10-101270 • Mech •
anical
City of Federal Way ��jj
Community Development Services Per It #: 10-101270-00-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: KONKELL
Project Address: 29023 7TH PL S Parcel Number: 515270 0080
Project Description: Replace existing gas furnace with a new gas furnace.
Owner Applicant Contractor
FREDRICK KONKELL SARAH TURNER GLENDALE HEATING&A/C
BERNICE KONKELL GLENDALE HEATING&A/C GLENDHA053Q2 (11/2/11)
29023 7TH PL S 12462 DES MOINES WAYS 12462 DES MOINES WAY S
FEDERAL WAY WA SEATTLE WA 98168-2266 SEATTLE WA 98168-2266
98003-3607
41 d ,. �Wf9fmation
Mechanical Valuation 3960.66 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES Saturday, September 25, 2010
Permit Issued on Monday, March 29, 2010
I hereby certify that the bve inf mation is correct and that th onstruction on the above described property and
the occupancy and a use will e in ac ordan e with the aw , r les and regulations of the State of Washington
nh City Fe 1 Way.
Owner or agent: K Date: /2) /(D _
F1PJ ua) 3/301O
THIS CARD IS TO REMAIN ON-SITE
CITY°F - 0Construction Insfiction Record
Federal Way INSPECTION RE UESTS: (253)835-3050
Q
PERMIT#: 10-101270-00-ME Address: 29023 7TH PL S
Owner: FREDRICK KONKELL FEDERAL WAY, WA 98003-3607
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) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By G Date 3- 3 b f a
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
(
eral W CE °
ctre op PERMIT SF F C•410 EL PL DE EN FP
Fed
VtE .1.1, •••••••••••••
COMMUNITY DEVELOPMENT SERVICES APPLICATION CLL
253-835-2607*FAX 253-835-2609
!vim.cituofffderalwgloom MAR 29
rEOERAt. WAY—
T pr)c )
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
NAME OF PROJECT
(Tenant or Homeowner Name)
Uk f2N C T r? P LCt-
BUILDING 0 PLUMBING >4 MECHANICAL.
TYPE OF PERMIT
DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
V- V-KAC-V, 12..E7 C E-
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
fOILE
NAME PRIMARY PHONE
• . .
PROPERTY OWNER D_ ) V, ti *)
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
LL6-A1,SN.
\4.
OWNER IS ALSO: 0 CONTRACTOR p APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
1) (1-1- .711,-t- INC )
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX
a ) EA--; k1/44ortvLS tAit\v, )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT 1-71)12) CV.
MAILING ADDRESS,CITY,STATE,ZIP - FAX
•
L_ F ) ixiP NT ( )
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and )
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application)
)
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by- any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of/
he - including its officers and employees, upon the accuracy of the
information supplied to the city as a part of histapplication., !
1/- 1//
SIGNATURE: / DATE
PRINT NAME: r-14 et) -v. 60.
Bulletin#100-January 1,2010 Page 1 of 4 kAHandouts\Permit Application
jp
Value of Mechanical Work$ 4 0 D (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(common eq
BOILERS FURNACES HOT WATER TANKS(Ges)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate number 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(Handsiuke) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(i1tchen/utaity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENER A LRMATION
...........
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
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
BASPSMRNT'
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
GARAGE 0 CARPORT 0
OTHER(describe}
...
manna PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION Area Construction #of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
.::
ADDITION
. .............
AREA DESCRIPTION Area Construction #of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
TENANT AREA ONLY
Bulletin#100—January 1,2010 Page 2 of 4 k:\Handouts\Permit Application