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06-106007City 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: MARTINEZ Project Address: 30642 3RD AVE SW Mechanical Permit #: 06 -106007 -00 -ME Project Description: REP - Replacing existing gas forced air furnace Inspection Request Line: (253) 835-3050 Parcel Number: 556000 0520 Owner Applicant Contractor TOMAS & NORMA MARTINEZ COMPLETE HEATING & A/C COMPLETE HEATING & A/C 30642 3RD AVE SW 15627 SE 178TH ST COMPLHA036J3 2/5/08 FEDERAL WAY WA RENTON WA 98058 15627 SE 178TH ST 98023-3909 RENTON WA 98058 Additional Permit Information Mechanical Valuation............................................2800 Over the Counter Permit? ...................................... Yes Mechanical Fixtures Furnaces......................................... 1 PERMIT EXPIRES Saturday, November 22, 2008 Permit Issued on Wednesday, November 22, 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: %1 e2 THIS CARD IS TO REMAIN ON-SITE •' CITY OF ¢ Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -106007 -00 -ME Owner: TOMAS & NORMA MARTINEZ Address: 30642 3RD AVE SW FEDERAL WAY, WA 98023-3909 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 �L Approved By Date By Date By /�`�/ Date .� CITY OF 1 ` Federal My � \ PERMIT COMMUNITY DEVELOPMENT SERVICES NAV 22 M6PERMIT IT\IT SF MF CO E EL PL DE EN FP 33325 8TH AVENUE SOUTH • 63 BOX 9718 I 1 1 T I O 1 FEDERAL WAY, WA 98063-9718 253-83S-2607• FAX 253-83S-2609 www. dtuof(ederolwa u.eorn a,-1♦;`( ��©, I OEP�• The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type. PROPERTY ? SITE ADDRESS _� O �' J ,, J[�J ,+y4 S SUITE/UNIT # ASSESSOR'S TAX/PARCEL # - LOT SIZE (sj) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separate page/or lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBINGMECHANICAL .❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Prouide detailed description of work included on this permit only PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER CONTRACTOR COPY of eard roq.trid with each appllcatlon APPLICANT PROJECT CONTACT LENDER EXISTING USE NAME PRIMARY PHONE ti }'C ) _ MAILING ADDRESS CITY, STATE, ZIP - E-MAIL ADDRESS JJ- W -01d WA CITY, ZIP OMPANY NAME APPLICANT NAME OFFICE PHONE A / --�• �'VAILIWG CITY, STATE, ZIP ) ADDRESS CITY, ZIP CEL HONE E 174:;T(�y.! FAX NUMBER - CI OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER CONTR/A•�CTNO,R'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS CO PANY NAME APPLICANT NAME OFFICE PHONE ) .�S _J.031 MAILINGA^ID�D {ESS ` CITY, STATE, ZIP C LL PHONE -- RELATIONSHIP TO PROJ=. FAX NUMBER �f ❑ Architect ❑ Tenant ❑ Agent -Other trca aAL"t-_— NAME Per RCW 19.27.095: Lender information is required ifproject value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE ) PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE.SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC) Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL _ EXISTING PROPOSED SQ. FT. SQ. FT. TOTAL SQ. FT. ........ .... ....... ......... ..... ....... .......... AREA DESCRIPTION BASEMENT AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES FIRST FANS GAS WATER HEATERS MISC (Describe) BOILERS SECOND HOODS (c.--iatl COMPRESSORS T C FURNACES THIRD DUCTS GAS LOG SETS REFRIG. SYSTEMS ADDITIONAL FLOORS (DESCRIBE) ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO DECK (❑ COVERED OR ❑ UNCOVERED?) ❑ YES o NO GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS LMSTINO PROPOSED TOTAL TOTAL EEISTING Sr TOTAL PROPOSED SP TOTAL Sr *'ANEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $17 (ACOP OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS (c.--iatl COMPRESSORS T C FURNACES RANGES DUCTS GAS LOG SETS REFRIG. SYSTEMS PLUMBING BATHTUBS (-Tub/Showercombo) LAVS (Beth: --Sinks) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS _ WATER CLOSETS rroitet) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS o NO I certify under penalty of perjury that the information 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 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 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 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 --)SignatureT (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent- ontractor ❑ Architect ❑ TE FOROFF'ZCE USE QNLY ' '< - ❑ NEW o ADDITION ❑ ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? ❑ YES o NO ZONING DESIGNATION CHANGE OF USE? a YES o NO NEW ADDRESS REQUIRED? ❑ YES o NO UP/SEPA/SU? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES o NO Bulletin #100— January 1, 2006 Page 2 of 4 k\HandoutsTermit Application