11-100776 ' ' s Mechanical
City of Federal Way 1111
Community Development Services Permit #: 11 -100776-00-ME
P.O.Box 9718 :' r
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: TABOR
Project Address: 1004 S 323RD ST Parcel Number: 150240 0050
Project Description: Remove/replace furnace
Owner Applicant Contractor
ROSS A&ANN TABOR BOB'S HEATING&A/C INC(GENERAL) BOB'S HEATING&A/C INC(GENERAL)
1004 SW 323RD ST 13615 126TH PL NE SUITE 400 BOBSHHA9790B(9/2/11)
FEDERAL WAY WA 98003-5929 KIRKLAND WA 98034 13615 126TH PL NE SUITE 400
KIRKLAND WA 98034
Additional Permit Information'
Mechanical Valuation 4000 Is this an Online or O.T.C.application Yes
Mechanical Fl �.. .'
Furnaces 1
PERMIT EXPIRES Saturday, August 27, 2011
Permit Issued on Monday, February 28, 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
and the City of Federal Way. �/�� /,
Owner or agent: oN L4NC Date:
4/2Yifa'j
•THIS CARD IS TO REMAIN ON-SITE
CI °F • Construction Lection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT #: 11-100776-00-ME Address: 1004 S 323RD ST
Project: ROSS A & ANN TABOR FEDERAL WAY, WA 98003-5929
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) El Gas Piping (4125) El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
02/25/2011 03:21 FAX 4258238848 BOBS HEATING f ]002
s
RECEIVE .
�i _ I O 0 7 -76-
- yr ' *
Federal-.. '�y.E B 2 8 2011 .RMIT SF MF CCCMF, PL ISE EN FP
(AM19hn NITYI.)I;vEwpb1C,NTSP:RVICf;S 4 ,
2 3.3:3..7,607.FAX 253.rrry 0' F FEDERA e,- �. ((�
(falP,llll4Qi�Cdf7(t14.K3 ! �^(e,
CDS 3?7 w
SITE ADDRESS SUITE/UNIT#
1004 S 323rd ST
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 3800 1 5 0 2 4 0 - 0 0 5 0
TYPEOF PERMIT
0 BUILDING U PLUMBING :MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT T
(AltiumtNrumu'/H,n:c,niuu=rl.a.clName] Ross & .1.nalettP_ Tabor
Replace .Furnace
PROJECT DESCRIPTION
Deluded description of work to
be inchtded orl this per-ro l nilly _
NAME PRIMARY PHONE
PROPIRTYOW1'IER Ross & Annette Tabor 253-927-3208
MAILING ADDRESS ---- ----^ E-MAIL
1004 S 323rd ST
CITYF,ederal Way STATE ZIP
98003
NAME
PHONE
Bo.b' s Heat-...ng and A/C 800-840-3346
MAILING ADDRESS . EMAIL
CONTRACTOR 13633 NE 126th PL
CITYSTATF. ZIPFAx
15/ K:I_xkland 98033 WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
BOBSHA.979OoB
09/ 02 /11 20-04-104965-00- :L
NAME
Bob ' s Heating Pf0-840-3346
APPLICANT MAILING ADDRESS � E-MAIL
13633 NE 126th. PL
CITY STATE ZIP FAX
Kirkland WA 98033
_ - - N .- e
PROJECT CONTACT NAME PHONE
(The individual to receive tori DeVona Tats — 206-378-6657
respond to all corresponds.ice MAILING ADDRESS E-MAIL
concerning this application) _
CITY STATE ZIP FAX
. ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
,,.,_ ..._..._ ._
1?col i wl oahut of$5.000 or:Tyre _
0 OWNER-FINANCED
(1tf:W 11.27.($10! 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 I!oes not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
Ifurther agree to hold 4armless the City of Federal Way as Co 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.-sgch claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppliercf =`itf�>crti ij-"" p a tI1Ys application.
`Ay{ r4
e
SIGNATItRE: �,,,,,.�S 1 f _.�. DATE �"�-
g
j I
PRINT NAME ... .._._ !)1 . 4 - :_.__ L _:.:...
Bulletin#100-ianuary 1.nil l Page 1 of 3 k:\Handouts\Perrnit Application
02/25/2011 03:21 FAX 4258238848 BOBS HEATING f ]003
• •
CkuANIcAL, IX' IRES
VALUE OF MECJ'ANICAL WORK $._ 4000 . 00 (acopy of bid or estimate must be provided)
Indicate how many of each type q/fixture to he installed or relocated as part q[this project. Do not include existing fixtures to remain.
AER EIANI)LING UNITS FANS (;A.S PIPE(c,iri,GTS OTHER(Describe)
AIR(:ONI)CI70NICR I ICEI'L.AC1, INSER1;S HOOrR5Icomm,.r,.1 1
BOILERS I'[;RNAC'I'%S I-[OT WATER TANKS
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS I'll'ING wOODS1'DVES
PLUMBINGFIXTURES
Indicate how many,)j each type o//irii_irc to be installed or relocated as part o/this project. Do not include exist y_/utures to remain.
BATFI'I'UHS,,, r i, .',,w r,,,,i,,, l.AVS Ir1.„a sin TOILETS WATER PIPING
[WASHERS RAINWATER SYSTEMS URINALS OTHER lfleseribr)
DRAINS SHOWERS VACUUM IIREAKERS
DRINKING FOUNTAINS _ SINKS ism.b,•n/l 1mm WATER HEA'I'I R' sk,sio
HOSE I3IBBS SUMPS WASHING M•'.HINES TOTAL FIXTURES
GI1NERAL.1N1+IO ATI s 4.,:•'•__
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYO: VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Fectl k EXISTIN t FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
(::I Yes r: No (::L Yes Li No
RFS I�r ` IA1a NEW oft A.I)AITION
AREA DESCRIPTION(in square feet) EXISTING, PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Horne)
SECOND FLOOR
r LIVERED L:N"1'I'Y
DECK
GARAGE ._( (CARPORT
OTHER(describe)
TXSS"IYNC, PROPOSED MTAs.
Area Totals
d YHOMgS 0141.1.,V*
Es"FIMA'1 E1)SELLING ING TRIC : II OF BEDROOMS
•
C O( I i+I . �
N C
ons4rtiArem IffAREA DESCRIPTIO Occupancy Group(s) Additional Info
rmationin Square Feet
Tye.. Stories
NEW BUILD r G --
ADD/TIO
COMMERCIAL --•- EMMM1I)EL/TEINANT IMPROV4MENTS
AREA DES'RIPTIC)N Area Construction ft of
in Square Feet Occupancy Group(s) Additional Information
TypeStories
'I'U'IYl.
BUIL I-iNG
Ti' ANT AREA ONLY
ROJECTAREA ONLY
Bulletin#100-January 1,2011 I'tlgc 2 of 3 k:Afiandouls\Peranii Application