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06-102355r City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 FILehanical Permit #: 06 -102355 -00 -ME Inspection Request Line: (253) 835-3050 Project Name: VANDENHEUREL Project Address: 3718 S 334TH ST Parcel Number: 614360 0190 Project Description: Install of new gas furnace, heat pump and water heater Owner Applicant Contractor DON G VANDENNEUVEL VALLEY FURNACE INC VALLEY FURNACE INC ELEANOR L VANDENNEUVEL 7818 RIVER RD E VALLEFI161R6 12/26/06 PUYALLUP WA 98001 7818 RIVER RD E PUYALLUP WA 98001 Additional Permit Information Mechanical Valuation............................................11000 Over the Counter Permit? ...................................... Yes Mechanical Fixtures 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 th City of Federal Way. Owner or agent: ` cc Date: c e o THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Rec'urd Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -102355 -00 -ME Owner: DON G VANDENNEUVEL Address: 3718 S 334TH ST FEDERAL WAY, WA 98001-9604 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 E %By Date,jl'� By Date Date Y6� deral way PERMIT 10 COMMUNnYDEVELOPMEWSERVICES G C ME L PL DE EN FP 33325 8TH AVENUE SOUTH • PO BOX 9718 - L� FEDERAL 9800-9718 253-835-2607- FAX 253-835-2609 APPLI CATI OP LN`�FO u�wm.cit o ederalmau.coin eV The is - an fete lication wiU not be gpLvptedL Please pdgt leaWlu (fn ink) or `'� ® 7 PROPERTY/ •. • a SITE ADDRESS /�(1_. 3 J � t e"' 1 L✓w v' W't SUITE/UNIT # lam 1 ASSESSOR'S TAR/PARCEL # - - q O LOT SIZE (sp LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separate page for lengthy legal de-4,tbN PROJECT• • TYPE OF PERMIT ❑ BUILDING MUMBING C' MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detaaed description of work included on this Dermit on 7 r% s+cl h e tw. a Ci .S-P'UKon a CC W ea i 1-u A' 02 ri 1116A eat4Cl- PROJECT NAME (Name of Business or Owner Last Name) Q © Y1 V a n ole n 6 e u V l PEOPLE•• • PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER EXISTING USE N PRIMARY PHONE a r Vag UVP- I I (as -J) 9a7 -ySPa4 MAILING ADDRESS CITY, STATE, ZIP 3-7 Fed _ 'VVCk Aquo® COMPANY NAME VQ 11 APPLICANT NAME +- OFFICE PHONE (a") FN8 -3517 C .S Yoe CITY, STATE, ZIP CELL PHONE MAILING ADDRESS IFI SD R iverPDE CITY, STATE, ZIP Pu a11 gPDai CELL PHONE (�03)y0S-y00S) CITY OF FEDERAL WAYBUSINESSLICENSE NUMBER BUSINESSr c IRATION DATE / / FAX NUMBER (cL6--S)Fqp-S-11d Q g-- fl 1 9 R 1 B L l.�� L CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE a /aG /.200& LI z- L 4E F Ii� i 8 l COMPANY NAME APPLICANT NAME OFFICE PHONE CITY, STATE, ZIP PHONE MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe) ( ) - N PRIMARY PHONE E-MAIL ADPRESS �,ber I` �a✓o e (as -S)8418 --S 1 -1 1q Ips v ee,co- Per RCW 19.27.095: Lender information is required (f project value exceeds $5,000 NAME MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING ASSESSED/APPRAISED VALUE $. PROPOSED USE VALUE OF PROPOSED WORK $. SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC) AREA DESCRIPTION EXISTING FT. PROPOSED SQ. FT. TOTAL SQ. FT. BASEMENT ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROV AIENT FIRST BASIC PLAN? o YES ❑ NO ZONING DESIGNATION SECOND CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO THIRD ❑ NO PLATTED LOT? ❑ YES o NO DEMO PERMIT REQUIRED? o YES FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS sz�ruvo eaoeos® rarnt. tm,v.> er rornt, rxoroe® ar zorer. er **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of f fixture to be installed or relocated as part of this project. Do not include existing f ixhires to remain. Value of Mechanical Work $ ,♦ , 0 D 8 AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS BATHTUBS (w' ub/Shower Combo) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES IAVS (Bathroom Std.) EVAPORATIVE COOLERS FANS FIREPLACE INSERTS L FURNACES GAS PIPE OUTLETS SHOWERS SINKS SUMPS URINALS VACUUM BREAKERS GAS LOGS HOODS (co—miai) RANGES GAS WATER HEATERS WATER CLOSETS (rouet) — DRINKING FOUNTAINS RAINWATER SYST HOSE BIBBS ELECTRIC WATER HEATERS REFRIG. SYSTEMS WOODSTOVES MISC (Describe) MISC (Describe) I cert(jy under penalty of perjury that the igformation furnished by me is true and correct to the best of my knowledge, and further, that I am authorized 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 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 of Federal Way, but only where such claim arises out of the reliance of the city, including its gficers and employees, upon the accuracy of the Wormation supplied to the city as a part of this application., ` NAME/TITLE �CA IsA / e 1 DATE �9 / 0 G (Signature) (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other FOR OFFICE USE ONLY ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROV AIENT BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? o YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP/SEPA/SU? ❑ YES ❑ NO PLATTED LOT? ❑ YES o NO DEMO PERMIT REQUIRED? o YES ❑ NO Bulletin #100 —January 1, 2006 Page 2 of 4 k\Handouts\Pennit Application