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06-101219I City of Federal Way Community Development Services • Mechanical Permit #• 06 -101219 -00 -ME P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050 s {r Project Name: WAGNER-BERNAL Project Address: 2409 SW 349TH PL Parcel Number: 176110 0220 Project Description: Replacing gas piping/furnace/water heater Owner Applicant Contractor LUIS ARIEL BERNAL LUIS ARIEL BERNAL LUIS ARIEL BERNAL 2409 SW 349TH PL 2409 SW 349TH PL 2409 SW 349TH PL FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA 98023-3067 98023-3067 98023-3067 Additional Permit Information I_ Mechanical Valuation............................................5000 Over the Counter Permit? ...................................... Yes Mechanical Fixtures GasPiping ...................................... 1 PERMIT EXPIRES Monday, September 11, 2006 Permit Issued on Wednesday, March 15, 2006 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 the City of Federal Way. Owner or agent: Date: zi 1 v , r THIS CARD IS TO REMAIN ON-SITE r CITY OF Community Development Inspection Record Federal Ways IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -101219 -00 -ME Owner: LUIS ARIEL BERNAL Address: 2409 SW 349TH PL FEDERAL WAY, WA 98023-3067 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 BY42 C Date �! 7 • d CITY OF A Federal Way RECEIVEDPERMIT COMMUNW DEVELOPMENT SERVICES 93325JIM AVENUE WA,WA98063-9718. •POBQK 971. MAR 15 1��PLICATION FEDERAL WAY, WA 98063-9718 . 253-83S-2607• FAX 2S3 -83S-2609 wmm.dtuo/fe&mhmu.00m CITY OF FEDERAL WAY The following is require.-NJQU&"Elan inamplete application will not be ITE ADDRESS ASSESSOR'S TAX/PARCEL # LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) -p—kpage/- 9wWft Ie®n[ desestp wq SF MF CO L PL DE EN FP Please SUITE/UNIT # LOT SIZE (sf) or TYPE OF PERMIT ❑BUILDING❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul i - PROJECT NAME (Name of Business or Owner Last Name) S /lJ A PEOPLE INFORMATION PROPERTY NAME l 7 PRIMARY PHONE OWNER v ! S UJCi c141�L / t/ �% r� /'%/J �J �/v a d)Yi-� MAILING ADDRESS CITY, STATE, ZIP C' 2L c h'JS1A 1-120 CONTRACTOR APPLICANT CONTAC' LENDER COMPANY NAME 0-MUCANT NAME OFFICE PHONE J,1 c ��� ✓ n— yS U MAILING ADDRESS CITY, STATE, ZIP CELL PHONE U /-)1-' 4:) ( CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER B L R 3 ISTRA N NUMB (copy of d regnir th ch appH ons EX TIO DATE P aj EXISTING USE EXISTING ASS] VALUE $_ SPRIN EREPT D BUILDING? ❑UPPI WATER SERVICE PROVIDER ❑MM::�HIGHMLINE SEWER SERVICE PROVIDER O LAKEHAVEN . 0 HIGHLINE VALUE OF PROS M SYSTEM PROP ❑ TACOMA ❑ 0 PRIVATE (SEP WORK $ 1/REQUIRED? ❑ YES ❑ NO AREA DESCRIPTION EXISTING PROPOSED TAL SQ. FT. S . FT. SQ. FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT O s�nsnNo reoroaso ror�r. NUMBER ORS ••NEW HOMES ONLY"'' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or MECFIANICAL Value of Mechanical Work $ j Oyy _ AIR HANDLING UNITS BBQS _ BOILERS _ COMPRESSORS .DUCTS BATHTUBS (or Tub/Shower Combo) 7 MACHINES EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS PIPE OUTLETS SHOWERS as part of this project. Do not include existing fixtures to - GAS LOGS REMO. SYSTEMS HOODS (C -L4 WOODSTOVES RANGES MISC (Deacnbe) GAS WATER HEATERS WATER CLOSETS (faleq _Aok (Describe) ACUPS RAINWATER S T URINALS HOSE BIBBS VACUUM BREAKERS ELECTRIC WATER I cert(fy 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 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 /including costs, expenses, and attorneys' fees incurred in the investigation and defense of such ciainQ, 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 officers and employees, upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE DATE G (slg,eture) We) RELATIONSHIP TO CT a Owner 13A o Contractor O Architect ii Other MAI _. - ur nn t........... f Inns D— 9 ..PA 4U-ionAnmc\As r it Annliratinn 41k CITY OF r Federal - - -Y +� DEPARTMENT OF CommuNITY DEVELOPMENT SERVICES 33325 81h Avenue South PO Box 9718 Federal Way WA 98063-9718 253-835-2607; Fax 253-835-2609 www.citvoffederalway.com Affidavit in Lieu of. General Contractor Registration State of Washington ) County of King ) I, A) U L/v A G.Cj£�-, state as follows: (Print name as signed) I have made application for a building permit from the City of Federal Way, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington (RCW), a copy of which is printed on the reverse side of this affidavit. I understand that prior to issuance of a building permit for work that is to be done by any contractor, the City of Federal Way must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Federal Way of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized under this building permit to be exempt under No. l 2 , and will therefore, not be performed by a registered contractor. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. PLICANT'S SIGNATU Signed and sworn to before me this J�Day of MigAi, 20M2. 71- ��- Nva ame (Print) Notarys ignature NOTARY PUBLIC in and for the State of Washington, residing at lis i"✓�� County My Commission expires: (J07-1 Bulletin # 116 — October 1; 2004 Page I of 2 k:\Handouts\Contractor's Affidavit Revised Code of -Washington 18.27.090 Exemptions. The registration provisions of this chapter do not apply to: 1) An authorized representative of the United States other work upon land in rural districts for fire prevention government, the state of Washington, or any purposes; except when any of the above work is incorporated city, town, county, township, irrigation performed by a registered contractor; district, reclamation district, or other municipal or 11) An owner who contracts for a project with a registered political corporation or subdivision of this state; contractor, except that this exemption shall not deprive 2) Officers of a court when they are acting within the scope the owner of the protections of this chapter against of their office; and unregistered contractors;3) Public utilities operating under the regulations of the Ogislered yperson working on hisorher own property, whether utilities and transportation commission in construction,upied by him or her or not, and any person working maintenance, or development work incidental to their on his or her personal residence, whether owned by him own business; or her or not but this exemption shall not apply to any 4) Any construction, repair, or operation incidental to the person otherwise covered by this chapter who constructs discovering or producing of petroleum or gas, or the an improvement on his or her own property with the drilling, testing, abandoning, or other operation of any intention and for the purpose of selling the improved petroleum or gas well or any surface or underground property; mine or mineral deposit when performed by an owner or 13) Owners of commercial properties who use their own lessee; employees to do maintenance, repair, and alteration 5) The sale or installation of any finished products, work in or upon their own properties; materials, or articles of merchandise that are not actually 14) A licensed architect or civil or professional engineer fabricated into and do not become a permanent fixed acting solely in his or her professional capacity, an part of a structure; electrician licensed under the laws of the state of 6) Any construction, alteration, improvement, or repair of Washington, or a plumber licensed under the laws of the personal property performed by the registered or legal state of Washington or licensed by a political owner, or by a mobile/manufactured home retail dealer subdivision of the state of Washington while operating or manufacturer licensed under chapter 46.70 RCW who within the boundaries of such political subdivision. The shall warranty service and repairs under chapter 46.70 exemption provided in this subsection is applicable only RCW; when the licensee is operating within the scope of his or 7) Any construction, alteration, improvement, or repair her license; carried on within the limits and boundaries of any site or 15) Any person who engages in the activities herein reservation under the legal jurisdiction of the federal regulated as an employee of a registered contractor with government; wages as his or her sole compensation or as an employee 8) Any person who only furnished materials, supplies, or with wages as his or her sole compensation; equipment without fabricating them into, or consuming 16) Contractors on highway projects who have been them in the performance of, the work of the contractor; prequalified as required by RCW 47.28.070, with the 9) Any work or operation on one undertaking or project by department of transportation to perform highway one or more contracts, the aggregate contract price of construction, reconstruction, or maintenance work; which for labor and materials and all other items is less 17) A mobile/manufactured home dealer or manufacturer than five hundred dollars, such work or operations being who subcontracts the installation, set-up, or repair work considered as of a casual, minor, or inconsequential to actively registered contractors. This exemption only nature. The exemption prescribed in this subsection does applies to the installation, set-up, or repair of the not apply in any instance wherein the work or mobiletmanufactured homes that were manufactured or construction is only a part of a larger or major operation, sold by the mobile/manufactured home dealer or whether undertaken by the same or a different manufacturer; contractor, or in which a division of the operation is 18) An entity who holds a valid electrical contractor's made into contracts of amounts less than five hundred license under chapter gJPP1,$•*tC)V that employs a dollars for the purpose of evasion of this chapter or certified journeym.V41 ct ' ' citified residential otherwise. The exemption prescribed in this subsection specialty electrician $ ec &e meeting the does not apply to a person who advertises or puts out requirements pf Atc io perform any sign or card or other device which might indicate to plumbing w* that, s taffy, directly, and the public that he or she is a contractor, or that he or she immediately apipropria'te to the like -in-kind replacement is qualified to engage in the business of contractor; of a household pliancc..or �iher sr4l Household 10) Any construction 'or operation incidental to the utilization equi�ti 9� egiAnifg�jjQQ'�I&Aric power construction and repair of irrigation and drainage ditches and limited WV ttl arid/or V6ater ' 1riictions. An of regularly constituted irrigation districts or reclamation electrical trainee'►pus et & - , a certified districts; or to farming, dairying, agriculture, viticulture, electrician while perf"ormipy plutrtbifi9 work. horticulture, or stock or poultry raising; or to clearing or Bulletin # 116 — October 1, 2004 Page 2 of 2 k:\Handouts\Contractor's Affidavit