06-102318City of Federal Way
Community Development Services
P.O. Box 9718
` Federal Way, WA 98063-9718 /
Ph: (253) 835-2607 Fax: (253) 835-2609
Mechanical Permit #: 06 -102318 -00 -ME
Inspection Request Line: (253) 835-3050
Project Name: BLEVENS 141;oz
Project Address: 4151 SW 314TH ST Parcel Number: 873199 0590
Project Description: Install Gas Furnace 90,000 btu's and Bryant 3 Ton Heat Pump
Owner
Applicant
Contractor
GARY A BLEVENS
LINDA THORNQUIST
WASHINGTON ENERGY SERVICES CO
CAROL L BLEVENS
PERMIT GROUP, THE
WASHIES9710B (9/2/06)
4151 SW 314TH ST
PO BOX 2034
2800 THORNDYKE AVE W
FEDERAL WAY WA
KIRKLAND WA 98083
SEATTLE WA 98199
98023-2149
Additional Permit Information
Mechanical Valuation............................................11373 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Compressors ................................... 1 Furnaces........................................
PERMIT EXPIRES Tuesday, Novemb
Permft Issued on ThuraddY Mail
I hereby certify'that the above information is con
the occupancy and the use will be in acrordanc
Owner or agent:
, laws, rules a
Federal Way.
1
Date: qI 10
Flp� ALED
CITY OF 41A
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Community Development Inspection Record
IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102318 -00 -ME
Owner: GARY A BLEVENS
Address: 4151 SW 314TH ST
FEDERAL WAY, WA 98023-2149
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 Date B Date
MAY -8-2006 13:19 FROM:PERMIT 4257756315
RECEIVED
Federal Way PERMIT
COMYUNt1Y0EVF10PARiNTSF,R[ 09 2006
333458'+' AYENUEr1N • PO B0
FEDERAL WAY,, WWA 98063.9718
�I 2S3 -835 -2607 -APPLICATION
35•a6o7• FAJXYOF FEDERAL WAY
�uu�.dfue/%dernhu
BUILDING DEPT.
i ne joccounng is re utrea injormarton —an
4
SITE ADDRESS `'tel- is - 5&,) -3 7
ASSESSOR'S TAX/PARCEL # C 1 L
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
urUl not be
TO:12538352609 P.2
0� -(0Z-_�[0-.
SF MF CO ME EL PL DE EN FP
D / /
epted. Please print legibly lin ink) or tube.
µnon —yn.oer Pq!> k._0hV legs de fPcfoj
SUITE/UNIT #t
LOT SIZE (sj)
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 01 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only!
PROJECT NAME (Name of Business or Owner Last Name) Istevepli
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
�)� c
ENDER v ,k
EXISTING USE
• E PEOPLE INFORMATION
NA wlevep'1J' F_P(_1M7t - L
MAIL G ADD S Cl TE, ZIP
�i � �/�f — �� �'� 17
C V,A4- NAME 2
APPLICANT NAME
OFF ) ze - �
24MNL O AqS-DDDR S /'/�%/� //J Inc
VO �(/ F : t-(�.� IS{../
CITY, STATE IP
� �t�-
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENGE NUMVR EXPIRATION DATE
-U__)_0 3- /cgo3 � /
FAX NUMBER
( -
CONTRACTORS RFGISJRATIOI�NU BER icopy of d regn4ad with each .PpLcaUo ) �y EXPIRATION DATE
=UFANY NA•
_/LLL
CANT A A PI�O CE P
HONE
�T[
lOn_4�/ , /
C1TY T a
f ? ELL PHONE -
L//(,J Jrc
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant 0 Agent ❑ Other (Descrb4, ( ) -
NAMj_t i /t,J PRl ARY PHONE E-MAIL ADDRESS
�/tJl/.11
: PeryRCW 19 27 09S +Lender information is!
NAME
:'.
?required iJPro�e41 value"exceeds 65,000
MAILING ADDRESS
CITY, STATE, ZIP
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
r
MAY -8-2006 13:19 FROM:PERMIT
ADDITIONAL. r'LOORS (
NEW HOMES ONLY- NUMBER OP BEDROOMS
4257756315 TO:12538352609 P.3
Indicate number of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mcchanical Work $ r
o YES
o NEW c ADDITION ❑ ALTERATION
BUILDING SHELL ONLY? a YES ONO
ZONING DESIGNATION
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
WOODSTOVES
BBQS
FANS
HOODS icemma 6.11
RANGES
MISC (Describe)
BOILERS
FIREPLACE INSERTS
FURNACES
GAS WATER HEATERS
COMPRESSORS��
DUCTS �j�%A
r
GAS PIPE OUTLETS
PLiIMBING
WATER CLOSETS irou-a
MISC (Describe)
BATHTUBS I-T.b/si—rc—b-I
SHOWERS
DRINKING FOUNTAINS
DISHWASHERS
SINKS
RAINWATER SYST
GAS PIPE OUTLETS
SUMPS
HOSE BIBBS
WASHING MACHINES
URINALS
......�..., ye�.vrne
—
>;LECTRIGWATERHEATERS
f y g and further, that I
1 certify under penalty of perjury that the tq�orinatio"n furnis/icd by me is true and .correct to the best o m knoibted e,
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 attomn js' fees Incurred in the investigation and such defense of
s ch eta", which may be made by any person, including the undersigned, and filed against the City of Fahr t supplied only e city eas a partof
arises out of the reliance of the city, in Ing its officers and employees, upon the accuracy of the information Supp
this application.
NAME TITLE DATE '
/ Title)
ESisnaturel (
RELATIONSHIP TO PRdJF.CT O Olvncr gent ❑ Contractor O:Architect ; ❑ Other
FOR OFFICE USErONLY I
o YES
o NEW c ADDITION ❑ ALTERATION
BUILDING SHELL ONLY? a YES ONO
ZONING DESIGNATION
OYES
NEW ADDRESS REQUIRED? a YES
PLATTED LOT? a YES
o NO
O NO
�8 S- /
s4j
a REPAIR O TENANT IMPROVEMENT
BASIC PLANP
o YES
a NO
CHANGE OF USE?
OYES
ONO
UP/SEPA
o YES
O NO
DEMO PERMIT REQUIRED?
1
a YES
O NO
31 CP'1/;5 /e V4�nf
Bulletin 0 100 —March 30, 2004 — l'agc 2 of 4 L I-Landouts — Reviscd\Pcrmit Application