12-101258Project Name: HENLEY
Project Address: 32501 39TH PL SW
Project Description: Install HVAC system
Mechanical
Permit #: 12 -101258 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 8731901760
Owner
ARI211cant
Contractor
MARVIN & HILA HENLEY
MARVIN & HILA HENLEY
MARVIN & HILA HENLEY
32501 39TH PL SW
32501 39TH PL SW
City of Federal Way
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA
Community & Econ. Dev. Services
98023-2647
98023-2647
33325 8th Ave S
Federal Way, WA 98003
i
'y
Ph: (253) 835-2607 Fax: (253) 835-2609
F
Project Name: HENLEY
Project Address: 32501 39TH PL SW
Project Description: Install HVAC system
Mechanical
Permit #: 12 -101258 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 8731901760
Owner
ARI211cant
Contractor
MARVIN & HILA HENLEY
MARVIN & HILA HENLEY
MARVIN & HILA HENLEY
32501 39TH PL SW
32501 39TH PL SW
32501 39TH PL SW
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA
98023-2647
98023-2647
98023-2647
Additional Permit Information
Mechanical Valuation............................................5500 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Compressors / Heat Pumps............ 1 Furnaces ......................................... 1
PERMIT EXPIRES Sunday, September 16, 2012
Permit Issued on Tuesday, March 20, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy a d the us will be in accordance with the laws, rules and regulations of the State of Washington
a d he City Federal Way.
Owner or agent: Date:/_,!
THIS CARD IS TO MAIN ON-SITE '
CI°W Construction In ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #:
12 -101258 -00 -ME
Address: 32501 39TH PL SW
Project: MARVIN & HILA HENLEY FEDERAL WAY, WA 98023-2647
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)
0 Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
By Date
B jS Date G11,,Z�_Aa
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
1 -
MY OF OA�
Federal Way
COMMUMIY DEVEWPWIff SERVICES
253-835-2607• FAX 253-835-2609
www. dluoirederalwau cost
SITE ADDRESS
.3a5o1
PROJECT VALUATION
$ 51�6a
TYPE OF PERMIT
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
CONTRACTOR
APPLICANT
• PERMIT
APPLICATION
t z _ i o OFF—MF —---
C 1 VEMFP
MAR 2 0.,n,? ag93�
Flex-iL� CDS
ZONING ASS � T� ��cri, # _L (a O — ` � � V
—( —
❑ BUILDING ❑ PLUMBING £� MECH/ANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
i4eAJLLY
V�
C' 0 c 2� [AL
NAME
MAMING ADDRESS
CITY
WA STATE CONTRACTOR'S LICENSE •
NAME
A ✓lel
MAILIIIG ADDRESS
CITY
PROJECT CONTACT
NAME
/The d.W..1 to receive and
respond to all correspondence
MAHMM ADDRESS
concerning this application)
CITY
ALTERNATE CONTACT NAME:
PROJECT FINANCING
NAME
Required value of $5,000 or more
S /'VL
(RCW 19.27.095/
MAILING ADDRESS, CITY, STATE, ZIP
i S UV
go,�)-3
STATE I ZIP
EXPIRATION DATE
STATE I ZIP
STATE I ZIP
PHONE
PRIMARY PHONE
a5-�t) S15-ct530
E•MAM
enle
aomza-s '
PHONE
E-MAIL
FAX
FEDERAL WAY BUSINESS LICENSE 9
PHONE
E-MAIL
FAX
PHONE
E-MAu,
FAX
E-MAM
OWNER -FINANCED
PHONE
I uhf under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best
Of my knomledgq 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 authorised by the issuance of a permit I understand that the
issuance of this permit does not remove the owners 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 def of such claim/, which may be made by any person, including the undersigned, and filed against the city,
but only where such cl arises out of the rezi—# of the city, including its officers and employees, upon the accuracy of the
tr4jormation ptied to as a part of his app on.
SIGNATURE: DATE 3�() Ma�Ct ac) )
PRINT NAME- a- f rA
Bulletin #100 -January 1, 2011 Pagel of 3
k:\Handouts\Permit Application
DALUZ OFMECHAMCAL, WORIC
= (a sewof bid or estimate must beprovided)
Indicate how many of each type offixture to be installed or relocated as
part of this project. Do not include existingfixtures
to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETSI
(Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS poa rcw)
_HER
C T F 1to
BOILERS �_
FURNACES
HOT WATER TANKS Ick
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
Indicate how many of each type of re to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/shmercombo) LAYS (Hmdsmka) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchin/un1&yj WATER HEATERS (m f
SE BIBBS SUMPS WASHING MACHINE,° tYs7"rrix
CRITICAL AREAS ON
waSTING/PREVIOUS USE
WATER PURVEYOR
LOT SIZE (In Square Feet)
AREA DESCRIPTION (in square feet)
FIRST FLOOR (or Mobile Home)
COVERED ENTRY
GARAGE ❑ CARPORT ❑
Area Totab
8MWER PURVEYOR I VALUE OF EXISTING D[PROVSNEWS
EXISMG FIRM SPRI)ISL$R SYSTEI[? PROPOSED FIRE SUPPRESSION SYSTM?
❑ Yesl❑ No I ❑ Yes ❑ No
TOTAL I FOR OFFICE USE
Bulletin #100—January 1, 2011 Page 2 of k:\Handouts\Permit Application