06-100323 I
City of Federal Way Mechanical Permit #: 06-100323-00-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
4
Project Name: CULVER/HARRIS
Project Address: 30334 9TH AVE S Parcel Number: 515365 0040
Project Description: Replace gas furnace.
Owner Applicant Contractor
LEE R HARRIS WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
THERESA CULVER 2800 THORNDYKE AVE W WASHIES971OB (9/2/06)
30334 9TH AVE S SEATTLE WA 98199 2800 THORNDYKE AVE W
FEDERAL WAY WA 98003 SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation 3762 Over the Counter Permit? Yes
Mechanical Fixtures
Furnaces 1
CONDITIONS:
- This,parcel.is-loeatedwithin a'Wellhead Protection Area (Capture Zone and,must,coniply wdth,FWCC;,,.
•'Chapter 22;Article 7JV."Critical Areas"and fill out a Hazardous Materialsiinventory:Stateisent,if i f•. '
applicable.
PERMIT EXPIRES Tuesday, July 25, 2006 '
Permit Issued on Thursday,.January 26, 2006
I hereby certify that the above information is correct and that the construction on the-above-described property and
the occupancy and the e will be in accordance with the laws, rules and regulations of the State of Washington
and
the City of Feder Way. (2-4
Owner or agent: 1 C � v C �' Date: (6;
THIS CARD IS TO REMAIN ON-SITE Ai
CITY OF
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-100323-00-ME
Owner: LEE R HARRIS
Address: 30334 9TH AVE S
FEDERAL WAY, WA 98003-4101
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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By 11, Date O/C&
J =' 2006 10:04 FROM:PERMIT 4257756315 TO: 12538352609 P.2
off- - • a5 Z3 .
Femoral Way PERMIT
COMMUNITY DEVELOPMENT SERVICE) SF MF C gib L PL DE EN FP
33h3 EIN FEDE 2607.EEMJE UTH•FAX
PO BOX 39714 iA APPLICATION - �'''
, FEDEW.WAY,WA 9E063-9711
253.135-2607•FAX 253435.2609
won.•it uelTrde mh..n a.•twit
The allowing is re.aired information-an incomplete a.•lication will not be acce•ted. Please •Tint legibly(in ink)or type.
Q • PROPERTY INFORMATION(`
SITE ADDRESS 3 O 33 ( L- & SUITE/UNIT I
ASSESSOR'S TAX/PARCEL I '1 3 h � Q Y' ) LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach sepwate page for lengthy legal description)
•
• PROJECT INFORMATION , -
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
( 43 7/nq ce. Rei,/e.' 141- e/6
C124aro /- / ,J
PROJECT NAME(Name of Business or Owner Last Name) !I/Zi
- ■ PEOPLE INFORMATION . .. ' - -
PROPERTY NAME nave,-
PRIMARY PHONE
OWNER ��"`�` Y e,— (05-3) 5-6,1-wzzO
MAILIN CITY,STATE,ZIP
3o 33V q ?C c - y..z.i‘4.y Z414- Fl03
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
VVp-sE-f��Sy�'^vllz-09(./ , zev /�j/jp gev) z - Y7" ')
MAIL
R` I'• '"`� V' """'Vt sWCI'TY,STATE„Ql�'f /"L L / ELL PHONE
-
TrUf
CITY OF FEDERAL WAY BUSINESS 10EN_dNUMB R `/{/)/`\ /rte EXPIRATION DATE FAX NUMBER
W-0 3- /C z 3 V L / / ( ) -
RAAOf IS�O„P 7BER/Oopy 2:frd required with each application) EXPIRATION DATE
t VE
/ /
APPLICANT ANY NA A PUCANT A O' CE PHONE
Pte- `c/ ( uj) (4,0e �E-
p. /ACJ /\RESS GSA/ 1 /c /t J f k. Q//tjELL PHONE
-
RELATIONSHIP TO PROJECT •
�C�VJ KJ L G aK/ FAX NUMBERB
0 Architect ❑ Tenant O Agent 0 Other(Describe) ( ) -
CONTACT /J//JC ��,p / /PRl ARY�P.HO�N]E EMAIL ADDRESS
��e,mow ' (�� NAM"
��I.K ` " !��'L��l� 1� - V Z"��
ENDER —! ti..,r,. NAME
Per RC[V,19.27:095'c"fL"c'ridr`•r+t�jjornnatton ts,••
--Yequtretl lfproject value exceeds$5,000 , .
MAILING ADDRESS CITY.STATE.ZIP
.. %r•- r • • DETAILED BUILDING INFORMATION - . •
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES O NO
WATER SERVICE PROVIDER t] LAKEHAVEN D HIGHLINE O TACOMA CI PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 RIGHLINE 0 PRIVATE(SEPTIC)
J '`1-23-2006 10:134 FROM:PERMIT 4257756315 TO:12538352609 P.3
e — —_
.' •• • PROJ£CT FLOOR AREAS _
' ' -`' ___ ------ TOTAL
AREA DESCRIPTION
EXISTING•S•.YT. PROPOSED S••.1 .
1111111111111111111111111111111MIAMIWI. IIM
SECOND
THIRD rr
FOURTH
ADDITIONAL FLOORS(DESCRIBE) INIIIIIIIIIIIIINIIIIIIIIIIINIIIIIIIIII
■ -
DECK(COVERED?) IIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIII
GARAGE/CARPORT IIIIIIIIIIIIMNIIIIIIIIIIIIINIIIIIIIIIIII
HOW MANY FLOORS? 11111111i"111111.11111.1111116111"1111
ESTIMATED SELLING PRICE $ _
"NEW HOME ONLY•• NUMBER OF BEDROOMS _ - _ _ _
_.,• . -• _ -• '-: ._.:- • -,-_ FIXTURES •=: _ Cres to remain
•
- =.t.,—,.*�=_r =`�-=- �� • •' � :"_ �..-
`� art ofthis project. Do not include existing Jufi
•- Indicate number of each type of fixture to be installed or relocated asp
77
MECHANICAL "3Z---:•! J
Value of Mechanical WorkGAS LOGS REFRIG.SYSTEMS
EVAPORATIVE COOLERS REF
G OVFS
BBAIR HANDLING UNITS FANS HOODSIc•mmxrccal! Mi SC(Describe)
BBOAS — FIREPLACE INSERTS �-- ROAAS WATER HEATERS
COMPRESSORSOPRS FURNACES
GAS PIPE OUTLETS
DUCTS ----
MISC(Describe)SHOWERS _ WATER CLOS mirk') —
BATHTUBS iorTue/snow<rcomal SINKS DRINKING FOUNTAINS
DISHWASHERS RAINWATER SYST
SUMPS -- HOSE RAINWATER
GAS PIPE OUTLETS URINALS
WASHING MACHINES BIBBS
_ �~ ELECTRIC WATER HEATERS
VACUUM BREAKERS
IAV$ Bathroom Sink -----' _ _ _
JSiGNATQREBLOCK- .•>'`_ -.-� `. ^ ';:=:. ;-_;- -.- -
-
' ''''-'47.-L'1-2., --,•,_r,. �c! «oiLled a and further. that I
Mc is true and-Correct to the.best of t cation myis rrrade. I further agree . hold
certify under penalty owner of the
that the premises to pe furnished by for which the permit apP
am authorized by the of the above (including costs,the work s� ccs incurred in the investigation and defense of
enses, and attorney j but only where such claim
harp■less the City of Federal Way as to any claimudinthe der expenses,and filed against the City of Federal Way,
such ctatmo thc
may a made by any person,ig the employees,
information supplied to the city as a part of
arises out of the retiancF of the city,including its officers and employees, upon the accuracy of the vz this application. ' 3/Q�/ DATE `
NAME/TITLE [ (TRIO
(SiSnaturel ,
RELATIONSHIP 0 PROJECT 0 Owner o Agent o Contractor O.Architect 0 Otter
'FOR OI F[CE USE ONLY. i yr
o NEW o ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT
•
BUILDING SHELL ONLY?
BASIC PLAN? o YES o NO
o YES o NO o'YES o NO
1 ZONING DESIGNATION CHANGE OF USE?
NEW ADDRESS REQUIRED? CHANGE
YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ONO
—
e
3() 3 3 y 7h;1 J
Bulletin f/100—March 30,2004 Page 2 of 4 k\liandouls—ILcvisedU'cimit Application
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