010 — __ cz3 � L_
COMMUMYDEIrELOPMEN!'SERVICES T PERMIT SF ME C. PL DE EN FP
FEDERAL
WAY,WNUE A 98063.9 897y1 F I Li*"F L1 P P C AT I O N
Eviriariam
253-835-2607•FAX 253-835.2609 �('�� L 1 v
www,cltueederalwau,mrR CD t.
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
n 7• PROPERTY INFORMATION
SITE ADDRESS2•.D001 5W/ .0 I �J1-' SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# -71 D 3 Dp0 0 _001/ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) C-®
(Attach separate poge for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING o MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Prop' detailed description of work included on this permit onita)
(AMGil� �m�u w l S/1wrL�
le
PROJECT NAME(Name of Business or Owner j.ast Name) .t..51(-Pa i)i
II PEOPLE INFORMATION
PROPERTY NAME --T
OWNER tY bPRIMARY PHONE
be ( ) 1)(0q -4Sc
MAILING ADDRESSD STATE.ZIP. E-MAIL ADDRESS
""JJJ��' "b q C , tlr�,,t. W �,a s i)
CONTRACTOR COMPANY NAME 1 APPLICANT NAME OFFICE PHONE
41
MAILING DRESSNc, Ar CITY,STATE,TTA CELL PHONE
II 11,1 alloyCITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPI TION DATE FAX NUMBER -
° 1 f ' IG c1 (� — po -.g ! - i0 ( . ) ),L1� - 8344
CONTRACTOR'S REGISTRATION EXPIRATION DATE E-MAIL ADDRESS
Ut 1,vM tift06 0)- !! o,).- I 0
APPLICANT COMPANY NAME s APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
RELATIONSHIP TO PROJECT CO* AX NUMBER
❑Architect 0 Tenant 0 agent 0 Other l- YG I 6Y ( ) _
PROJECT NAME / P Y PHONE E-MAIL ADDRESS
CONTACT l j-€k yU l..,O0 ( ) I, ',,; - ;Zi p DV _ACbbli44e( IehAall' att
ivph-
LENDER NAME Per RCW 19.27.095:
Lender information is required(f project value exceeds$5,000
MAILING ADDRESS CITY.STATE.ZIP PHONE
( ) -
it DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
-fY
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑ COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING ST TOTAL PROPOSED ST TOTAL S7
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offacture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL �y l g
Value of Mechanical Work$ aZ'1 (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(commeroiap
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sulks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 Iaws.
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 f such la' , which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises o t of re// ce of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of thi pplic '•n/
SIGNATURE: /M DATE 6 ii
Property Owner and/or Authorized Agent
FOR OFFICE IYSE ONLY
❑ NEW o ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? a YES ❑NO UP/SEPA/SU? a YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application