08-100081 4
City of Federal Way •
Community Development Services Mechanical Permit"! 08-100081 -00-ISI E
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 r. --,(1 L-_' Inspection Request Line: (253) 835-3050
Project Name: NELSON
Project Address: 503 SW 317TH PL Parcel Number: 745080 0080
Project Description: Installing a Bryant gas 60k btu furnace- Model #355AAV042060
Owner Applicant Contractor
THOMAS J NELSON NORTHWEST PERMIT INC WASHINGTON ENERGY SERVICES CO
KRISTIN A NELSON 1345 GULF ROAD (WESCO)(General)
503 SW 317TH PL POINT ROBERTS WA 98281 WASHIES971OB 9/2/09
FEDERAL WAY WA 98023-4636 2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation 4724.08 Over the Counter Permit? Yes
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES Thursday, January 7, 2010
Permit Issued on Monday, January 7, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy a d the use will be in acc• •ance with the laws. rules and regulations of the State of Washington
the City of Feder.:l Way.
Owner or agent: LallAiiii
i AA l/ Date: ( � 7 00
THIS CARD IS TOREMAIN ON-SITE
CITY OF ICommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-100081-00-ME
Owner: THOMAS J NELSON
Address: 503 SW 317TH PL
FEDERAL WAY, WA 98023-4636
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.
•
�❑ Mechanical Rough-in (4165) ❑ Gas Piping(4125) ❑ Final -Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By71 G� "ate ' / b
•
•
•
For inspector reference only _ _ __
O Rough Electrical 0 FINAL -Electrical
Approved Approved
By Date By Date
r 01-;04-' 08 13: 23 FROM- T-082 P002/004 `F-156
k 0 g--_ / ô0c /
inrar A SUBMITTED
Fe�deralV_�, PERMIT
corpuuNriYOFVB.LOP :ENTSERVICEs SF MF CO EL 1't, DE EN FP
33525 8111 SOUTH•PV G»
FEDERAL WAY,WA 96063-97/9 J 7 20°A P P LI C AT I O N
ro / /
233.885-2607.FAX 253-835-2609
'''''dtrtaflalsrsitluvin+'OF FEDERAL� Wi r
The following is regtarsd''t rtiaTiion-an incomplete application will not be accepted. Please print Legibly(in ink)or type.
I. PROPERTY INFORIVIATIQN
SITE ADDRESS_ na SW jT7TH P SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 7450800080 _ _ LOT SIZE(1)
LEGAL DESCRIPTION (e,g,Acme Estates,Lot 1) „„.
(Artah SOpwNte pagefor tergthy loyal chexcn'ptoN
IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING CI PLUMBING Vi MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this pc ni.it onto)
Installing a Bryant gas 60K btu furnace- Model 355AAV042060
PROJECT NAME(Name of Runes or Owner Last Name) Tom Nelson
• PEOPLE INFORMATION
M
PROPERTY NAI.IE PRIMARY PHONE
OWNER Tom Nelson (253 ) 946-5555
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
503 SW 317TH PL Federal Way, WA 98023
CONTRACTOR COMPANY NAME .. APPLICANT'NAME OFRICE PRONE
W E S CO ( 206 ) 378-664-9
MAILING ADDRESS CITY,STATE,ZIP r CELL PHONE
2800 Thorndyke Ave W Seattle WA 98199 ( ) -
CITY OP FEDERAL WAY COOLNESS LICENSE NUMBER EXPIRATION DATE PAX NUMBER
20031042348L 12/31/08 ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
WASHIES971 OB 09/02/09
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Northwest Permit Inc. Naida Khan ( 360 ) 945-278-7
MAILING ADDRESS CITY,STATE,LIP CULL PHONE
1345 Gulf Road Point Roberts,WA ( )
RELATIONSHIP TO PROJECT FAX NUM&Eh
0 Architect ❑ Tenant ¢1 Agcnt 0 Other (360 ) 945-2091
PROJECT NAME - PRIMARY PHONE E-MAIL ADDRESS
CONTACT Naida Khan/ Northwest Permit (360 ) 945-2787 naida@nwpermit.Com
LENDER NAME Per$CW 19.27.095:
Lcndcr information is required ifprefcct value ti Reeds$5,000
MAILING ADDRESS CITY,STATE,ZIP - PHONE
( )
■ DETAILED BUILDING INFORMATION
EXISTING USE Residential PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? Q YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
01„04—' 08 13: 23 FROM— T-082 P003/ 004'F-156
: .
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. _ SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD W
-ADDITIONAL FLOORS(DESCRIBE)
—
DECK(❑COVERED OR ❑ UNCOVERED?)
GARAGE 0 CARPORT ❑ Vrn
NUMBER OF FLOORS rYm
IS INCk ...Gan, ToVAL r�r.r11679OSY ono nPoroseo r TOTA49a
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
.MECHANICAL 4 724.08
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
SBQS PANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(CommeroUll
COMPRESSORS 1 FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or TVD/5h e,r Combo) LAVS(Bethroom Smkal URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(no.ko
ELEC'CRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIDES 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
knowledyc, the information submitted in support of this permit application is true and correct.I certify that I wilt 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 casts, 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 app feat{on. '
A) 17
SIGNATURE: DATE / v��
Pi erty Owner and/or Authorized Agent _
71t�aa,l'ikCYl '.A & Iq v X rilyl
o NEW a ADDITION o ALTERATION0 REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? 0 YES 0 NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
r
NEW ADDRESS REQUIRED? 0 YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? 0 YES 0 NO DEMO PERMIT REQUIRED? 0 YES o NO
Bulletin 4100—January 1,2008 Page 2 of 4 klHandouts\Permit Application