13-103519Mecrhanical
City of Federal Way
Community &Econ. Dev. Services - Permit #: 13-103519-00-M E
33325 ath Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2807 Fax: (253) 835-2809 P q
Project Name: NELSON
Project Address: 1020 SW 305TH ST Parcel Number: 178850 0055
Project Description: Remove/replace 80% to 80% gas furnace
Owner
Contractor
CHRIS NELSON
M M COMFORT SYSTEMS (GENERAL)
M M COMFORT SYSTEMS (GENERAL)
1020 SW 305TH ST
18103 NE 68TH SUITE C-200
MMCOMMC934B4 (1/24/15)
FEDERAL WAY WA 98023
REDMOND WA 98052
18103 NE 68TH SUITE C-200
REDMOND WA 98052
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical f=ixtures
Furnaces ......................................... 1
PERMIT EXPIRES Wednesday, February 5, 2014
Permit Issued on Friday, August 9, 2013
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
„,_,L_ //)an)ohe City of Federal Way.
Owner or agent:
Date:
CITY OF a
Federal Way
PERMIT #:
• THIS CARD IS TO REM.MN ON-SITE ,
Construction Inection Record
INSPECTION REQUE TS: (253) 835-3050
13 -103519 -00 -ME
Address: 1020 SW 305TH ST
Project: CHRIS NELSON FEDERAL WAY, WA 98023-8235
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 Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
Date.Z
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY GP r PERMIT APPLICA
Federal Way REC� Cv
AUG 0 9 2013
PERMIT NUMBER � ../ _ � � � � ( � _
_ TARGET DATE CM BF EEDERAL WAY
�r%c
SITE ADDRESS
SUITE/UNIT #
voo S,-/ 3o5 -t4 sT �
PROJECT VALUATION
I
ZONING
ASSESSOR'S TAR/PARCEL #
7 _5� O - 0 c)
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
C� P vl S o
0
_
PROJECT DESCRIPTION
n C. C
Detailed description of work to
be included on this permit only
NAME I
CL-:) N
PRIMARY PHONE �/ i
2� - 6 G S - " 3>S
PROPERTY OWNER
`- S
MAILING ADDRESS I
7L( V 4 V (;
E-MAIL
CITY---
T
ZIP oz_
NAME
M S
PHONE
c) -g — G o
DRESS
MAILING ADDRESS
t C WL)
E -MA IL
CONTRACTOR
ITY STAIT
C1. ^ _
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
Z,14 / 13
FEDERAL WAY BUSINESS LICENS #
'I l u b !' L
NAME
PRIMARY PHONE
MAE LING ADDRESS
E-MAIL
APPLICANT
CITY
STAT
I ZIP
FAX
NAME 1.
��f_
PRIMARY PHON
Ctt771'V� 7 L
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
concerning this application)
CITY STATE ZIP
FAR
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that 1 wilt comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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.
SIGNATURE: DATE
l
J IC
PRINT NAME:
Bulletin #100 -January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
MECHANICAL PERMIT
Indicate how many of each typ
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
PLUMBING PERMIT
Indicate how many of each type
BATHTUBS (or Tub/ Shower Combo(
DISHWASHERS
DRAINS
DRINKING FOUNTAINS
HOSE BIBBS
0
fixture to be installed or relocated as
FANS _
FIREPLACE INSERTS _
FURNACES
GAS LOG SETS _
GAS PIPING
to be installed or relocated as
part of this project. Do not in
LAVS (Hand Sinks)
TOILETS
RAINWATER SYSTEMS
URINALS
SHOWERS
VACUUM BREAKERS
SINKS (Kitchen/ Utility)
WATER HEATERS (Electric(
SUMPS
WASHING MACHINES
TOTAL FEKTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/ PREVIOUS USE
LOT SIZE (IG Squ"e Feet(
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING I PROPOSED I TOTAL FOR OFFICE USE
FIRST FLOOR (or Mobile Home)
COVERED ENTRY
GARAGE ❑ CARPORT ❑
EXISTING
Area Totals
I ESTIMATED SELLING PRICE $ # OF BEDROOMS I
Bulletin #100 — January 1, 2013 Page 2 of 3 kAHandouts\Permit Application