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13-105677U City of Federal Way Community & Econ. Dcv. Services 33325 8th Ave S Federal Way, WA 98003 Ph(253) 835-2607 Fax: (253) 835-2609 Project Name: MATTSON Project Address: 2412 SW 307TH ST Project Description: Install new gas furnace and associated gas piping Mechanical Permit #: 13 -105677 -00 -ME E Inspection Request Line. (253) 835-3050 Parcel Number: 416770 0110 Owner Applicant Contractor WESLEY P MATTSON WESLEY P MATTSON OWNER IS CONTRACTOR 2412 SW 307TH ST 2412 SW 307TH ST FEDERAL WAY WA 98023-7848 FEDERAL WAY WA 98023-7848 Additional Permit Information Is this an Online or O.T.C. application?.................Yes Mechanical Fixtures Furnaces ......................................... 1 Gas Piping...................................... 1 PERMIT EXPIRES Saturday, June 21, 2014 Permit Issued on Monday, December 23, 2013 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: / (/dor Date: % F\NP�EO CITY OF Federal Way PERMIT #: 13 -105677 -00 -ME THIS CARD IS TO MAIN ON-SITE Construction InITection Record INSPECTION REQUESTS: (253) 835-300 Address: 2412 SW 307TH ST Project: WESLEY P MATTSON FEDERAL WAY, WA 98023-7848 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. 7 El Mechanical Rough -in (4165)Gas Piping (4125) Final Electrical Approved Final - Mechanical (4065) Approved By Approved to release test Approved By Date By Date By Date J / 7 El Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date CITY OF PERMIT %PPLICATION Federal Way RECEIVED l I.� j� DEC 2.12013 2►�� PERMIT NUMBER I _ l _/ - ti [ � 7 TARGET DATE CITY OF F€DERA6 WA)— — SITE ADDRESS yip S&,0 3 ©77" ST SUITE/UNIT II PROJECT VALUATION $ ��/oo ZONING ASSESSOR'S TAX/PARCEL # `4, C _ a 1 _ C) TYPE OF PERMIT ❑ BUILDING MECHANICAL El DEMOLITION El ENGINEERING El FIRE PREVENTION NAME OF PROJECT `❑ )PLUMBING TSa/v ivEW 6AS' u/�.&ACLc PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME � � �C' /� �-sO fiv PRIMARY PHHO�N7E'L .2_53)p / 7- O W 1 7�/ MAI: j D SSGV ,3 071H 57- eG7 AD E-MAILc 1�4-7lso v d �J uwo. CITY FEo6729Z_?OP-5 STATE ZIP NAME NAME PHONE MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME O PRIMARY PHONE MAILING ADDRESS E-MAIL APPLICANT CITY STATE ZIP FAX PROJECT CONTACT NAME PRIMARY PHONE MAILING ADDRESS E-MAIL (The individual to receive and respond to all correspondence CITY STATE ZIP FAX concerning this application) PROJECT FINANCING NAME !! '' /li�f{ 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 info; -,nation submitted in supportof this pe—t application is ue and correct. I cert pg 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 .,f -.....t;..., S ..1;0.7 to the c cts a p art ..l thio .s 1;cat; on SIGNATURE: / Y ' f 2 oL� l3 _DATE PRINT NAME: (X)C-5 . P. r " t ! I S0ll Bulletin #100 -January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application MECHANICAL PERMIT Indicate how many of each type AIR HANDLING UNITS AIR CONDITIONER BOILERS COMPRESSORS DUCTING PLUMBING PERMIT .. r IV VA LUE OF MECHANICAL WORK fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. FANS GAS PIPE OUTLETS OTHER (Describe) FIREPLACE INSERTS HOODS (commercial) _ FURNACES HOT WATER TANKS (G.) GAS LOG SETS REFRIGERATION SYST GAS PIPING WOODSTOVES Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existigg fLxtures 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 (Hitchen/un7ity) 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 BASEMENT NEW BUILDING EXISTINGIPREVIOUS USE . LOT SIZE (In Square Feet( EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ADDITION ❑ Yes ❑ No ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT NEW BUILDING FIRST FLOOR (or Mobile Home) ADDITION SECOND FLOOR COMMERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION COVERED ENTRY Occupancy Groups) Construction a # of Stories Additional Information DECK GARAGE ❑ CARPORT ❑ TENANT AREA ONLY OTHER (describe) PROJECT AREA ONLY ------...._._..._ Area Totals EMSTING PROPOSED TOTAL ............ ......... -- **NEW HOMES ONLY** 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 Groups) Construction a # of Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application