06-102166• 4k
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City of Federal Way FILEMechanical Permit #• 06-102166-00-M E
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
i Project Name: BURN
Project Address: 30230 23RD AVE S
Project Description: Installing 4 Ton Electric Furnace
Parcel Number: 042104 9161
Owner
Applicant
Contractor
STEPHEN A BURN
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
30230 23RD AVE S
2800 THORNDYKE AVE W
WASHIES971 OB (9/2/06)
FEDERAL WAY WA
SEATTLE WA 98199
2800 THORNDYKE AVE W
98003-4255
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation............................................5203 Over the Counter Permit? ...................................... Yes
• THIS CARD IS TO REMAIN ON-SITE
�
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102166 -00 -ME
Owner: STEPHEN A BURN
Address: 30230 23RD AVE S
FEDERAL WAY, WA 98003-4255
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
By C� Date
k
IMAY-1-2006 07:34 FROM:PERMIT 4257756315 TO:12538352609 P.2
i
RECEIVED
Cry or-
Federal
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Federalwaye PERMIT
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393as Sm AVBNUS sorrlsl • PD Box 971a
fBDERAI. WAY, WA • 9 Ij
233-83S.2607- PAX %tF FEDERAL PPLI CATI O N
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SITE ADDRESS?j�j I
ASSESSOR'S TAX/PARCEL # /0(
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LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
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SF MF COME EL PL DE EN FP
Ited. Please Print Ieoibiv /in ink) or tune.
SUITE/UNIT # .
LOT SIZE (sn
lnud.epe+vavewla.aMA�bhvm�ua�� PROJECT--
•
TYPE OF PERMIT ❑ BUILDING O PLUMBING MECHANICAL
O DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 17 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on idy12ormit onLUI
PROJECT NAME (Name Of Business or Owner Last Name)
PEOPLE• •
PROPERTY
OWNER
CONTRACTOR
NAME/ PRIMARY PHONE
MAILING ADDRESS C ATE, ZIP -
30230
COMPANY NAME
-j
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
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MAILINO ADD
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PHONE "
`CELL PHONE '
CITY OF FEDERAL WAY BUSINESS WENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTOR'$ REGISTRATION NUMBER I ep
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EXPIRATION DATE
APPLICANT
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
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MAILING A
CITY, STAT , 1
PHONE "
7�CELL
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RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant 0 Agent o Other (Describe)
( _
MAY -1-2006 07:34 FROM:PERMIT 4257756315 TO:12538352609
P.3
AREA DESCRIPTION
EIOSTING PROPOSED
SQ. FT. 8 . FT.
TOTAL
SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS �1l1° •1°�Oe`°"`
••NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE
to be tristafled or relocated as part of this prefect. Do not
AWCHANICAL
Value of Mechanical Work $
to•
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LAOS REFRIG. SYSTEMS
BBQS FANS HOODS ldauued.q WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC, (Dascribe)
COMPRESSORS �~ FURNACES CTAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
BATHTUBS ler7Le/sho..ercemt.) SHOWERS WATER CLOSETS (rako MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE B1BBS
LAVS lemh,-. eL+wl VACUUM BREAKERS ELECTRIC WATER HEATERS
1 eert(fy under penalty of perjury that the in formation 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 promises to perform the work for which the permit application is .made. I further agree to hold
harntess 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 tiny person, including the undersigned, and)deli against the City of Federal Way, but only where such claim
arises out of tho reliance of the pity, ine ng its officers and employees, upon the accuracy 4f the information supplied to the city as a part of
this application.
NAME/TITLE /��i� �.C/L
DATE
(title)
ISlgnaturel ff
RELATIONSHIP TO PROJECT 0 Owner kAgent 0 Contractor D Architect a Other