10-104672 Pi
City of Federal Way. Mechanical
Community Development Services Permit #: 10-104672-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax:(253)835-2609 FILE Inspection Request Line: (253)835-3050
Project Name: DUFFY
Project Address: 33802 31ST AVE SW Parcel Number: 954280 1540
Project Description: Remove/replace gas furnace and water heater
Owner Applicant Contractor
CHARLES M&KELLY DUFFY MOUNTAIN VALLEY HEATING&A/C INC MOUNTAIN VALLEY HEATING&A/C INC
33802 31ST AVE SW (GENERAL) (GENERAL)
FEDERAL WAY WA 13407 SE 339TH ST MOUNTVH970N2(3/5/12)
98023 AUBURN WA 98092 13407 SE 339TH ST
AUBURN WA 98092
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Mechanical Valuation 5951.00 Is this an Online or O.T.C.application? Yes
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Furnaces 1 Hot Water Tanks 1
PERMIT EXPIRES Monday, May 2, 2011
Permit Issued on Wednesday, November 3, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use a in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: = , ' Date: // 3 — /c
F1 *" L,ED 4 (1+/ti
THIS CARD IS TO MAIN ON-SITE
CITY OF ��"' 's • Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-104672-00-ME Address: 33802 31ST AVE SW
Project: CHARLES M & KELLY DUFFY FEDERAL WAY, WA 98023-7797
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) El Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test �� Approved
By Date By Date t Date r/w--`/
El Rough ElectricalCI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
/o ( 04 & 7-7
:. PERMIT
Federal Wad lkr C.iE EN FP
COMMuNITY DEVELOPMENT SERVICES APPLICATION p,
253-83,5-2607•FAX 253.835-2609 O, 4
,I'llr .:
,. u.r;;,Wra:u•a:•cern NOV 03 "raj 1
SITE ADDRESS CITY OF FE ERALI lAl AY
33
c)
33 ,4 v, S,, Fe-39t,f t ()Dal Y>o23 C s
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 0
$ 5i/ / 7 5" 4/ 2 Xo - / s' 4/ 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION; 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(TenantName) C( V C k C)U-1 rf t/
Name/Homeowner Last
a
PROJECT DESCRIPTION 2 jtp( ✓til ta,,c..c 0 f.,_) - tLC lPt-e,-/.i
Detailed description of work to
be included on this permit only
NAME n PRIMARY PRONE
C k
PROPERTY OWNER CkvD t/ J►V" y 2o6 - ...','0 - SC-)
MAILING ADDRESS E-MAIL
33$02. 3( 1L 4ite $L,}
CITY Fes,,a.l Loa.y SIA/ATE ZIP 9 8 0 2,-:),
L( N„ CV? ii4 (/ //y 4-"�> PHONE s-226 '600
OMAILING ADDRESS 3-MAIL
,4 CONTRACTOR /34/07-- S,-e 332 7`4 57riito /H vu(le y�` ,1 e
FAX
CIT! STA ZIP eil!W cow',$....."1l v b vrtA. 1*A ?V°,2
WA STATE CONTRACTOR'S LICENSE 0 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 0
A4O vI ATI V I-! q 1 o a112.- 3 ,, s' , /2-
NAME PHONE
5
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence ING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
El 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 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 laws regulating
construction or environmental laws.
I further agree to hold h• less the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and def- ch claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such eta --s out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the •• as a part of this application.
iiiiLt
SIGNATURE: . 1/ �' ,y / I DATE //— ? J / D
PRINT NAME: ER( `e)R C V S i/v
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Perrnit Application
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VALUE OF MECHANICAL WORK a copy of Md or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) _
`- AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
P\ BOILERS / FURNACES 0--
HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST '
DUCTING GAS PIPING WOODSTOVES
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BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Unbty) WATER HEATERS 0E1eetriel
HOSE BIBBS SUMPS WASHING MACHINES :_____ ::: ? :'.;.;.;
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CRITICAL ARIAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OP EXISTING IMPROVEMENTS
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EXISTING/PREVIOUS USE LOT SIZE(In Square Feat) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes 0 No
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
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