08-103291 City of Federal Way Mechanical PerIPt #: 08-103291-00-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: EMERY ;1
Project Address: 32820 20TH AVE S UNIT 22 Parcel Number: 144170 0220
Project Description: Replace existing gas furnace with a new gas furnace
•
Owner Applicant Contractor
ALANA EMERY GLENDALE HEATING&A/C GLENDALE HEATING&A/C
32820 20TH AVE S SPACE 22 12462 DES MOINES WAY S GLENDHA053Q2 11/2/09
FEDERAL WAY WA 98003 SEATTLE WA 98168-2266 12462 DES MOINES WAY S
SEATTLE WA 98168-2266
Additional Permit Information
Mechanical Valuation 2549.62 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Furnaces 4
PERMIT EXPIRES Sunday, January 4, 2009
Permit Issued on Tuesday, July 8, 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 b- is'ccordance with the laws, rules and regulations of the State of Washington
J and the City of Federal Way.
Owner or agent: /'/ Date: 41/4/1&-'s
THIS CARD IS TO WAIN ON-SITE
CITY OF � - Y p Inspection Develo me t Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103291-00-ME
Owner: ALANA EMERY
Address: 32820 20TH AVE S UNIT 22
FEDERAL WAY, WA 98003-9429
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 %�s�� lDate if
;16i fl
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
a
w REcvE® •
FA Of a _ I 0 Z 9 1
ederal Way JUL o 8.20 3PERMIT
y(�,� SF MF CO EL PL DE EN FP
COMMUNITY DEVELOPMENT'SERVICES
3392E VEM1E.WA 998 9971 971 ®F F E ATI O N
3835267•F25FAX 253-833-2608 - —' /
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www.cituoifederalwau.00M C
The following is required ir{formation-anIncomplete application will not be accepted. Please print legibly an ink)or type.
SITE ADDRESS_ 3 o 0 a(} r 1 L i1.� SUITE/UNIT 8
ASSESSOR'S TAX PARCEL 8 4., / _ - 1).. LLQ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
etsptFog. ,
MI PROJECT INFORMATION ir'r`
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIR' PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work Included on this permit on(ti)
!t i ;a U 4 94s s-\\11))°-)1 a Ci vl 11111 f TIA rnt+U—.
PROJECT NAME(Name of j3usiness or Owner Last Name) I i7 1 I r\
PROPERTY NAME PRIMARY I a h� f..-livri ( 1TT 1 b�OWNERoi - 4 ")�
MAILINGDRESS .. CITY. E-MAIL ADDRESS
Afe
CONTRACTOR COMP i\ �.- APPLICANT NAME OFFICE PHONE
til �.171C1 �I `GIPS,�n y ( Dlp) �5 -�)oo
MAILING ADDRESS �1 4 \ `\ UUjjJJ��.''1[��t/(, Inv CY �/1�11,��! ry/)�( () (CELL PHONE
CITY OF FEDERAL IWAY USINESS LI ENEE NUMBER D o'i`l+ `U�A_ILtY TION DA yTE
7l(7�1/%n 01 FAX NUMB/ER
,esti 1,) _ 6/.,)
,s ISTRATION ER
MAIL D
ICOPT lia ,_,,a,
���' ����P'U�7�� EXPItATIorTDA���e 1-tb Ji^� t}'��q1tliY�Itih . Wl
APPLICANT COMPANY NAME 1,�,�.' ,l' APPLICANT NAME VV OFFICE PH
t
j i t YA��S 4 r. ( )
MAILING ADDRESS CITY.STATE.ZIP CELL PHONE
RELATIONSHIP TO PROJECTFAX NUMBER
i
❑ Architect 0 Tenant 0 Agent q\Other t hirci Y ( )
,
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required(f Project value exceeds$5.000
MAILING ADDRESS CITY,STATE,ZIP r-PHONE
I ( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINHLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES o NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(W!
SEWER SERVICE PROVIDER n LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
COMM PROPOem TOTAL TOTAL COMM er TOTALPOOP0®W, TOTAL SP
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each typeooffxture to be installed or relocated as part of this project. Do not incUuiv existing fixtures to remain.
ValueMECHANICAL
Mechanical Work$ '),,171, 0g (A COPY OF'BID OR ES7TMATE MUST BE INCLUDED WTIH APPUCATTON)
AIR HANDLING UNITS EVAPORATIVE EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS)Comm.rdo
COMPRESSORS l FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS awe)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify 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 perforin the work for which the permit application is 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 gf
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,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.
G
NAME/TITLE 4 ,T-q/tit . C/604(0) DATE 07/D4 0
i igneture) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ❑ optractor 0 Architect ❑ Other
FOR OFFICE USE ONLY
❑NEW ❑ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit Application