12-101644• , Mechanical
Community & Federal
Uev. Services Permit #: 12 -101644 -00 -ME
33325 8th Ave S
Federal Way, WA 98003 L "
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: HEMMER
Project Address: 31729 42ND AVE SW
Parcel Number: 873198 3020
Project Description: Installing a new furnace, installing 2 new gas inserts and associated gas piping.
Owne
ARRlicant
Contractor
MICHAEL HEMMER
DISCOUNT HEATING & AIR LLC
DISCOUNT HEATING & AIR LLC
4004 SW 317TH ST
PO BOX 3207
DISCOHA00IL8 (6/26/12)
FEDERAL WAY WA 98023-2135
FEDERAL WAY WA 98063
PO BOX 3207
FEDERAL WAY WA 98063
Additional Permit Information
Mechanical Valuation............................................6850 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Fireplace Inserts ............................. 2 Furnaces......................................... 1 Gas Piping ...................................... 1
Gas Pipe Outlets ............................. 2
PERMIT EXPIRES Tuesday, October 9, 2012
Permit Issued on Thursday, April 12, 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: y — (a ` 12
F:INM.R> 411.*h?,
i
CITY OF
Federal Way
PERMIT #:
Project:
• THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -101644 -00 -ME Address: 31729 42ND AVE SW
MICHAEL HEMMER FEDERAL WAY, WA 98023-2122
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 el -/7 —1�
By Date — 71Z
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
A�...
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253-835-2607• FAX 253-835-2609
utu cit o eftt;!1 LuniLcom
*PER�EIVED
APPLIC Old
, rr_nr-D AI WAY
MF COME PL DE EN FP
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SITE ADDRESS `1 I y
SUITE/UNIT x
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PROJECT VA/hL�UA,TTVI��ON
ZONING
ASSESSOR'S TAR/PARCEL /
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
I
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111 ��I �^
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING_F1RE$3 � � S�-
��ffll-- VSTATE
E-MAIL
CITY
ZIP
NAME` `
`_AADDRESS K•
PHONE 334
MAIL
�
E-MAIL
CONTRACTOR
CI
STATE
UA
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l l��lV�.��
FAX
441
W&STATE C?NIRACTORIS LICENSE M EXPIRATION DATE
s S C6 hA M-1 L'R 6 G,
FEDERAL WAY BUSINESS LICENSE N
NAME `S, _ a A
T/ V�
PHONE 3 t J ��
�[�
MAILINGGG+++PD R 3
E-MAIL
APPLICANT
CITYr� zl 806
F j3 C(4(-9cy 13
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
El 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 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 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 apart of this application.
SIGNATURE: DATE
L_
M o
PRINT NAME: L-Url.S
Bulletin #100 — January 1, 2011 Page I of 3 k:�Handouts\Permit Application
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of future to be installed or relocated as art of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commercial)
BOILERS FURNACES HOT WATER TANKS (Gaa)
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 (Kiuhen/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
" �94
Bulletin #100— January], 2011 Page 2 of 3 k:\Handouts\Permit Application