06-100199c �
City of Federal Way Mechanical Permit #'• 06 -100199 -00 -ME
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: BOWMAN
Project Address: 30144 12TH AVE SW Parcel Number: 515320 0466
Project Description: Replace oil furnace with gas furnace; includes gas piping.
Owner
Applicant
Contractor
JOHN C BOWMAN
NORDIC HEATING, INC.
NORDIC HEATING, INC.
KIMBERLY S BOWMAN
P.O. BOX 2581
NORDIM099BJ (1/9/08)
30136 12TH AVE SW
AUBURN WA 98021
P.O. BOX 2581
FEDERAL WAY WA
AUBURN WA 98021
98023-3409
Additional Permit Information
Mechanical Valuation............................................3000 Over the Counter Permit? ...................................... Yes
PERMIT EXPIRES Monday, July 17, 2006
Permit Issued on Wednesday, January 18, 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
Wd the City of Federal Way.
Owner or agent: Date:
I
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -100199 -00 -ME
Owner: JOHN C BOWMAN
Address: 30144 12TH AVE SW
FEDERAL WAY, WA 98023-3409
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 Approved
By Date By L G.J Date / — ( f -dCG By C w Date
hd9 0` XMY OF 19
Federal way PERMIT
-- -- - -- --= — — —
COMMUNnYD8VELOPMENrSBRVNzS SF MF CO EL PL DE EN FP
33325 8m AVENUE SO= • PO BOX 9718
s3-83I�607F&V253�9M9 APPLICATION
+mow d1yo/Pederalucv com
The following is required information - an incomplete application will not be accepted. Please print ieoihiv
SITE ADDRESS ( 2/ `T 7 t-ly SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 5 S �-� - LOT SIZE (s)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aaach 11 --ft P�f- kV ft legal desc Wmq
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESC 7YON (Pro a detailed description of work included on rmit o>yJ
PROJECT NAME (Name of Business or Owner Last Name) tf')/y) a r
PROPERTY NAME
OWNER
CONTRACTOR
L 1PN
a /
L(,/ (✓�
PRIMARY PHONE -
J�viN�ADp /�
2 /jj l
CITY, STAT , ZIP �/
!!V 02--�
ANY NAM
fN/
APPLICANT NAME
,
OFFICE PHONE
/`
a?F'is
172-0—A-ORES$.�
CITY, STAT , ZIP
S
CELL PHONE -
OF FEDERAL WAY BUSINESS LICENSE NUMBER`
' l / / EXPIRATION DATE J
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with eaeh applicctioa)
� � � -
EXPIRATION DATE
APPLICANT COMPANY NAME
MAILING ADDRESS C17Y, STATE, ZIP CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect o Tenant ❑ Agent 13Other (Describe) � _
4
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
S . FT.
TOTAL
SQ. FT.
BASEMENT
SUMPS
WASHING MACHINES
URINALS
FIRST
VACUUM BREAKERS
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
tiaarmo
reorosso
••NEWHOMES 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.
MCIi4NZCAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
BATHTUBS (or7ub/shower combo(
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (eithmom sid.(
VACUUM BREAKERS
GAS LOGS
HOODS (commerci4
RANGES
OAS WATER HEATERS
WATER CLOSETS goiteq _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cerWy 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 authorised 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 cla(m), which may be made by any person, including the undersigned, an fled against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its officers and employees, upo t accuracy of ir4jormation supplied to the city as a part of
this application. /
NAME/TITLE 22
RELATIONSHIP TO PROJEZe ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Other
Bulletin # 100 — January 7, 2005 Page 2 of 4 MandoutMermit Application