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06-104625r f - � City of Federal Way Mechanical Permit #•• 06 -104625 -00 -ME ' 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 Project Name: MCKILLI TP Project Address: 29802 4TH AVE SW Parcel Number: 720500 0230 Project Description: Gas furnace replacement. Owner Applicant Contractor GERALD W MCKILLIP ENERGY RECLAIM ENERGY RECLAIM SALLY L MCKILLIP PO BOX 1726 ENERGRH044D8 5/3/07 29802 4TH AVE SW GIG HARBOR WA 98335 PO BOX 1726 FEDERAL WAY WA GIG HARBOR WA 98335 98023-3513 Additional Permit Information Mechanical Valuation............................................1700 Over the Counter Permit? ...................................... Yes Mechanical Fixtures Furnac .k .. ......................... 'l I hereby certify that the l the occupancy and the of Federal Way. Owner or agent: M Ili theabove cess tions of the Stai Date: ?// al rty and ngton a THIS CARD IS TO REMAIN ON-SITE ' CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -104625 -00 -ME Owner: GERALD W MCKILLIP Address: 29802 4TH AVE SW FEDERAL WAY, WA 98023-3513 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 14W Date By Date By j''::?—f Date /O O,( F RECEIVED _ FederalWay SEP 1.2 2006 PERMIT COMI4UMTYDEYBLOPMWSBRF1CSS SF MF CO EL PL DE EN FP 3332m AVENUE, wA 9 -roBOX9718 p LI CATI O N FsneRet werwA ao63-971�ITY OF FEDE 253-8354607- FAX 253-835?609 BUILDING �;--- "�- www.dtuoffedemhoau.mm The follougM is rmuired in ormation -an incoMplete application will not be acre ted. Please print legiblyn or PROPERTY•- • SITE ADDRESS ¢ / O ©p� `7'Tl�j� c�C�% SUITE/UNrr # ASSESSOR'S TAA/PARCEL • --2 -2, -C-> 2 - D Z • 3 t-)- LOT SIZE (sp LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (AMA aW—pwjbr&Wwkgdd -1 PROJECT•• • TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING X MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul PROJECT NAME (Name of Business or Owner Last Name) 00 ,37-v PROPERTY NAME %` �2.�-!� PRIMARY PHONE OWNER tj C ( 3) CITY, ZIP ' W /f MAILING ADDRESS 23 D 6SQJ17— C ATE ZIP Gv CONTRACTOR l(®-7-qD APPLICANT CONTACT LENDER COMPANY NAME LAAM-6 Z '�&, `` APPLICANT NAME 14A4-4212- OFFICE PHONE yc:) SDDRESS7 /CITY CITY, ZIP ' W /f (ELL �3 )NA a _ / l -- l„?o OF FEDERAL WAY BUSINESS LICENSE NUMBER f ,a . EXPIRATION DATE FAX NUMBER ❑ Architect ❑: Tenant ❑ Agent ❑ Other (Describe) -_B L('' CONTRACTOR S REOISTRAT[ON MBER co oar regnirad with Bich application) EN�� Gi2 hyo �`�'� � EXPIRATION DATE COMPANY NAME APPLICANT NAME OFFICE PHONE ' MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑: Tenant ❑ Agent ❑ Other (Describe) NAME PRIMARY PHONE E-MAIL ADDRESS �/ 7'e) , Ne MAILING ADDRESSCITY, STATE, ZIP PHONE EXISTING USE _/� /C Q.� . PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ .1 SPRINKLERED.BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLME ❑ TACOMA ❑ PRIVATE ❑ PRIVATE (WELL) AREA DESCRIPTION EXI4tING SQ. FT. PROPOSED SQ. FT. TOTAL SQ. FT. BASEMENT FANS HOODS tcommeceieq WOODSTOVES FIRST FIREPLACE INSERTS RANGES MISC (Describe) SECOND THIRD , FURNACES GAS WATER HEATERS FOURTH GAS PIPE OUTLETS ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS 'WA` SHOWERS = WATER CLOSETS (o q MISC (Describe) **NEWHOMES ONLY"* NUMBER OF BEDROOMS ESTIMA ELLING PRICE $ to be installed or relocated as part of this project. Do not nLECUAMCAL / -TDO Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODS tcommeceieq WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS BATHTUBS *T b/sho rComboi _ SHOWERS = WATER CLOSETS (o q MISC (Describe) DISHWASHERS ~: DRINKING FOUNTAINS GAS PIPE OUTLETS _ -T- Sugm, RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS laa&h m VACUUM BREAKE ELECTRIC WATER HEATERS I certVy 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 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 lincluding costs, expenses, and attorneys' fees incurred in the investigation and defense of such clam, 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 of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. y 42 ©/NAME/TITLE -e"� - P,4-� DATE r✓ (Signature) (rifle) RELATIONSHIP TO PROJECT Q Owner 0 Agent o Contractor O Architect O Other Rniletin fil M - Innunry 1. 2006 Pa¢e 2 of 4 B14andouts\Permit Annlication