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07-106267- City of Federal Way 0 Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: MORALES Project Address: 29876 12TH AVE SW R Mechanical Permi : 07 -106267 -00 -ME Inspection Request Line: (253) 835-3050 Parcel Number: 195460 0101 Project Description: Install gas furnace, hot water tank, (2) fireplace inserts & gas piping. Owner Applicant Contractor ANTONIO & VICTORIA MORALES ANTONIO & VICTORIA MORALES ANTONIO & VICTORIA MORALES 29876 12TH AVE S 29876 12TH AVE S 29876 12TH AVE S FEDERAL WAY WA 98023-3407 FEDERAL WAY WA 98023-3407 FEDERAL WAY WA 98023-3407 Additional Permit Information Mechanical Valuation............................................7500 Over the Counter Permit? ...................................... Yes Mechanical Fixtures Fireplace Inserts ............................. 2 Furnaces......................................... 1 Gas Piping ...................................... 1 Gas Pipe Outlets ............................. 5Hot Water Tank............................. 1 PERMIT EXPIRES Thursday, November 19, 2009 Permit. Issued on Monday, November 19, 2007 I hereby certify that the: above'information is correct and that the constructionon the above described property and the occupancy a the use will be in accordance with the laws, rules and regulations of the State of Washington A/-� nd the City of Federal Way. Owner or agent: Date: //—(f-0 yiHAU& !r/,?7/09 THIS CARD IS TO IDEMAIN ON-SITE �. CI OF fLommunity DevelopKinct Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07 -106267 -00 -ME Owner: ANTONIO & VICTORIA MORALES Address: 29876 12TH AVE SW FEDERAL WAY, WA 98023-3407 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 —Z ---Date By Dates: 27. O 9 For inspector reference only Rough Electrical FINAL - Electrical Approved Approved By Date By Date r •a RECEIVES � CITY Of `A / Federal Way Nov 1 g 2007 PERMIT 0111 COMMUNITY DEVELOPMENT SERVICES 33325AVENUE, Ws'7N • PO 71 #RPLICATION FEDERAL WAY, WA 98063-� 4� � F E � E NA 253-835-2607• FAX 253-835-2609BUILDiNf (� . toww. cituo((ederalwau. com The following is required information - an incomplete application will not be accep SITE ADDRESS 2.419 ` l ` I Ztb SF MF CO ASSESSOR'S TAX/PARCEL # -q— 3— �— � i'Z - -1 j— O - •- LOT SIZE (sf 13, LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) --b,Q arwgA4 "-J W (� S -01- (Attach separate pagefor Lengthy legal descr'ottoN TYPE OF PERMIT ❑ BUILDING Lr PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onl Wu) ll __ __ AA -Lt a -4s U "c, . & -r �u r (10.0.2- . �(a-t tj a +/N ke-oL+V'1 a. 4-o w2.. - PROJECT NAW (Name of Business or Owner Last Name) \ V` o ra Its PROPERTY OWNER CONTRACTOR. N"h �wo b� 9 b APPLICANT N'A- PROJECT CONTACT LENDER �j EXISTING USE NAMEPRIMARY h tAo,u (o + V C40ful I'ko,ra (P5 PHONE iyis') s m - S8s�2 MAILING ADDRESS 20 46 CI STATE. ZIP E-MAIL ADDRESS COMPANY NAME APPLICANT NAME OFFICE PHONE t ) - MAILING ADDRESS CITY, STATE, ZIP CELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE ., E-MAILADDRESS COMPANY NAME APPLICANT NAME OFFICE PHONE t ) - MAILING ADDRESS CITY, STATE, ZIP CELLPHONE t � - RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent ❑ Other FAX NUMBER NAME �j_rq r L o tA D its. PRIMAJW PHONE - E-MAIL ADDRESS \ S (41A > 2 v M o It e, auA NAME Per RCW 19.27.095:0 Lender information is required if project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING ASSESSED/APPRAISED VALUE $ SPRINKLERED BUILDING? ❑/YES t?7 NO WATER SERVICE PROVIDER M LAKEHAVEN SEWER SERVICE PROVIDER 11 LAKEHAVEN qq(O t OU'WC. PROPOSED USE e- 1,.( 0049 VALUE OF PROPOSED WORK $ FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES C40 ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) 0 HIGHLINE JAIRIVATE (SEPTIC) r N AREA DESCRIPTION EXISTING SQ. FT. PROPOSED TOTAL SQ. FT. SQ. FT. BASEMENT Value of Mechanical Work $� (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) FIRST , C -! 1 W d 1 l)!A O W� I SECOND BBQS �I THIRD MISC (Describe) BOILERS ADDITIONAL FLOORS (DESCRIBE) HOODS (Commercial) RED?) DECK (❑ COVERED OR ❑ UNCOVERED?) GARAGE ❑ CARPORT EV FURNACES RANGES NUMBER OF FLOORS EXISTING ROPOSED TOTAL TOTAL &,mTDVG SF TOTAL PROPOSED SF TOTAL SF "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of Jixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL -Fr-opeVy Owner and/or Authorized Agent Value of Mechanical Work $� (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS (Commercial) COMPRESSORS FURNACES RANGES o REPAIR o TENANT IMPROVEMENT DUCTS GAS LOG SETS REFRIG. SYSTEMS BASIC PLAN? PLUMBING ❑ NO ZONING DESIGNATION BATHTUBS (or Tub/Shower Combo) _ LAVS (Bathroom Sinks) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS ❑ NO DRINKING FOUNTAINS SHOWERS WATER CLOSETS (Totlet) ❑ YES ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS 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 pertt fining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibilityfor compliance with local, state, orfederal 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 anti defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where such clainq arises out of the reYance of the city, ; eluding its officers and employees, upon the accuracy of the information supplied to the city as a pati f this applicati6n, -- SIGNATURE: It -1-/-O-7 Bulletin #100 — August 16, 2007 Page 2 of 4 k\Handouts\Permit Application -Fr-opeVy Owner and/or Authorized Agent ❑ NEW ❑ ADDITION ❑ ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? r. YES ❑ NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES o NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP/SEPA/SU? ❑ YES ❑ NO PLATTED LOT? ❑ :: ES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Bulletin #100 — August 16, 2007 Page 2 of 4 k\Handouts\Permit Application