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06-1058161 . ~ City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax. (253) 835-2609 Project Name: JEFFERSON Project Address: 441 S 316TH PL Mechanical Permit #: 06 -105816 -00 -ME Project Description: Installation of furnace & hot water tank Inspection Request Line: (253) 835-3050 Parcel Number: 794170 0130 Owner Applicant Contractor BERNICE JEFFERSON NORPAC HEATING & A/C INC NORPAC HEATING & A/C INC 441 SW 316TH CT 3414 A ST SE SUITE 102 NORPAHA123M5 (9/13/07) FEDERAL WAY WA 98003-5215 AUBURN WA 98002 3414 A ST SE SUITE 102 AUBURN WA 98002 Additional Permit Information Mechanical Valuation............................................5259 Over the Counter Permit? ...................................... Yes � 1 Mechanic Fixtures Furnaces ...................................... 1 �Plnbing Fixtures? 'iiJx#Pr i-Xaatr r� �� 1 i L 0 THIS CARD IS TO REMAIN ON-SITE C11YOF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -105816 -00 -ME Owner: BERNICE JEFFERSON Address: 441 S 316TH PL FEDERAL WAY, WA 98003-5215 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 Date No "Ct51S. /Vo ®me t." 3 Z �e,,,, RECEIVED err w Q�w - F'ederafflay Nov 13 2006 PERMIT COMWffl YDZMOP=WS6RW= 33325dTMAYENUE,WA SOUTH 9•ro!�7JB YpLI CATI O N FEDERAL WAY, WA 98063-9 TY OF F E D E R 2S3-Q3S-2607• PAX 253-d3S-2 9 BUILDING D VAM, iwlfedermhuay.mm The following is required information - an incomplete application will not be SITE ADDRESS x ASSESSOR'S TAX/PARCEL #— — — — — — LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) OC0 - 1 D 5 8-L(Cp SF MF CO EL PL DE EN FP )ted. Please print leaibiv fin ink! or tune. SUITE/UNIT # ; LOT SIZE (s,) H+� �una•ahr �w � drorpaanl PROJECT•• • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PRO . DESCRIPTION (Provide detailed des I n pf work included on this Permit on! v � �vA_ PROJECT NAME (Name of Business or Owner Last Name) , f PEOPLE•• • PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER EXISTING USE NPRIMARY PHONE er e f Scn\- (2531 9 MAILING ADDRESS CITY, STATE, ZIP COMPANY NAME CANT NA OFFICE PHONE MAILING ADDRESSCITY, N s� STATE, P Qkb uj (\\, ego CELL PHONE (a cO 516 - r s CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE 0. 1 `1-!) Q - � a (� - B 1g3) ' o e FAX NUMBER . (ate 93i -0 ( CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) 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) PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK SPRINKLERED BUILDING? d YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGIILINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN . ❑ HIGHLINE 0 PRIVATE (SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ. FT. PROPOSED TOTAL SQ. FT. SQ. FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT ❑ msmio rRoroeso NUMBER OF FLOORS MAL "NEWHOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ of each type of fixture to be installed or relocated as part of this project. Do not MECUANICAL Value of Mechanical Work �© �, 259 . AIR HANDLING UMTS BBQS BOILERS COMPRESSORS DUCTS BATHTUBS (w Tub/shower combo) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAVS path oom sbnko EVAPORATIVE COOLERS FANS FIREPLACE INSERTS _ FURNACES GAS PIPE OUTLETS SHOWERS SINKS SUMPS URINALS VACUUM BREAKERS GAS LOGS HOODS (commorot.Q RANGES GAS WATER HEATERS WATER CLOSETS (rwwq _ DRINKING FOUNTAINS RAINWATER SYST HOSE BIBBS ELECTRIC WATER HEATERS REFRIG. SYSTEMS WOODSTOVES MISC (Deacnbe) MISC (Deacribe) I certVy under penalty of perjury that the Wormation furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is .inade. 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 of Federal Way, but only where such claim arises out oft Hance of the city, including its officers and employees, upon the accuracy of the irt/ormation supplied to the city as a part of this appitc on. NAME/TITLE DATE / (� ignature) fns) RELATIONSHIP TO PROD T q Owner 0 Agent 0 Contractor O Architect a Other nniintin iii Ml — Tanuary 1 7nn6 Pave 2 of 4 k\Handouts\Permit Ano ication