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11-102066 Mechanical Community City of Federal Way 111 Community Development Services Permit #: 11 -102066-00-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: THOMSON Project Address: 30202 11TH PL S Parcel Number: 515390 0390 Project Description: Replace gas furnace. Owner Applicant Contractor RALPH&COLLEEN THOMSON RALPH&COLLEEN THOMSON RALPH&COLLEEN THOMSON 10901 176TH AVE E 10901 176TH AVE E 10901 176TH AVE E BONNEY LAKE WA 98391-5119 BONNEY LAKE WA 98391-5119 BONNEY LAKE WA 98391-5119 i ,* Additional Permit Information Mechanical Valuation 2800 Is this an Online or 0.T.C.application? Yes Furnaces 1 PERMIT EXPIRES Monday, November 21, 2011 Permit Issued on Wednesday, May 25, 2011 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: � r" dL1L,Qg _ Date: l N L!? lQ /! //S THIS CARD IS TO MAIN ON-SITE f CITY OF • Construction In ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT#: 11-102066-00-ME Address: 30202 11TH PL S Project: RALPH & COLLEEN THOMSON FEDERAL WAY, WA 98003-4106 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 By /i( Date >0-(.7,-—l/ ❑ Rough Electrical Final ElectricalEl Right of Way Approved Approved Approved By Date By Date By Date '‘..°4*-VL CITY of3.0'''',, �ERMIT OF coME L DE EN FP t Federal W t COMMUNITY DEVELO ICES ` ARI C A T I O N 253-835-2607•FAX 3- -2609 'G VVV��_ IP )),),'Y_'_at Foeralu•' .COat 1 Vi SITE ADDRESS CO �" SUITE/UNIT# • 2C' ))c '.) ,�?y'`' + P 1 =,ec1 Q(11 04,. (.3,p 63.8°0,3 PROJECT VALUATION ZONIN ASSESSOR TAX/PARCELN 2. 5 ( c5 J 9' O _ D 3 9 0 TYPE OF PERMIT ElBUILDING ❑ PLUMBING LIMECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) Th0yy) Win. DESCRIPTION S�' Il/� Ci_ I��� I i (Sii ti\-e-r---d- PROJECT Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER ‘---'1') 1 t)k 1� SOC) MAILING ADDRESS 1 - E-MAIL 'C)q 01 i".)-(4, ‘- 0 0-12.. ). CITY �/ 11 :60 nt\ LAV ��i VIE, ETS�1 NAME PHONE ( 5Le,n MAILING ADDR S E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME PHONE ClAiAPPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX PROJECT CONTACT IM(F:WE (PHONE (The individual to receive and respond to all correspondence MAILING ADDRESS _ E-MAIL concerning this application) i CITY STATE - • - FAX ALTERNATE CON : / PHONE E-MAIL PROJECT FINANCING NAME /J..--' II OWNER-FINANCED Required value of$5,000 or more (RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PRONE 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 part of this application. SIGNATURE: ©il/14.6 7 N- DATE 0\fes , PRINT NAME: Bulletin#100—January 1,201 1 Page 1 of 3 k:AHandouts\Permit Application • O VALUE OF MECHANICAL Wo• $ rT\b L� ( . - a copy of bid or estimate must be provided) Indicate how many of each type off - e to be i • . 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 1 FURNACES HOT WATER TANKS)Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING • GAS PIPING WOODSTOVES a-; t s r =ash a ,..�„r NF f Indicate how many of each type offi lure 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 BBS SUMPS WASHING MACHINES TOTALiFIICrURE , , GE EI AL I FOR IATIt �.. . CRITICAL AREAS ON PROPERYy? WATER PURVEYOR SEWER PURVEYOR VALUE OF STING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE)In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? P POSED FIRE SUPPRESSION SYSTEM? ❑ Yes ❑ No ❑Yes o No R i 1'y 5 - - .`Ei}�` IAL N W O .' » N , i AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOT•. FOR OFFICE USE FIRST FLOOR(or Mobile Home) SECOND:, . 4, COVERED ENTRY x ,s "+ i s ,k x: , GARAGE ❑ CARPORT ❑ OTHER(desarlll'if... -..e ,-STING PROPOSED TOTAL Area Totals ma ;;_ **NEW Hail ONLY** ESTIMATED SELLING PRICE$ # OF BEDROOMS .., . ,. ` .. C MMERC IAL-NE`V/ADD.I I I+L�`+� .- AREA DESCRIPTIONea Occupancy Group(s) Construction # of Additional Information in Square Feet Type Stories , µAY. ADDITION }i COM IERCIAL---REMODEIL/TENAI T IMPROVEMENTS �, .,v . -° AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet Type Stories TENANT AREA ONLY ® AI t4 C>tit Bulletin#100-January 1,2011 Page 2 of 3 k:\I-landouts\Permit Application