13-100754 41,
Mechanical
City of Federal Way �.//, 13-100754-00-ME
Community&Econ.Dev.Services Permit tf:
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: NORGAARD
Project Address: 546 SW 333RD CT Parcel Number: 729801 0230
Project Description: Replace gas furnace.
•
Owner Applicant Contractor
CHRIS NORGAARD RANGER HEATING&COOLING RANGER HEATING&COOLING
CATHY NORGAARD 4014 61ST AVE E RANGEHC9050M(9/18/14)
546 SW 333RD CT FIFE WA 98424 4014 61ST AVE E
FEDERAL WAY WA 98023-6170 FIFE WA 98424
Additional Permit information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES Wednesday, August 14, 2013
Permit Issued on Friday, February 15, 2013
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
the City of Federal Way.
Owner or agent: � Date—/S
FIN * rDz ZL 13
THIS CARD IS TO ,MAIN ON-SITE A
CITY OF Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 13-100754-00-ME Address: 546 SW 333RD CT
Project: CHRIS NORGAARD FEDERAL WAY, WA 98023-6170
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By_t.c S Date Z Zz/
El Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
oti\
�M� 4i •r ERMITIXPPLICATION
Federal Way ` c, Eiv
=Fg 15 2013 .�d�oa
PERMIT NUMBER / 3 - ` UD 7 r R 4
_c�.lA cDs 7__l TARGET DATE
SITE ADDRESS
SUITE/UNIT#
5-1/4 Li 333 rat -T % ..iec-a/ l„/�
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ Ll000I 41.c. 7 A 9 R 0 / - 0 a 3 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING N MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT /� Uf rd,
Ai V' V � 0
PROJECT DESCRIPT // , 1 G;A�
Detailed description of workION to itekLE— relllQt'- - I L`
be included on this permit only
NAMEL I PRIMARY PHONE -.
PROPERTY OWNER A ris (,S,(��jag r1 9d.c- n�' /® 7
MAILING ADDRESS (�
s�4 S' L' 3324 L: .
CIr STATE ZIP p
N_. . ��i'4/ L%/ keA- ! ®�3
MAILING Au1. g11 - 0�'-'i .t E n PHONE
- 6-C700
q041(0), g t .5'. -„4-(4-_= a E-MAIL
CONTRACTOR /y,'7
CITY t-
rice- STAZIP�t!cz v. FAX
WA STA CONTRACTOR'S LICENSE# FW_ EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
A-06- H-G `1O5-dM
NAME ✓Q /�N PRIMARY PHONE
IN J 4 2 aI� �-S3-�q3- -767
APPLICANT �LI77�REBS ag_f� /e_ ,r S EMAIL
iE
CITY STA
ZIP
P`''1)y iGI,Q Iv
k
.1 ?el.?`7V FAR
._
NAME PRIMARY PHONE . ...
PROJECT CONTACT cC1 I,C
(The individual to receive and MAI
LING ADDRESS E-MAIL
respond to all correspondence
concerning this application] CITY STATE ZIP FAX
NAME _ _
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$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 Iaws regulating
construction or environmental taws.
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 arty 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: DATE c— /5-1— 1_7
PRINT NAME: SeC b, Qe
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• • VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ (,,,o�✓ 6-0
Indicate how many of each type of fixture to be installed or relocated aspart of this project. Do not include!!existing()fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS THER(Describe}
AIR CONDITIONER FIREPLACE INSERTS HOODS)commercial)
BOILERS I X FURNACES HOT WATER TANKS(o..,}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 TER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS • HER(Describe)
DRARIiS SHOWERS VACUUM BREAKERS
DRINKIN I OUNTAINS SINKS)Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBSN SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMA ° ON
CRITICAL AREAS ON PROPERTY? ".,.TER PURVEYOR SEWER PURVEYOR V t UE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(`'.-.nate Feet) EXISTING FIRE SPRINKLER SYSTE PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTIN' PROPOSED TO r FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
SEC 'I.00R '- , '1 ,
COVERED ENTRY
DFi 1� P rs ri F° j t t : - A z
3
.8 _ x , ; - 04„ .:: -� .,„•„*:,,., ,„x,� , _ ,. _:: . _.
GARAGE ❑ CARPORT 0
ws �g -
ffi- .-,,t-e,A4,,.,,,,,,,0 PROPOSED TOTAL
9.
Area Totals
air.y- ., ;4-_- 4t -4 ;.,� x,s
ESTIMATED SELLING PRICE$ I #OF BEDROOMS \
•4
COMMERCIAL—NEW/ADD ON �`'
AREA DESCRIPTION `.ea Occupancy Group(s) Construction #of Additional Information
in ,uare Feet Type Stories
NrroP BUILDINEwoo. ��
ADDITION
COMMERCIAL _'` ' MODEL/TENANT IMPROVEMENTS
Area Construction #of
AREA DESCRI''ION Occupancy Group(s) Additional Information
in Square Feet Type Stories
•
&.47m.
AL BUILD ;.,-s # ti r, .:. h v.., }.,', , `*” ;.3” 9z `•, .,... :t° x�E
TENANT AREA ONLY
AREAOI Ter is , . ;« � .S '
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application