12-104634k.
Cltybf Federal Way
Community & Econ. Dev. Services
33325 81k A S
40
r
Mechanical
Permit #: 12 -104634 -00 -ME
ve
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: ABRAMOV
Project Address: 30539 6TH AVE SW Parcel Number: 178880 0540
Project Description: Replace existing gas furnace and add new ducting
Owner
Al2plican
Contractor
KONSTANTIN A ABRAMOV
WORRY FREE MAINTENANCE SERVICE LLC
WORRY FREE MAINTENANCE SERVICE
30539 6TH AVE SW
4411 155TH ST NW
LLC
FEDERAL WAY WA 98023
GIG HARBOR WA 98332
WORRYFM945MG (7/7!14)
4411155TH ST NW
GIG HARBOR WA 98332
Additional Permit 'Information
Mechanical Valuation............................................2800
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures'
Ducting........................................... 1 Furnaces......................................... 1 Gas Piping ...................................... 1
PERMIT EXPIRES Sunday, April 7, 2013
Permit Issued on Tuesday, October 9, 2012
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
�an City of Federal Way.
Owner or agent: ' �- i Date: 0C'T 9, 20 ) 2
p(oplab lo/Zi/l2
I
CITY OF Ah�
Federal Way
PERMIT #:
Project:
0
r
THIS CARD IS TOMAIN ON-SITE ,.
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -104634 -00 -ME
KONSTANTIN A ABRAMOV
Address: 30539 6TH AVE SW
FEDERAL WAY, WA 98023-3919
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
Approved
Piping (4125)
Approved to test ) (o
E1 Final - Mechanical (4065)
1:1Approved
release
Approved
By Date
By �y%, Date 167 _ z Z .
By ,C-6 Date 1p -2 z /�
Rough Electrical
Approved
1:1Approved
Final Electrical
Right of Way
Approved
By
Date
By
Date
By
Date
RECEIVM
CITY OF PERMIT
Federal Way f ,CTtCT 09
COMMUNITY DEVELOPMENT SERVICES 2(U?
253-835-2607• FAX 253.835-26. OF FEDERAL WAY
CDS
IV
SF MF CO IE ) PL DE EN FP
SITE ADDRESS
SUITE/UNIT #
30 Is T ,Avq- -SO Ff-DUAL
PROJECT VALUATION
$
ZONING
ASSESSOR'S TAR/PARC
TYPE OF PERPMT
❑ BUILDING ❑ PLUMBING =PNTION
❑ DEMOLITION ❑ ENGINEERING ❑ FIR
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
Q U n rpt' j
1
/ I v
PROJECT DESCRIPTION
( 0 G
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
1Co v57 -,t o7-lN A ff km0
PRIMARY PHONE
MAD.DiG ADDRESSAA
1d%H f'i�Kl�Ji�tl
E -MD
pA�.
KG I
CITY
��"
�—C.I.stl A ,J ACJ
STATE
t/ )A
ZIP
NAME
-2Cr- ALD' A) Crc'fL111C�
PHONE
253) 2- �-LZ)
MAILING ADDRESS
4L((
E -MAB,
k -A eMS LUC M (L
CONTRACTOR
CITY
t 4-&Uo00-
STATEZIP
W 14
g 2 -
FAX
WA STATE CONTRACTOR'S LICENSE #
WA
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
co
(The individual to receive ld
M1Ct+A `3 r1 M��t�
PHONE.
a ��� 6-0
MAILING ADDRESS
E MAB
respond to all correspondence
concerning this application)
CITY
G( (-(�,�✓c_
STATE
W�,
ZIP
9 332
FAX
ALTERNATE CONTACT NAME:
CN�O ��Pc �
�PHONE ^7 �•
�53�50�•%-�tsss
E -MAB. 1
� A�Q.�}Ot_,C
PROJECT FINANCING
NAnO
OWNER -FINANCED
Required value of $5.000 or more
MABdNG ADDRESS. CITY. STATE, ZIP
PHONE
(RCW 1.9.27.095)
I cert4fy 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 igformation 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 claiW. which may be made by any person, including the undersigned, and f led against the city,
but only where such claim arises out of the reliance of the city, including its ofJ'iicers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATURE: DATE ` + DATE �% Z0 (�
PRINT NAME: / ,WCi A—, rL S AiLRJnJ
Bulletin #100 — January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application
9 i
n
VALUE OP MECHANICAL "15;'s �Z�o _iCa copy of bid
or estimate must be provided)
Indicate how many of each type offixture to die installed or relocated as part of this project. Do not include existing frxtures to remain.
AIR HANDLING UNITS FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS
HOODS (Commercial)
BOILERS I FURNACES
HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS
REFRIGERATION SYST
( DUCTING GAS PIPING
WOODSTOVES
GENERALINFORMATION
CRITICAL AREAS ON PROPS TY?
Indicate how many of each type of fixture to be ins tailed or relocated as part of this project. Do not include existing fixtures to remain.
ATHTUBS (or Tub/Shower Combo)
LAVS (band Sinks) TOILETS WATER PIPING
D HWASHERS
RAINWATER SYSTEMS URINALS OTHER (Describe)
D NS
SHOWERS VACUUM BREAKERS
DRI NG FOUNTAINS
SINKS (Hitchen/uwtty) WATER HEATERS (E)ecme)
HOSE IBBS
SUMPS WASHING MACHINES TOTAL FACTURES
GENERALINFORMATION
CRITICAL AREAS ON PROPS TY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
.
AREA DESCRIPTION (in square feet) EXISTING PROPOSED
TOTAL
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRM11ER SYSTEM?
PROPOSED FIRE SU ION SYSTEM?
ii Yes ❑ No
es ❑ No
SII ENTCAL - ' HT 1 04","AiMITION
.
AREA DESCRIPTION (in square feet) EXISTING PROPOSED
TOTAL
FOR OF - ..............................................._....................................._..
..
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
....................................................................................................................................................................................
_... _...
DECK
GARAGE ❑ CARPORT ❑
.......................................................................................................................................................................................
OTHER (describe)
Area Totals
EffiSTING PRO
TOTAL
**NEW H91JES ORLY** >'
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL - ISE /AD
ITI+T N
AREA DESCRIPTION
Area
Occupancy Group(s)
C:.struction
# of
Additional Information
in Square Feet
Stories
NEW BUILDING
ADDITION
CIIM#VI RCIA
�M6DEuTENANT
MEN .
AREA DESCRMT16N
Area
Occupancy Group(s)
Construction
# of
Additional Information
is Square Feet
Stones
TOTAL BUILDING
TENANT AREA ONLY
PRO IECT AREA ONLY
Bulletin #100 - January 1, 2011
Page 2 of 3
kAHandouts\Permit Application
Cn~OF
Federal Way
PERMIT NUMBER 1 -3
� PERMIT APPLICATION
( () 0,,,3 q-4- cc-)
RECEIVED
-EB 2 2 2013
TARGET DATE rr-ry OF FEDERAL WAY
r^nc
SITE ADDRESS
SUITE/UNIT
S
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL 9
J
$ /0 0
-
TYPE OF PERMIT
0 BUILDING D PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
c`
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME /
S
PRID
JARY PHONE
370
MAILING ADDRESS
SS
E-MAIL
CITY
STATE
2IP
NAME /
PHONE
MAH, G DRES3� � �i�
7
E -MAD.
CONTRACTOR
_
�)
/fJ`s
STATE
nf5-04--
-/W
FAX
A STATE ONT CTO LICENSE M
1
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE R
-
f
NAI&
aAzz�lf
PRIMARY rHONE
1100111-1,
MAILING ADDRESS `
l� � rte,✓�- � �" ..�
E-MAII,
APPLICANT
CITY
jSTATE
v`
Z
FAX
PROJECT CONTACT
��j -,✓�_ U �!� s /
�0
PRIMARY PHQNE
�'� ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.0951
1 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 claine4 which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of L 'ceof the 'ty, luding its officers and employees, upon the accuracy of the
information supplied to the city as a part 5j;ication
Fapp
SIGNATURE— DATE
PRINT NAME:
Bulletin #100 — January 1, 2013 Page] of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existir�gfixtures to remain_
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS )Commercial)
BOILERS FURNACES HOT WATER TANKS )Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
AREA DESCRIPTION
Occupancy Group(s)
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
Indicate how many o each type o
ure to be installed or relocated as
part o this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/shower Combo)
LAVS (H—asiks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS )Kitchen/utaity)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
AREA DESCRIPTION
Occupancy Group(s)
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
a
Stories
❑ Yes ❑ No
❑ Yes ❑ No
COMMERCIAL — NEW/ADDITION
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
a
Stories
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
Tvpe
Stories
TENANT AREA ONLY
Bulletin #100 — January 1, 2013
Page 2 of 3
k:\Handouts\Permit Application