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16-101001 1110Mechanical City of Federal Way Community&Econ.Dev.Services Permit #: 16-101001-00-ME 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: JOHNSON-BERRY Project Address: 28722 14TH AVE S Parcel Number: 720300 0315 Project Description: Furnace replacement • Owner Applicant Contractor NADINE G JOHNSON-BERRY E R ELITE REMODELING LLC E R ELITE REMODELING LLC 28722 14TH AVE S 2011 ADAMS AVE •ERELIRE851CD(2/4/17) FEDERAL WAY WA 98003 EVERETT WA 98203 2011 ADAMS AVE EVERETT WA 98203 • Additional Permit Information Mechanical Work Valuation? 900.00 Is this an Online or O.T.C.application? Yes Mechanical Fixtures Furnaces 1 PERMIT EXPIRES Tuesday, August 23, 2016 Permit Issued on Thursday, February 25, 2016 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 -ccordance with the laws, rules and regulations of the State of Washington / and the City of Federal Way. Owner or agent: Date: t1/Z�/e . . TIIIS CARD IS TO RE IN ON-SITE CITY OF �,b Construction Ins tion Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 16-101001-00-ME Address: 28722 14TH AVE S Project: NADINE G JOHNSON-BERRY FEDERAL WAY, WA 98003-3158 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) I ❑ Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date i By Al• Date 3/ 0 l>z Rough Electrical . Final Electrical CI Right of Way Approved Approved Approved By Date By Date By Date 4..... 1 PERMAP APPLICATION CITY OF60�� r Federal Way PERMIT NUMBER 1 l// _ 1 0 0 0 �, _ M FEB 2 5 2016 FFFF��_ TARGET DATE CITY OF FEDERAL WAY SITE ADDRESSSurI6 RIT# Z ADDRESS , )117+- AvaiNvp PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ `; 0o yz0 300 _ C3 L5 TYPE OF PERMIT D BUILDING 9 PLUMBING IH MECHANICAL 9 DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT ✓42 4< e-e . / `'"P -c Jok4M a71G''IZ PROJECT DESCRIPTION l Detailed description of work to be included on this permit only NAMEPRIMARY PHONE `... AMP(NDA PROPERTY OWNER MAILING ADDRESS E-MAIL CITY STATE ZIP .__. NAME. 7-A e-e--/`/ n / o(b J 14/6 a SONE MAILING ADDRESS /�, f �/ e► E-MAIL CONTRACTOR �� "� j L lu2 ,3_ CITY STATE ZIPFAX x\(02- G77- a'203 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# e�LCGf'/ &,,'Z Qs-/cA / NAME PRIMARY PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT (The individual to receive and MAoILING ADDRESS //� l / E-MAIL respond to all correspondence (.- �Z 2 `f' �[ LJ ©u�� concerning this application) /� ]C_ eQ STATE ZIP ,/p� o!^ 3 FAX NAME (rT 'vG �! , V Y PROJECT FINANCING 0 OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP 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 the city, including its officers and employees, upon the accuracy of the information supplied to the city as a •• of this application. SIGNATURE: DATE C. ...2.5----e 0 ft- lir -C-7-?7"7-7(--.- / PRINT NAME: a Bulletin#100—February 22,2016 Page 1 of 2 k:\Handouts\Permit Application VALUE OF MECHANICAL WORK MECHANICAL PERMIT Indicate how many 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(commercial) BOILERS FURNACES HOT WATER TANKS pas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT Indicate how many 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(Hand sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? 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 RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ OTHER(describe) Area Totals - EXISTING PROPOSED TOTAL **NEW HOMES ONLY** ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL-NEW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information Square Feet Type Stories NEW BUILDING ADDITION COMMERCIAL-REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information Square Feet Type Stories TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application