08-100271 4
City ofFederal Way • Mechanical Permit108-100271 -00-M,E
Community Development Services
P.O.Box 9718
, -
Ph:(253)
Federal 835-26Way07WA Fax:98063(2533)9718 835-2609 Inspection Request Line: (253) 835-3050
Project Name: BACON
Project Address: 2706 SW 323RD ST Parcel Number: 873180 0830
Project Description: Remove/replace furnace
Owner Applicant Contractor
•
ZADIH&PATRICIA BACON BRENNAN HEATING&A/C LLC BRENNAN HEATING&A/C LLC
2706 SW 323RD ST 4601 S 134TH PL BRENNHA971R9 12/29/09
FEDERAL WAY WA 98023-2522 TUKWILA WA 98168 4601 S 134TH PL
TUKWILA WA 98168
Additional Permit Information
Mechanical Valuation 3227.89 Over the Counter Permit? Yes
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES Monday, January 18, 2010
Permit Issued on Friday, January 18, 2008
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: See Application Date: See Apphcation
JAN 18 2008 JAN 18 2008
THIS CARD IS TO EMAIN ON-SITE
CITY u ;ommunitY p �Develo me t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 83.5-30.50
PERMIT #: 08-100271-00-ME
Owner: ZADIH & PATRICIA BACON
Address: 2706 SW 323RD ST
FEDERAL WAY, WA 98023-2522
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(re 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.
00 Mechanical Rough-in (4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By C. Dat
•
•
•
For inspector reference only _
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved •
By Date By Date
RE
< s RECEIVED BY MMUNITYDEVE OPMEDNBpEPART
' ,k - COMMUNITY DEVELOP ?DEPARTMEI�A
IN z s coos '_ / 0 0 9 / I
'. Federal Way PERMIT — —
COMMUNITY DEVELOPMENT SERVICES SF MF I/•J°-- - PitE q) FP
33325 FEDERAL
SOUTH•63 BOX 9718 APPLICATION
FEDERAL WAY,WA 98063-9718 7D /
253-835-2607•FAX 253-835-2609
'{
www.cidlottederalwau.com J A AI 1 Q 200
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
- - I S A I A
` 2 • PROPERTY INFORMATION
l7
SITE ADDRESS 170 ��IL 3 3 5 / [� 3 SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# [4 7 , I g ✓ - 0 O 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) '� c e t r
, �rr
etrffi m,nrepage for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING MECHANICAL
0 DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT' .
DESCRIPTION(Provide detailed description of work included on this permit onlu)
•t 1 UVIr - ,A �,T ..
PROJECT NAME(Name of Business or Owner Last Name)
II PEOPLE INFORMATION
PROPERTY NAME 74.-..t. q\ PRIMARY PHONE
OWNER 1 e%rf 1V (-2-3-3 ) 8.3 -3i 3J
MAILING ADDRESS CTI,Y,STATE,ZIP E-MAIL ADDRESS
27oG S,- .v,,-5 0- fed .,icy 1J.g- 9V3
CONTRACTOR COMPANY NAME APPLI NAME OFFICE PHONE
G?c i CAA R44 len ' f(_ 1 Y� :LL's
_�� ( )ZL/dam 79
MAILING ADDRESSCRY,STATE,ZIP CELL PHONE
CIT
C ' SSFEDERAL 7 CP1/�-B SINESS LICENSE NUMBER rc,k ,iEaXPIRA oTE 9K/�� FAX (U ) 77( - 41q
R
2(2 -011- /0/d 22 - 6?0 b4 /2-31 -1-0v t< ( )
CONTRACTOR'S REGISTRATION NUMBER I WWATION DATE E-MAIL ADDRESS
2'N'.0N illy-Cl7iK°i %2-,2.y 4
APPLICANT COMP1NY NAME APPLICANT NAME OFFICE PHONE
_Sctrh,?, 1n ( ) -
MAILING ADDRESS ' CITY.STATE.ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant ❑Agent ❑ Other ( ) -
PROJECT N PRIMARY PHONE, / nE- ADD ,i
CONTACT INAttL, A01^-e-5 (.--9:/" ) 77A - g� G� iqr, tiElitN.,n/7C'c21 a,� •Lo 1i)'
LENDER NAME Per RCW 19.27.095: J
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES o NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
Mt
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL 68 STINO SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
II FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
MECHANICAL (r
Value of Mechanical Work$ 3,p,?.7 k:,ll (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commeretep
COMPRESSORS I FURNACES RANGES
DUCTS GAS LOG SPAS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 arty 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: A,A , a_ - DATEv
•
Property• r and/or Authorized Agent
FOR OFFICE USE ONLY
c NEW c ADDITION c ALTERATION c REPAIR c TENANT IMPROVEMENT
BUILDING SHELL ONLY? c YES ❑NO BASIC PLAN? o YES c NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? ❑YES c NO
PLATTED LOT? c YES c NO DEMO PERMIT REQUIRED? ❑YES c NO
Bulletin#100—August 16,2007 Page 2 of 4 k\Handouts\Permit Application