11-103379r
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: INGLE
Mechanical
FILE'
Permit #: 11 -103379 -00 -ME
Project Address: 30045 6TH AVE SW
Project Description: Remove/replace furnace and hot water tank
Inspection Request Line: (253) 835-3050
Parcel Number: 039600 0030
Owner
Applicant
Contractor
DUANE INGLE
TAYLER MILLER
ADVANCED FILTER & MECHANICAL INC
30045 6TH AVE SW
ADVANCED FILTER & MECHANICAL
(GENERAL)
FEDERAL WAY WA 98023-3520
418 NW VALLEY AVE
ADVANFM044RD (12/29/12)
PUYALLUP WA 98371
418 VALLEY AVE NW UNIT 13115
PUYALLUP WA 98372-2503
Additi 4"nat�t�triitlC�tt .. .
Mechanical Valuation............................................3161.72 Is this an Online or O.T.C. application? ................. Yes
VINAIdkD
CITY OF As�
Federal Way
PERMIT #:
Project:
11 -103379 -00 -ME
DUANE INGLE
THIS CARD IS TO REMAIN ON-SITE
Construction Iection Record
Q
INSPECTION RE lUkTS: ( ) 253 835-3050
Address: 30045 6TH AVE SW
FEDERAL WAY, WA 98023-3520
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.
rl Mechanical Rough -in (4165)
Gas Piping (4125)
rl Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
By Date
By X4W Date OC -'-02
77m 2 f`�a
FILE
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
08-19-2011 09:13AM FROM -ADVANCED FIL R & MECHANICAL 12537702443
�%niWiJL
T-121 P. 002/004 F-954
Federal Way
v
EIVE
C0MM1JNJ7YDEVSL0PMENTSGRV1CBs
259-yy5.2607. rnx 253-W5-2609
"PLICATION
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+
$ITE ADDRESS
300��
-MM N0M 01002-:5
sw fed
CITY
BUITE 0
F EaL WAY
WA STATE
PROJECT VALUATION
$31 \V1'-12
ZOW NG ASSESSOR'S A1C/PARCEL N
D_ 21) 11_o_
1,:XFUtATIO DATE
0_ � 0
TYPE OF PERMIT
❑ BUMDING n PLUMBING A&IMCHANICAL
NAME
-
❑ DEMOLITION ❑ENGINEERING Q ETRE FREVEN11
ON
NAME OF PROJECT
(Tonto'tI Name/HorwowrierLast Name) \J (AT)C MOV
HO E \ - 2 1
APPLICANT
PROJECT DESCRIPTION
Detailed description of Work to
be included on tilts permit only
PROPERTY OWNER
�L6
PRIMARY PHONE"
2.53..
I-
R -MAIL
7 cert{fy under penalty 4f perjury that I am the property owner or authorized agCnl: of the prapCFa:d
owner. certM that to the best
of my knowledge, the information submitted in Support of this permit application to i.rue and correthat l will comply with
all applicable City of Federal Way regulations pertaining to the work authorized b I the issuance . I understand that the
issuance of this permit does not remove the owner's responsibility for complianea.- with local, $ederal taws regulating
construction or environmental taws,
I further agree to hold harmless the City of Federal Way as to any claim (Inoiudiutp costs, expensorneys' fees incurred in
the investigation and de en9e of such claimi. which may be made by any person, ind Lading the undod flied against the city,
but only where such c im arises out of the reliance Qf the city, including Its g0[cers arta empla Vees, upon the accuracy Rf the
information supplied t city as rt of this applic tore.
WONATURE: .,� DA CI
PRINT NAME:
Bulletin #100 =January 1, 2011
Page 1 of 3
k:lHandouts\Permit Ap{ilication
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25 ;S- 11 1- LM -n
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CONTRACTOR
CITY
STATE
WA STATE
TRACTOR'S CLNS w
1,:XFUtATIO DATE
FROERAL WAY BUSINESS LICENSE i1
NAME
-
�!I Ch
HO E \ - 2 1
APPLICANT
eaAn nvG.Afl
9
'
I,
E-MAM O !A_�" -e_ GQ , L
CITY
PROJECT CONTACT
NAME
�S
2 r
61
(The individual to receive told
respond to alt Correspondence
w.nn**TGADD
a
j
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�. 1
��� -� cc
C `.
concerning rhes application)
1�
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BTATEA
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31
243
,
. P.3i�NE ��
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.E-MAEL J-�-[" e �L�
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PROJECT FINANCING
0 OWNER PINANCED
Required vow of $5,000 or more-
(RCW 19.27.051
UAKIING
REBS, CM. STATE, ZIP
PHONE
7 cert{fy under penalty 4f perjury that I am the property owner or authorized agCnl: of the prapCFa:d
owner. certM that to the best
of my knowledge, the information submitted in Support of this permit application to i.rue and correthat l will comply with
all applicable City of Federal Way regulations pertaining to the work authorized b I the issuance . I understand that the
issuance of this permit does not remove the owner's responsibility for complianea.- with local, $ederal taws regulating
construction or environmental taws,
I further agree to hold harmless the City of Federal Way as to any claim (Inoiudiutp costs, expensorneys' fees incurred in
the investigation and de en9e of such claimi. which may be made by any person, ind Lading the undod flied against the city,
but only where such c im arises out of the reliance Qf the city, including Its g0[cers arta empla Vees, upon the accuracy Rf the
information supplied t city as rt of this applic tore.
WONATURE: .,� DA CI
PRINT NAME:
Bulletin #100 =January 1, 2011
Page 1 of 3
k:lHandouts\Permit Ap{ilication
I
08-19-2011 09:13AM
FROM -ADVANCED FILAR & MECHANICAL 12537702443S j-121 P.003/004 F-954
f
M�yC"A^��4cAL:FTu s,
CRITICAL ARrAb ON PROFSR'T7r?
WATER PURVEYOR
VALUE OF Mrrnrramrr-ar. WpRg $ � " (/ (a coy bid or v, - timate must be
rovided)
Indicate how many f each a Offixt ire to be installed or relocated as parr of tt; t ro ect. Do 1`101
fnelude existing -fixtures ro remain.
AIR HANDLING UNITS DANS GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONL•'12 FIREPLACE INSERTS HC (,DS ICommen ou
FIRST FLOOR (or Mobile Home)
BOILERS _� FURNACES I -ICT WATERTANKS (
,n1
COMPRESSORS GAS LOG SETS REFRIGERATION SYS
SECOND FLOOR
DuCT1NG GAS PIPING WOODSTOVES
7S XTU14
Indicate how mann of each type Qf ftxture to be Instaited or relocated a5 parL of r} LI, project. Do no include existing jixiures to rema(n-
BATHTIJ13S (o n,b/rI,Q—fCombo) LAYS III and SmW TO 1,M WATER PIPING
DISI-IWASHERS RAINWATER SYSTEMS URINALS OTEER (Describe)
. - — DRAINS SHOWERS VA,21[jUM BREAKERS
�— DRINKING FOUNTAINS SINKS IK110 �NUullq) WATIER FIEATERS (Lne nel
1 -LOSE 131BBS SUMPS WASHING MACHINId TOTAL FIXTURIEA
GENERAL INFORMATION. -
CRITICAL ARrAb ON PROFSR'T7r?
WATER PURVEYOR
5BWER vMveyoft
V
ILUE OF EAG 6TING XMPR-OVEMENTS
iOPOSED FWZ iSUPPRILMaZON SYSTEM?
❑ Yes ❑ No
E313STINO/PREVIOUS USE
LOT 812E Un Square Ree)
UjUSUNG FIRE Wnw(VIZIt SYSTEM?
❑ Yes ❑ No
P
°..,:RESIDENTIAL;
EW.OR �,�)ITII
A1W,A 1)E6CRIPTION (in Square feet)
ENLISTING
PROPOSED
TO',r.AL
BASEMENT
NEW BU=I G
i I
FIRST FLOOR (or Mobile Home)
ADDITION
SECOND FLOOR
COVERED ENTRY
CO1V MERcLk : . REMODEL/TENANT glMPROVEALNTS
AREA DESCRIPTION
DECK
Occupancy Group(s)
(.:instruction
,II
Additional Information
GARAGE ❑ CARPORT ❑
_Type
OTHER (describe)
I,
TENANT AREA ormy
Area Totals
=STING
raoroe�
ru er,i�
""NE9V HOMES
ONLY`"
ESTIMAT1yD SELLING PRICE .$
# OF BEDROOMS
COMNIERCTAL:-" N�EW/AD��!li'
ATMA DESCRIFITON
Area
in Square Feet
Occupancy Guru s
P�e9 P()
4',I)nstruction
# of
tories
Additional Information
NEW BU=I G
,ha
ADDITION
CO1V MERcLk : . REMODEL/TENANT glMPROVEALNTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
(.:instruction
# of
Stories
Additional Information
TOTAL. BUDDING
_Type
I,
TENANT AREA ormy
PROJECT AREA ONLY
1
Bullclin#100-.January 1, 2011
Page 2of3
k:\Handouts\PermiL ApplivuLlon
CITY OF
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253-835-2607• FAX 253-835-2609
tv?_rt . _ri?gveue_rf�l ugzg. corr_.
9PERMIT
APPLICATION
L -L L L
MF CO ME PL
RECEIVED
MAY 16 2-.z
DE EN FP
SITE ADDRESSy.
- ' 6C �4 �� C� TY e
SUITE/UNIT #
L �IIAY
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
9 & t
I J �j
--� L -&— —/—
TYPE OF PERMITBUILDING
❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
_C c S cn T��C i 1'
PROJECT DESCRIPTION
Detailed description of work to
C" � P
I is ' L: C _.SC= L± /cc L t
be included on this permit only
NAME j'
�i �t✓\'��1
PRIMARY PHONE
PROPERTY OWNER
y' ��
MAILING ADDRESS ( ,�
LYq TMJ/
E-MAIL
CITY J(/ }�
STATE
ZIP
`C C->
NAME ,,..� () w
PHONE
MAILING ADDRESS ., /'
E-MAIL
CON O
CITY
1- cil'�
STATE
ZIP �.},
FAX
2
wq.$TATE CONTRACTOR'S LIC %E�
14z— /11 C
FXP� �TL,N DATE r }
- J
FEDERAL WAY BUSINESS LICENSE #
1(X�
NAME
PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CIT7[f /
STATE
ZIP
FAX g !�
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
respond to all correspondence
MAILING ADDRESS
E-MAIL
concerning this application)
1� u � V , i'
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
ER -FINANCED
Required value of $5,0 ore
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
/RCW 19 95)
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 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 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.
0
SIGNATURE: DATE f
PRINT NAME: / ! 1, s l
Bulletin #100 — January 1, 2011 Pagel of 3 Ul-landoutsTermit Application