14-100303City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: HALL
Project Address: 32027 26TH AVE SW
Project Description: Changeout of gas furnace
Mechanical
Permit #: 14 -100303 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 873190 0330
Owner
Applicant
Contractor
GLORIA C HALL
OLSON ENERGY SERVICE (GENERAL)
OLSON ENERGY SERVICE (GENERAL)
32872 8TH CT SW
4415 LEARY ST NW
OLSONES951L3 (10/24/15)
FEDERAL WAY, WA 98023
SEATTLE WA 98107
4415 LEARY ST NW
SEATTLE WA 98107
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures
Furnaces ......................................... 1
PERMIT EXPIRES Sunday, July 20, 2014
Permit Issued on Tuesday, January 21, 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
an the City of Federal Way.
Owner or agent: Date:
F/NALFD
I
CITY OF
Federal Way
PERMIT #:
14 -100303 -00 -ME
THIS CARD IS TOOMAIN ON-SI"i E
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 32027 26TH AVE SW
Project: GLORIA C HALL FEDERAL WAY, WA 98023-2509
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 Date
By-- Date — (–
Date
By
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY Of 'A
Federal Way
aez"e°
'A 1 zona PERMIZSIPPLICATION
OF FEDE�`� WAY
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PERMIT NUMBER r I I � - 1 D �r' o 3
TARGET DATE Q C,
SITE ADDRESS
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SUITE/UNIT #
PROJECT VALUATION
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SOR'S TAX/PARCEL #
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TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING PQ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
t
PRIMARY PHONE
C, "C' ,
2 - �3>7
MAILING ADDRESS
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E-MAIL
CITY
STATE
ZIP
NAME
PHONE
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CONTRACTOR
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WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
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NAME
PRIMARY PHONE
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MAILING ADDRESS U
E-MAIL
APPLICANT
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STATEZI-
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FAX
1303
NAME
PRIMARY PHONE
PROJECT CONTACT
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AILING ADDRESS
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E-MAIL
(The individual to receive and
respond to all correspondence
V
CITY
F Ai_
STAT
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FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
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 apart of this application.
SIGNATURE:
t
�� DATE
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PRINT NAME: J Q 1 �. �j
R, Dvi
Bulletin #100 —January 1, 2013 Page 1 of 3 k:\Ilandouts\Pelmit Application
a�
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offLxture to be installed or relocated as part of this project. Do not include existing res 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
Construction
a
# of
Stories
Additional Information
NEW BUILDING
EXISTING/ PREVIOUS USE
LOT SIZE )In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
Indicate how many of each type o
re to be installed or relocated as
part of this project. Don include existirkgfixtures to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
Additional Information
DRINKING FOUNTAINS
SINKS (Kitchen/utaity)
WATER HEATERS (Eiectric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Construction
a
# of
Stories
Additional Information
NEW BUILDING
EXISTING/ PREVIOUS USE
LOT SIZE )In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
Yes No
Yes No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
......................................................................................................................._................................_....__.....—
FIRST FLOOR (or Mobile Home)
.............................. __... _................................................................................. __........... -...
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
EMSTING PROPOSED TOTAL
Area Totals
......... _........... --..... ................... __ __...._..................... ..............
**NEW HOMES ONLY"
ESTIMATED SELLING PRICE 1 # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 —January 1, 2013 Page 2 of 3 k:AHandouts\Permit Application