13-100524City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835.2607 Fax: (253) 835-2609
Project Name: KELLY
Project Address: 312 SW 325TH PL
Project Description: Install new gas furnace
Mechanical
Permit #: 13 -100524 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 926490 0920 -
Owner
Annlicant
Contractor
GEOFFREY C(TRUSTEE) KELLY
GEOFFREY C(TRUSTEE) KELLY
OWNER IS CONTRACTOR
312 SW 325TH PL
312 SW 325TH PL
FEDERAL WAY WA
FEDERAL WAY WA
98023
98023
Additional Permit Information
Is this an Online or O.T.C. application? ................. es
Mechanical Fixtures'
Furnaces ......................................... 1
PERMIT EXPIRES Wednesday, July 31, 2013
Permit Issued on Friday, February 1, 2013
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: C Date:
, THIS CARD IS TO MAIN ON-SITE
CITY OF a Construction In ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 13 -100524 -00 -ME Address: 312 SW 325TH PL
Project: GEOFFREY C(TRUSTEE) KELLY FEDERAL WAY, WA 98023-5639
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 (41 5)
Gas Piping (4125)
0 Final - Mec (4065)
Approved
Right of Way
Approved to release test
Approved
By
Date
By
Date
Date 2
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
-- PERMIT IPP J&,kT60N
Federal Way
`EB 01 2013 fit)
PERMIT NUMBERo�
�do TARGET DATE CITY OF FEDERAL WAY _
SITE ADDRESS1-3-17
l Z �_� �
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
TYPE OF PERMIT
0 BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME PRIMARY PHONE
C % f/1 C C L L Zt j ._8 3 '1-7 'Z
MAILING ADDRESS j -t, E-MAIL
3 i 2 -CITY
4 ergo --L�„� o
STATE
ZIP
-NQc 3
NAME PHONE
,\ I1 -(C3 zs-'3 S4-3-S6��
MAILING ADDRESS E -MAH.
O, i30 k Z 3 �Z ; D VL COOI8 T:.d�"�
CONTRACTOR
O N t.-- .
CTO
wC-\
ZIP FAX
9g D 3) %6 Z 2oz z
WA STATE CONTRACTOR'S LICENSE #
tD C00t- UW 02L
EBPIRATION DATE FEDERAL WAY BUSINESS LICENSE #
NAME PRIMARY PHONE
J
MAILING ADDRESS E-MAIL
APPLICANT /
(
CITY
STATE
ZD' FAX
NAME PRIMARY PHONE
PROJECT CONTACT`
(The individual to receive and
MAILING ADDRESS E-MAIL
respond to all correspondence
CITY
STATE
ZIP FAX
concerning this application)
PROJECT FINANC
NAME OWNER -FINANCED
Required value of $5,000 or mor
(RCW 79.270951
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 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 Iaws 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 person, including the undersigned, and filed against the city,
but only where such claim art t� lading its officers and employees, upon the accuracy of the
��Mi��
information supplied to the city as apart offth[ica(Ion.
SIGNATURE: ' ~/011 2"� DATE
PRINT NAME: L {ice/ T 1 rr CA ► >
Bulletin #100 — January 1, 2013 Pagel of 3 UHandouts\Permit Application
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF ECHANICAL WOljl(
MECHANICAL PERMIT
—NIA
4P, HgvL �
2 �/
$ Z 4 -So, —
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
$
Indicate how many of each type offixture
to be installed or relocated as part
of this project. Do not include existingftxtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (c-aw)
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
BOILERS
::T FURNACES
HOT WATER TANKS (G—)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
TOTAL FIXTURES
DUCTING
GAS PIPING
WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
—NIA
4P, HgvL �
u,,. � q ✓j
$ Z 4 -So, —
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
$
Indicate how many of each type offixture
to be installed or relocated as
part o this project. Do not include existing res to remain.
BATHTUBS (wTub/shower Combo)
LAVS (H—dSmk.)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (xitchm/uwity)
WATER HEATERS (EI-Uk)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
—NIA
4P, HgvL �
u,,. � q ✓j
$ Z 4 -So, —
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ti,, C � 4,-A_ti
7006
❑ Yes � No
❑ Yes ❑ No
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in uare Feet a Stories
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Groups) Construction # of Additional Information
in Square Feet I I love Stories
TENANT AREA ONLY
Bulletin # 100 —January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application
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