14-102689Mechanical
City of Fedel
Community & Econ.raDevYeServices Permit #: 14 -102689 -00 -ME
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2809 P q
Project Name: BROWER
Project Address: 33418 42ND AVE SW Parcel Number: 286730 0220
Project Description: Replace gas furnace & heat pump.
Owner
nlicant
Contractor
CHRIS BROWER
RANGER HEATING & COOLING
RANGER HEATING & COOLING
33418 42ND AVE SW
4014 61ST AVE E
RANGEHC9050M (9/18/14)
FEDERAL WAY WA 98023
FIFE WA 98424
4014 61 ST AVE E
FIFE WA 98424
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures
Furnaces ......................................... 1
PERMIT EXPIRES Saturday, December 6, 2014
Permit Issued on Monday, June 9, 2014
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
nd the City of Federal Way.
Owner or agent: Date:
FINALED
f � '
Federal Way
THIS CARD IS TO REMAIN G.N SI1E
Construction In ection Record Y
INSPECTION REQ TS: (253) 835-3050
PERMIT #: 14 -102689 -00 -ME Address: 33418 42ND AVE SW
Project: CHRIS BROWER FEDERAL WAY, WA 98023
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 (-jq
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way -^
Approved
By
Date
By
Date
By
Date
CITY OF `
Federal Way
PERMIT NUMBER �— q
aeceiM
JUN *Zoia PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
TARGET DATE
SITE ADDRESS
3 3 L X A vE s �✓
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
1 VL
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
f �'
('v
PRIMARY PHONE
MAILINGDRESS vjsC ^ V � �^' ► /
Ee- kI bsa' /
CITY F ef4 / W
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STAT
ZIP D 3
NAME k%^ /k, �, C1 i- SOD •q L
PHPV -7 `d -a -s- >oo
MAuurG Z/ e- I
CONTRACTOR
CI
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STA
L✓
ZIPgm/
FAX
WA TE O RACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME � may, �
-PRIMARY P O
/
MAILiN 1v0
O D
E MAIL
APPLICANT
CITY3TATE
L
1//Y
ZIP/
7CJX
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
-- --- - --- -_ _ --__ -
EMAIL
(-The -individual -to-receive-anrf-
respond to all correspondence
CITY
STATE
7P
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required value of $5, 000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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.T 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
PRINT NAME: iw
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\14andouts\Permit Application
I
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
FOR OFFICE USE
BASE -
r,
NEW BUILDING
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
Indicate how many of each type offixture
to be installed or relocated as
part o this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/Shower combo)
LAVS (Hand Sinks)
TOILETS
$
Indicate how many of each type offixture
RAINWATER SYSTEMS
to be installed or relocated as
part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
SHOWERS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
SINKS (Kitchen/Utility)
FIREPLACE INSERTS
HOODS (commercial)
BOILERS
SUMPS
FURNACES
HOT WATER TANKS (Gas)
COMPRESSORS
OTHER (describe)
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
PROPOSED
TOTAL
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
FOR OFFICE USE
BASE -
r,
NEW BUILDING
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
Indicate how many of each type offixture
to be installed or relocated as
part o 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
DECK
DRINKING FOUNTAINS
SINKS (Kitchen/Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
FOR OFFICE USE
BASE -
r,
NEW BUILDING
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEVA' OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASE -
r,
NEW BUILDING
...... _...... _._.... - .......-----------------.... _
FIRST FLOOR (or Mobile Home)
ADDITION
SECOND FLOUR
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
COVERED ENTRY
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
DECK
GARAGE ❑ CARPORT ❑
TENANT AREA ONLY
OTHER (describe)
`
PRojidt AREA ONLY
Area Totals
FMSTDQO
PROPOSED
TOTAL
.... ............................... ._................ _._- .......... __ __.._._...._.._.....----
"'NEW HOMES ONLY*a,
ESTIMATED SELLING PRICE $
1 # OF BEDROOMS
COMMERCIAL- NEW/ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PRojidt AREA ONLY
Bulletin # 100 —January 1, 2013 Page 2 of 3 k:\JIandouts\Permit Application
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