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11-103703City of Federal Way Community Development Services R r21Vt--= P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 LL: Project Name: SIMON Project Address: 32633 11TH AVE SW Project Description: Furnace replacement and adding on an A/C unitl Mecharilcal Permit #: 11 -103703 -00 -ME' Inspection Request Line: (253) 835-3050 Parcel Number: 926494 0920 Owe Applican Contractor AGNES ANN SIMON MOUNTAIN VALLEY HEATING & A/C INC MOUNTAIN VALLEY HEATING & A/C INC 32633 11TH AVE SW (GENERAL) (GENERAL) FEDERAL WAY WA 13407 SE 339TH ST MOUNTVH970N2 (3/5/12) 98023-4926 AUBURN WA 98092 13407 SE 339TH ST AUBURN WA 98092 Addltlorat �ertilit Information Mechanical Valuation............................................9117 Is this an Online or O.T.C. application? ................. Yes Mechanical Fixtums m _ Air Handling Units ......................... 1 Furnaces ......................................... 1 CONDITIONS: Mechanical equipment is not allowed to be placed within required yards (setbacks). PERMIT EXPIRES Monday, March 12, 2012 Permit Issued on Wednesday, September 14, 2011 I hereby certify that the above iriftgA4akon is correct and that the construction on the above described property and the occupancy and the use ' be in a ordance with the laws, rules and regulations of the State of Washington al Way. Owner or agent: Date: FINAL E D AI��II THIS CARD IS TO MAIN ON-SITE r CriYOF + Construction I ection' Record ' Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT #: Project: 11 -103703 -00 -ME AGNES ANN SIMON Address: 32633 11 TH AVE SW FEDERAL WAY, WA 98023-4926 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. E] Mechanical Rough -in (4165)El Gas Piping (4125) Final - Mechanical (4065) Approved Approved to release test Approved Right of Way Approved By By Date By Date Date��d�l/ Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date OF A AWL T2 RM I'T Federal Way {g��q, comw,mDEVEIApmffrSERVIt3 E C C A'T I O N 253.8352607• FAX 253.8352609 �Lmu dtuat%derutuxt=t wm SEP 14 ?011 MF C ME PL DE EN FP BITS ADM=( I� l- -.� S ! 80IT1E/UNIT # S2 l0Dt PROJECT VALUATION ZONING ABSLrBBOR'8 TAE/PARCEL # TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGIIVEERING ❑ FIRE PREVENTION NAME OF PROJECT , (Tenant Name/Homeowner Last Nwne) j AA p Z,--1 141e 1V %61e.#AAt114_ d0q.7'?1e' Can t4l , PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NA Dd A PROM" PRONE 2-5-.3 ;Z Y IMU NG ADDRESS R-ARAU' Crr1r C,t1a G�I,Q UP 90Z3 NAME A Z=JNG ADDRESS IE /3 Vv Sr_ ?�3�rti ' CONTRACTOROTATM CrcY ZVt4 z� I i'C� �2, FAE,2s' 21 7 T s 71 a' WA ATE CONTRACTOR'S LICENSE # I d e.e,q X12 EXPIRATION DATE t S� t 1 Z FEDERAL WAY EUSDIESS LICENSE # 20- D �. - 3S"/ - NAME �/ PHONE RESS MA � Y o 5:t ' r APPLICANT cn*r4 STATE VAX PROJECT CONTACT Naeem Err lC 2 k t ' t + Ve' Ile PHONE �,7 .�ol -..37/ " / -7 (rhe individual to receive and respond to all Correspondence MAiLIIf4 ADARESS C J 3 �� E-M�' concerning this application)�� crrY�Q l✓1e✓✓viSTATE zp� FAx ALTERNATE CONTACT 1I/atroaj PHONE Yt�"-—bo�� WMAH. rja.t r PROJECT FINANCING NAME (] 0WMM-nN"CED Required value of $5,000 or more (RCW 19.2ZO95) MAMING ADDRESS, CITY, STATE, ZD' PHONE I cerft under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of mg knowledge, the information submitted in support of this permit application is true and correct. I cwtV9 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, andfilled sled 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 it4/'ormatiore supplied �theypahis —p—in. DATE f l:� C / SIGNATURE: PRINT NAME 46 Bulletin #100 —January 1, 201 l Pagel of 3 k:\Handouts\Permit Application 9-434 BATHTUBS (.Tub/sh�cnnbo) LAVS (Hand sinks) - TOILETS - WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS - OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS Wacb./utatW - WATER HEATERS (mectric) HOSE BIBBS SUMPS WASHING MACHINES 0126, ZXT CRITICAL AR]CAS ON PROPZRTY? WATER SEWER PURVNrOR VAI= OF MSTING IMPROVEMENTS VAJJM OF M&CHAWCAL WORIC AREA DESCRIPTION (a copy of bid or estimate must be prouided) Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existingfixtures to remairL AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS tc.==cis4 BOILERS FURNACES HOT WATER TANKS (oms) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCT[NG GAS PIPING WOODSTOVES BATHTUBS (.Tub/sh�cnnbo) LAVS (Hand sinks) - TOILETS - WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS - OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS Wacb./utatW - WATER HEATERS (mectric) HOSE BIBBS SUMPS WASHING MACHINES 0126, ZXT CRITICAL AR]CAS ON PROPZRTY? WATER SEWER PURVNrOR VAI= OF MSTING IMPROVEMENTS 77 AREA DESCRIPTION Area EXUITING/PRLTIOUS USE LOT SIZE lin Square Feet) EXISTING FIRZ SPRnumzR SYSTEM? PROPOSED FIRE SUPPRESSION in Square Feet Type Bulletin #lOO—January l,2Ol} Page %uy3 Application AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE 77 AREA DESCRIPTION Area Occupancy Group(s) Construction FIRST FLOOR (or Mobile Home) Additional Information in Square Feet Type Stories COVERED ENTRY F 0Y GARAGE 11 CARPORT 0 114 A, 4,71M WA�41P AREA DESCRIPTION ESTIMATED SELLING PRICE #OF BEDROOMS_ Construction # of Bulletin #lOO—January l,2Ol} Page %uy3 Application AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet Type Stories ADDITION 4,71M WA�41P AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Info n in Square Feet Ty" Stories TENANT AREA ONLY Bulletin #lOO—January l,2Ol} Page %uy3 Application