14-100608c
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
0 FILE
r Mechanical
Permit #: 14 -100608 -00 -ME
Inspection Request Line: (253) 835-3050
Project Name: JORDAN SI -7&r
Project Address: 34707 18TH AVE SW Parcel Number: 742800 0300
Project Description: Replacing like and kind 90k BTU 80% gas furnace
Owner
FREDERICK G JORDAN
AR llu cant
DAVID BRADSHAW
Contractor
ALL SEASONS INC (GENERAL)
GINA M JORDAN
ALL SEASONS INC
ALLSEI'03055 (12/17/15)
3470718TH AVE SW
4851 S WASHINGTON ST
4851 S WASHINGTON ST,
FEDERAL WAY WA 98023-7013
TACOMA WA 98409
TACOMA WA 98407
A iditibriai P'emxlit Ink mation
Is this an Online or O.T.C. application? ................. es
Mechanical Fbdums,
Furnaces .........................................
PERMIT EXPIRES Wednesday, August 6, 2014
Permit Issued on Friday, February 7, 2014
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
and the City of Federal Way.
Owner or agent rk ki I I 1i R Date:
11111110 1 Is ■ ■ V
q%A&EID
CITY OF
Federal Way
THIS CARD IS TO' iWAIi\i ON-SITE '
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14 -100608 -00 -ME Address: 34707 18TH AVE SW
Project: FREDERICK G JORDAN FEDERAL WAY, WA 98023-7013
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.
1
Mechanical Rough -in (4165)
Gas Piping (4125)
Final - Mechanical (4 5)
Approved
Right of Way
Approved to release test
Approved
IL
By
Date
By
Date
Date
1
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
ffyop� • PERMI'9APPLICATION
Federal Way RECEIVED
_ JUL 2 3 2013 �$��
PERMIT NUn[BER ` � _ � � ✓ � � � _
— TARGET DATE OF F€BERA'AY
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL # Q
57
TYPE OF PERMIT
RBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
C'cvnri hR..,/1 3 _ 3 Ll
PROJECT DESCRIPTION
Girl
Detailed description of work to
C
lK
be included on this permit only
PROPERTY OWNER
N o,/n a ' / /
PROKA
�A - PHONE
MAILING ADDRESS
E•MAu,
cITY
�pGi(p/A� Gl/a
NAME
7 ,!s^ T//l
n
PHONE
MAILING aEes
26301
CONTRACTOR
c
BTA
ZIP
1 OC,03Z-
FAX S 8SIv y r
WA STA'M C-+O-NNTR�A^CTOR'S LICENSE #
?, y 4
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
G /cam
NAMB
� 141
ut�s
2�S
MAILING ADDRESS l U
E-MAM 1
APPLICANT
crry
STATE
ZIP
FAX 1
NAME
/�h(i� GI
PRIMARY PHONE
PROJECT CONTACT
/�
MAILING ADDRESS
EMAIL
(The individual to receive and
respond to all correspondence
CITY �� `
C
STATE
ZIP
FAX
concerning this application)
t� It
PROJECT FINANCING
NAME
0 OWNER-F'IN
Required value of $5,000 or more
MAILING ADDRESS, CITY, STA ,
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorised 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
`
SIGNATURE: DATE 2,
PRINT NAME:SriG.
Bulletin #100 – January 1, 2013 Page 1 of 3 k:\Handouts\Perinit Application