12-104317r City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: WALKER
Project Address: 31007 39TH AVE SW
Project Description: Replace gas furnace with split HVAC system.
40Mechanical
1
Permit #: 12 -104317 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 758200 0150
Owner
Aoulicant
Contractor
KEVIN & CLAIRE WALKER
KEVIN & CLAIRE WALKER
OWNER IS CONTRACTOR
826 SW 313TH CT
826 SW 313TH CT
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional Permit Information
Mechanical Valuation............................................6000 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Furnaces ......................................... 1
PERMIT EXPIRES Tuesday, March 19, 2013
Permit Issued on Thursday, September 20, 2012
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: �7 — Z
FINS 11/141/a,
CITY OF
Federal Way
PERMIT #:
Project:
TMS CARD IS TO ON-SITE
Is Construction In ection Record `
INSPECTION REQ TS: (253) 835-3050
12 -104317 -00 -ME Address: 31007 39TH AVE SW
KEVIN & CLAIRE WALKER FEDERAL WAY, WA 98023-2179
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
By
Approved to release test
Approved
By
Date
By
Date
By
Date //-//,0
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
PERMIT
carr or -
Federal Way v��
CoM-,NI�DEI-FAX21,� tAPPLICATI ON
253-835-2607• FAX 253-83 9 �01
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S MF CO ME PL DE EN FP
SITE ADDRESS���2 7
SUITE/UNIT M
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL N
R'
�ALUATION
TYPE OF PERMIT
O BUILDING Q PLUMBING MECHANICAL
0 DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTIONv�NL
12
!UC'�
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAH.INGDRESS
i
E- L
ro
CiTj:.-,
STATE_ZIP���
C,i✓•WA
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE N
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE A
NAME ' I a/n
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.0951
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 I will 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 claiml, which may be made by any person, including the undersigned, and filed against the city,
but only where such claim ses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ty as a part of th" application.
SIGNATURE: DATE —Z0 l
PRINT NAME:
Bulletin #100 —January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application
V'rr
VALUE OFMECHAMCAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS )comm—mi)
BOILERS FURNACES HOT WATER TANKS )Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/Shower Combo) LAVS )Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitnh—/utit:ry) WATER HEATERS (Ekrtm)
HOSE BIBBS SUMPS WASHING MACHINES
CRITICAL AREAS ON PROPERTY? I WATER PURVEYOR I SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USEI LOT SIZE (In Square Feet) I EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100— January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application
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