11-101863 v Mechanical
City of Federal Way
Community Development Services Permit #: 11-101863-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 FILE. Inspection Request Line: (253)835-3050
Project Name: CHYNOWETH
Project Address: 1327 S 291ST PL Parcel Number: 516210 0050
Project Description: Install A/C unit
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Owner Applicant Contractor
RONALD A&VICKIE R CHYNOWETH WASHINGTON CORROSION SRVC INC WASHINGTON CORROSION SRVC INC
1327 S 291ST PL 1425 BLAINE AVE NE WASHICS055KC(5/4/12)
FEDERAL WAY WA RENTON WA 98056-2774 1425 BLAINE AVE NE
98003 RENTON WA 98056-2774
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Mechanical Valuation 3200 Is this an Online or O.T.C.application Yes
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Air Conditioners-Stand Alone Un 1
PERMIT EXPIRES Wednesday, November 9, 2011
Permit Issued on Friday, May 13, 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
Alio the City of Federal Way.
Owner or agent it,/ ti 401" aso Date:
er) 4/er/it
Foy
THIS CARD IS TO REMAIN ON-SITE '
CITY OF
F I Construction hiltection Record
Federal Way INSPECTION REQUTS: (253)835-3050
PERMIT#: 11-101863-00-ME Address: 1327 S 291ST PL
Project: RONALD A & VICKIE R CHYNOWE FEDERAL WAY, WA 98003-3778
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 *-11 /-" Dat es 7/
I Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• 1 _ 0 ( 8- 6) 3
CITY OF
Federal Way HERMIT SF1111.r.z., Nt FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609-2609
u uPrccinefferierateraucone
yes MAY I. 3 20
SITE ADDRESS 1 3,213— - CITY t I €t E / L WAY
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PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
3 � 1 V! Z t Q - 0 0
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING e>41ECHANICAL
❑ DEMOLITION❑ ENGINEE NG 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) e /1e _,
a-)
/C
PROJECT DESCRIPTION C,et-)S 77?G ( A, R Co n d t 770'1 ' 5
Detailed description of work to 'r' P re. O/(
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER -R CJ 1Lt C f e. &i D u.i e
MAILING ADDRESS E-MAIL
CITY STATE ZIP
reCkA4L 1I}A-`7P t / 9e60 '3
NAME PHONE
U)( r(igmvi Cot' -oS(0el S -Ig 9
MAILING ADDRESS ,-yE-MAIL
CONTRACTOR C M e Au 'I e
CITY /} / t1 ^ STATE ZIP FAX
WA ST TE CQN.i RACT�R'S LICE56c EXPIRATION DATEFEDERAL WAY BUSINESS LICENSE H
NAME [C S/(�/'J(-.]F Jam^ PHONE
(+0 c
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME ❑
OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person,including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to e ci 'as a part of this application.
SIGNATURE: DATE ,$ 7/
PRINT NAME:
Bulletin#100—Ja . I,2011 Page 1 of 3 k:\Handouts\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 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(commeraai)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
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/Utdiry) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES
oteit0g4,, *VI
i ift<0 ✓'or 4 y >..�c,=:
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
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
4BAZr ,fie'
., -.. .. _ .... __ .___._......... .................... .._.__.... .._......_.. ._._._....
FIRST FLOOR(or Mobile Home)
jJ
COVERED ENTRY
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GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
��a y
UOMMERCIAL-
w�Fa,''�,'�
Construction #of
AREA DESCRIPTION Area Occupancy Group(s) Additional Information
in Square Feet Type Stories
xg:
ADDITION
+. .+x . rte,.,;
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AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in S.uare Feet .e Stories
TENANT AREA ONLY
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Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application