08-100087 s S i
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ty
CommunCiity of DevelopmentFederalWaServices Mechanical Permit : 08-100087-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Requ 835-3050
Project Name: NICKINOVICH
Project Address: 2709 SW 347TH PL ----A Pa 1 Num 946 0280
Project Description: Replace gas to gas 90k btu furnace
Owner Applicant ontractor
ROGER NICKINOVICH NORTHWEST PERMIT INC WAS GTON ENERGY SERVICES CO
SHIRLEY E NICKINOVICH 1345 GULF 'OAD (W CO)(G neral)
2709 SW 347TH PL POINT ROGER A 98281 WAS S9 O2 9/2/09
FEDERAL WAY WA 98023-3085 28 TH YKE AVE W
'TLE WA 98199
Ad al Permit Inf. .'`ion
Mechanical Valuation 5649 Over the C 9 Yea
Mach al Fixtures 416,
Furnaces
M RES Thursday, January 7, 2010
rmit Issued on Monday, January 7, 2008
I h certify tha - above information is correct and that the construction on the above described property and
ccupancy a • ;se will be in a.. •rdance with the laws, rules and regulations of the State of Washington
0.1 d the City if F.,,= al Way.
or agent: /1// yitA 1.41 Date: �'
AL-
• THIS CARD IS T EMAIN ON-SITE
CITY OF - Community Develop ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-100087-00-ME
Owner: ROGER NICKINOVICH
Address: 2709 SW 347TH PL
FEDERAL WAY, WA 98023-3085
This card is part of your required inspection documents. 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 i 'l - Date z�� a•
•
For inspector reference only _
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
01-04-' 08 12:11 FROM- T-080 P002/004 F-154
•
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edePERMITa
COMMUNITY SE MP CO VIF EL PL DE EN PP
93975 LDENA�ENUIr SCIU77��V LI CATION 10,1 _
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253 25.2407.FAX 259.835.2 1 I L D i N G D` r' _ / /
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The following is re!aired i ormation-an incom•late a••tioation wits not be acce•ted. Please •rent ieoiblu(in ink)or •-,
U PROPERTY INFORMATION
SITE ADDRESS 2709 SW 347TH PL SUITE/UNIT 1i
ASSESSOR'S TAX/PARCEL 4r 5 0 2 9 4 6 - 0 2 8 0 LOT SIZE(sf)
LEGAL DESCRIPTION(Co., Acme Estates,Lot 1)
4luacf,$olxrola rood IA,0,491141 t al amv11,3k4V
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL Q ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION!Provide detailed descrirltion of work included on this permit only)
REPLACE GAS TO GAS 90K BTU FURNACE
PROJECT NAME(Name of Business or QwrtCr Last Name) NIKINOVICH
• PEOPLE INFORMATION
OWNER
PROPERTY
NAME ROGER NICKINOVICH (1253ARYPHONE
838.1085
WAILING ADDRESS CITY.STAIR,ZIP
2709 SW 347TH PL Federal Way, WA 98023
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
WESCO (206 ) 378 - 6608
MAILING ADDRESS CITP'.STATE,ZIP CELL,PHONE
2800 Thorndyke Ave W Seattle WA 98199 ( 1 -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2. 4-Q __3- 1 _0 4 2_ .3 _4-B 1, 12 / 31 / 07 ( )
CON'TRACTOR'S RE6I$TRAttON NUMSEI (copy of card required with each application) EXPIRATION DATE
WASHIES 9 7 1 OB 09 / 02 /09
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Northwest Permit Inc Naida Khan (360 ) 945 -2787
MAILING ADor<ESS CITY.STATE.ZIP CELL PHONE
1345 Gulf Road Point Roberts, WA 98281 ( ) -
RELATIONSHIP TO PROJECT FAX NUMEER
❑Architect o Tenant 9/Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE1 MAIL ADDRESS
Naida Khan (360 ) 945 2787 naida@nwpermil.Com
LENDER Per RCW 19,27,095: Lender information is NAME
required(f prefect value exceeds$6000
MAILINO ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE SFR PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ „ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES Cl NO
WATER SERVICE PROVIDER 0 LAKEHAVEN Cl HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN Cl HIGHLINE 0 PRIVATE(SEPTIC)
01-04-'08 12:11 FROM- T-080 F003/004 F-154
0 •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING - PROPOSED TOTAL
w SQ.FT. sg.FT. SQ.FT.
BASEMENT
FIRST -
SECOND
THIRD
FOURTH -
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EX=MI PROPO56D TOTA(. TOTAL Malmo 11. TOTAL PROPO58D8P TOTei,8P
."NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixlure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MEcHAI(rrCAL 5649,19
Value f Mechanical Work $
AIR HANDLING UNI S EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS
He19S FANS HOODS(c„o.,,,crciuu WOODSTOV ES
BOILERS FIREPLACE INSERTS RANGES MISC(Deeer(be)
COMPRESSORS 1 FURNACES GAS WATER HEATERS
DUCTS OAS PIPE OUTLETS
PLUMBING
BATHTUBS to,n,u/S(w„r,-Combo) SHOWERS WNi'EttCLOSETS a„a,() MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACIIINEiS URINALS HOSE BISBS
LAVS(Da(broom Sink 4) VACUUM BREAKERS ELECTRIC WATER IIEATERS
DISCLAIMER/SIGNATURE BLOCK
I cert(fy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorised by the owner of the above premises to perform. the work for which the permit application to made. 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 of Federal Way,but only where such olaim
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.
NAME/TITLE '/ ) #i NW �-" '' "v* i-- DATP� ! O� 20-.)%/
(Sigr(au(rc( (Title) 1111RELATIONSHIP TO PROJECT 0 owner 11/Agent o Contractor 0 Architect 0 Other
FOR'OFFICE USE ONLY
❑NEW ❑ADDITION a ALTERATION c REPAIR C TENANT IMPROVEMENT
BUILDING SHELL ONLY? (.i YES c NO BASIC PLAN? C)YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? r YES n NO UP/SEPA/SU? a YES n NO
PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100—January I,2006 Page 2 of 4 k\Handouts\Permit Application