06-102396J
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 FIL
Mechanical Permit #: 06 -102396 -00 -ME
Project Name: FOURTNER
Project Address: 30808 1ST PL S
Project Description: Install Gas Piping To Range
Inspection Request Line: (253) 835-3050
Parcel Number: 667265 0440
Owner
Applicant
Contractor
RONALD J FOURTNER
BRENNAN HEATING & A/C LLC
BRENNAN HEATING & A/C LLC
30808 1 ST PL S
4601 S 134TH PL
BRENNHA971 R9 12/29/07
FEDERAL WAY WA
TUKWILA WA 98168
4601 S 134TH PL
98003-4081
TUKWILA WA 98168
Additional Permit Information
Mechanical Valuation............................................750 Over the Counter Permit? ...................................... Yes
—1 W. wtj -
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community. Development Inspection Record
•'Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102396 -00 -ME
Owner: RONALD J FOURTNER
Address: 30808 1 ST PL S
FEDERAL WAY, WA 98003-4081
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.
0 Mechanical Rough -in (4165) 0 Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By G W Date!5% p By Date . p
.I
R`CEiV7D F7)y
CommDEVELop' EfUT EPRrl3'ti1EhJ7
eitror RECEIVED:
Federal Way
P RM I'T'
C0MMU 7YDEV=Puse SVV[CN SF MF C ME L PL DE EN FP
393258TMMWA,WA9•POBOX Y 1 2 2D0 ?PLICA
FBDERAL WAY, FAX
2.83 9718 TION D
?59-895.2607•FAX?59-Q9� � EDERA WAY
BUILDING DEPT.
The folloruina is_-
SITE ADDRESS 3O ay� -r M SUITE/UNIT .
ASSESSOR'S TAX/PARCEL i % So— -'7— AQ LOT SIZE (s�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) J-FT�
N.....•,•..�.o�rrov� wrw+vr �qoi aaaiptt«y _.
TYPE OF PERMIT ❑ BUILDING O PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (provide detailed description of work included on t permit onlul
PROJECT NAME (Name of Business or Owner Last Name) r� 1,►t t ��
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME
���PRIMARY PHONE
Foul{-C►�1� s3) ill -.040l
MAILNO ADDRESS CITY
I ,STA
w ---I "AMC. APPLICANT NAME O FICE PHONE
E►Jt�lAl� AEF (�l� V-A/C-SWAU3KIEA �I MO(0)A49 -'7900
MAILINGAD CITY, STATE ZIP CEL. PHO E
GTY`OF'FEDERAL WAY BUSINESS NSE NUMBER EXPIRATION ATE 'FAX NUMBER
COMPANY NAME
13 Re5 kwpoj �AF-A-ri Q6V iLA/G
APPLICANT NAME
AL&IQSATJ
OFFICE PHONE
(�)aq-$--Rvd
MAILNO ADDRESS
Lllpol s 134 -cu 'PL
_
CITY, STATE, ZIP
170141ZIL-A
—UE
LL PHONE
9fet(PY
( ) -
RELATIONSHIP TO PROJECT
FAX NUMBER
O Architect 0 Tenant ❑ Agent o Other (Describe)
(AW '7q OS
da
PRIMARY PHONE E-MAILADDRESS 6a a48 - }7c.
uecea��.
EXISTING ASSESSED/APPRAISED VALUE $_
SPRINKLERFID BUILDING? ❑ YES O NO
WATER SERVICE PROVIDER O LAKEHAVEN
SEWER SERVICE PROVIDER 0 LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES O NO
o HIGHLINE ❑ TACOMA o PRIVATE (WELL).
11 HIGHLINE 0 PRIVATE (SEPTICI
11
AREA DESCRIPTION
EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS'
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Ind:bate number of each type of fudure to be fnstaUed or relocated as part of this project. Do not &tclude
MECNAMCAL o0
Value of Mechanical Work $ 5�
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LAOS REFRIO. SYSTEMS
BBQS FANS HOODS (pmmrdq WOODSTOVES
BOILERS FIREPI.ACE.INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES OAS WATER HEATERS
DUCTS �_ OAS PIPE OUTLETS
BATHTUBS ior1Lblshb coed* SHOWERS WATER CLOSETS (feaaq MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS p mraa www VACUUM BREAKERS ELECTRIC WATER HEATERS
I cert(fg under ponaity of perjury that the irV%rmation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is .made. I further agree to hold
harmless the City of Fedora& Way as to any claim (including costs, expenses, and attorneys' fees incurred in the Investigation and dgfense of
such claim), which may be made by dny person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance q f the city, including gfftcam and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE SZ Adn�ec)
atun) (Title)
RELATIONSHIP TO PROJECT Cl Owner o Agent Contractor ❑ Architect a' Other