06-100955 {
City of Federal Way
Community Development Services Mechanical Permit #: 06-100955-00-ME .
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: HERNANDEZ
Project Address: 33106 11TH AVE SW Parcel Number: 926495 0310
Project Description: Gas Furnace Replacement
Owner Applicant Contractor
JEREMIAH GEORGE BRENNAN HEATING&A/C LLC BRENNAN HEATING&A/C LLC
HERNANDEZ BARBARA GEORGE 4601 S 134TH PL BRENNHA971R9 12/29/07
33106 11TH AVE SW TUKWILA WA 98168 4601 S 134TH PL
FEDERAL WAY WA TUKWILA WA 98168
98023-5321
Additional Permit Information
Mechanical Valuation 3300 Over the Counter Permits Yes
Mechanical Fixtures
Furnaces 1
CONDITIONS:
PERMIT EXPIRES Monday, August 28, 2006
Permit Issued on Wednesday, March 1, 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: 4 /o&
See Application
FlN,9c.LEO 5134 6 RE,¢
THIS CARD IS TO REMAIN ON-SITE
}
CITY OF Community Development Inspection Record
'Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-100955-00-ME
Owner: JEREMIAH GEORGE
Address: 33106 11TH AVE SW
FEDERAL WAY, WA 98023-5321
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.
0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By CIVOks Date ret9
r
Y
COMMuNI7YgL®PM�B1p PRRTMENT
41 I
qrr OF�. �Q� .1 PERMIT
FEB 2 O 20OU, r O. .. t :a o 9 55—
Federal way / PERMITw.�
COMMUNITY NsESOUTHA PSERvrc�kAAR 0 1 2006 SF MF CO EL PL DE EN FP
JJJ�StERALW Y,WA7f,ro80x9 PLICATIO N
FEDERAL WAY,WA 9t06J-977i p / /
2SJ-i95-Z6o7•PAx ssa-iss O F FE D E RA Y
,�,.di�>rrd<rorWay.� BUILDING DEPT, • 1
The otlowi • is re•utred i ormation-an Inco •tete . •.Ucation will not be acce•ted. Please •rint ler ibl in or •e.
■ PROPERTY INFORMATION
4 SITE ADDRESS 5316(0 I 1 TN AV 6
GS SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# l A_ 4.0. 't i S - O 3 1 0 LOT SIZE(sJ7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) SFS
Mtiath afawlb,idnwhWlwai dwaPPtimi
• - ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
• 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(PAouide detailed description of work included on this permit onlu)
PROJECT NAME(Name of Business or Owner Last Name) -
• . • " M PEOPLE INFORMATION • .
PROPERTY NAME PRIMARY PHONE
OWNER )A)R.I31ec>R.A �EIR.LLAL,bE� (2s5) %74 - .a$97
MAILING ADDRESS CITY,STATE,ZI
33 it* 1 Fmk A\IE I F:1>5, '9 2.0.a.3CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
15RE J1)ANL PEATI(\16r k.AIC. g1-lfl(IJKleAki (20 )ALI-% -`?q.00
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
14(001. .5.� 1..5.' --ru 7FL. TUK(AS 1.L.A. a g l fell ( 1 -
CrIY OF'FEDERAL WAY BUSINESS LN ENSE NUMBER 1XPIRATION DATE .- FAX'FAX NUMBER •
•
ao - OLE- t 0 1. o ac-B- .. / /. (a�o4)c1�.g - la os
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
8RC, mKi NA c '7j2g ia•.- / A9 / o?
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
SRC tJiJA'.1 -1E-A`tlkl6p>-A/C, Si-1 AvJt.1 Ea-ki (ao(o) 014-q -~moo
MAILING ADDRESS ' 1 CITY,STATE,ZIP CELL PHONE
14!)01 '34
S 1 -n4 "PL_ --rUK).Jt LA 619 t(oY ( )
RELATIONSHIP TO PROJECT •
FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑Other(Describe) (a0(o)(P._14 g -yr/1.0S-
CONTACT I NAMEPRIMARY PHONE
1 I E-MAIL ADDRESS
SI!-bAWNG1�� A u.E>`l (a06) a4$ -`79450 • • i
LENDER
?,, ,x•lw v•••Eia,,l 'v4lr44- l%S?j„li{:,i'17' ,; NAME
•
MAILING ADDRESS CITY,STATE,ZIP
' • • • • ■ DETAILED BUILDING INFORMATION * .
EXISTING USE PROPOSED USE
. EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES a NO •
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAREuAVEN 0 HIGHLINE . ❑ PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
•
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST •
SECOND
•THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0 • •
NUMBER OF FLOORS s1csrura PROPOSE* Toro
**PEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
•
FIXTURES -
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECdhANICAL
Value of Mechanical Work $ 3,vi D
•
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOOS REFRIG.SYSTEMS
BBQS FANS HOODS
( mmereisq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• • COMPRESSORS • ` FURNACES OAS WATER HEATERS'
DUCTS OAS PIPE OUTLETS .
PLUMBING •
BATHTUBS(.r Tub/ah•w.rC.mbo) SHOWERS WATER CLOSETS crass MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom-Sinks) VACUUM BREAKERS z- ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I cert(fy 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•Ysjmade. I further agree to hold
harmless the City of Federal Way as to any-claim(including costs,.expenses,.anil attorneye fias'tnerurrsci -the investigation cider 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 cars and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLEs'U DATE o1L LIC)(e
( nature)) (Tide) (( LLL
RELATIONSHIP TO PROJ ❑ Owner 0 Agent Contractor ❑ Architect 0 Other
tsCi
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts%Pertnit Application