11-100207 Mechanical
City of FederaWay • •
Permit 11-100207-00-ME
Community Development Services #:
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: GEBRE-SELASSIE FILE
Project Address: 1424 S 289TH PL Parcel Number: 516210 0480
Project Description: Changeout furnace due to fire damage
Owner Applicant Contractor ,
YESHI GEBRE-SELASSIE HUNTER MECHANICAL HUNTER MECHANICAL
1424 S 289TH PL 12202 174TH AVE SE HUNTEM*984JD(5/12/12)
FEDERAL WAY WA 98003-3759 RENTON WA 98059 12202 174TH AVE SE
RENTON WA 98059
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Mechanical Valuation 4000 Is this an Online or O.T.C.application9 Yes
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amu. (u y1, a• s Ya.:
Furnaces 1
PERMIT EXPIRES Sunday, July 17, 2011
I
Permit Issued on Tuesday,January 18, 2011
hereby certify that 8-14. -•► •i matian is correct and that the construction on the above described property and
the occupancy and - - e in accordance with the laws, rules and regulations of the State of Washington
and the City`of Federal Way.
Owner or agent: Date: I 18-11
�� ' (
• THIS CARD IS TO ' LA AIN ON-SITE - , ,
CITY OF Construction Ins 1 tion Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 11-100207-00-ME Address: 1424 S 289TH PL
Project: YESHI GEBRE-SELASSIE FEDERAL WAY, WA 98003-3759
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) 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date .By Date `�` Date / --
E Rough Electrical1:1 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
.. 41 - i 00, 0 7--
dera WayPERMIT MF CO ME PL DE EN FP
CO25MLNITY DEVELOPMENT SER s i LIGATION �(
2.5:;-R3,5-2hn7•,FAX,I,253 2f02■ � ,
SITE ADDRESSJAN 1 8 �'.i SUITE/UNIT#
ILi 2�.. ' PAbN Y 98 03
PROJECT I NO D ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT ❑BUILDING 0 PLUMBING MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT ,
( Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION '" g' Olit
Detailed description of work to piekCAiltjk. /3(,i 5-f) Ie' +rztu. 000
be included on this permit only r rrJ
.titiayett.l._ tA.A4 1-a, V. . (It ryrevit..-
(see)
NAME' PRIMARY PHONE
PROPERTY OWNER ,6e.1 ASS i.
MAILING ADDRESS/LJ Z4 S z ,fu v)6. E-MAIL
CfrithAci STATE
IAAIZ1 ' W,A Z>p611'003
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NAME !!vert-k t Ui/ o it.A \ P266 877 %_/
MAILING ADDRESS fj E-MAILq
CONTRACTOR I ZZO Z. /.7411/4' 614A ' 7 a As7
n STATE Z�gosr ? FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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g-1)5 s(1i `w r'0T PHONE
APPLICANT MAILING ADDRESS ✓ E-MAIL
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STATE Z FAX
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VGI vWT �?v59
PROJECT CONTACT NAME A �pPHONE Q
(The individual to receive and J")'I ►�,•�► SA iptar A 1 -g71 9 9 cis'
respond to all correspondence MAILING ADD Ess .` E-MAIL
concerning this application) 17Z 0 Z 17`i ' co.)�-- sc
CI STATE ZIP FAX
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ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more ////Lr`�
(RCW 19.27.095) MAILING ADIAJ, T1 3'1�ATE,ZIP PHONE
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 a e of such claim),which may be made by any person, including the undersigned, and filed against the city,
but only where s- •1#
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information sup, ie• city as a part of this application.
SIGNATURE: DATE )~ 'g J 1
PRINT NAME: sl Q SCA t t/e,r Q r
Bulletin#100—April 14,2010 ,J Page 1 of 3 k:\-landouts\Permit Application
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VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type offixture 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 I FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST •
I DUCTING GAS PIPING WOODSTOVES
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