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05-106090
• r City of Federal Way Mechanical Permit #: 05-106090-00-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: SANDBERG Project Address: 32217 2ND AVE SW Parcel Number: 926490 1730 Project Description: Gas furnace replacement Owner Applicant Contractor JOHN W SANDBERG THE PERMIT GROUP WASHINGTON ENERGY SERVICES CO ANDREA K SANDBERG 1029 MARKET ST WASHIES971OB (9/2/06) 32217 2ND AVE SW KIRKLAND WA 2800 THORNDYKE AVE W FEDERAL WAY WA SEATTLE WA 98199 98023-5603 Additional Permit Information Mechanical Valuation 2683 Over the Counter Permit Yes • Mechanical Fixtures Furnaces. 1 CONDITIONS: This parcel is located within a Wellhead Protection Area(Capture Zone 10)and must comply with FWCC, Chapter 22,Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable. PERMIT EXPIRES Tuesday, May 30, 2006 Permit Issued on Thursday, December 1, 2005 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 an the City of Federal Way. --- Owner or agent: L� /-74// /Date: l S THIS CARD IS TO REMAIN ON-SITE !. CITY OF40 vii , Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-106090-00-ME Owner: JOHN W SANDBERG Address: 32217 2ND AVE SW FEDERAL WAY, WA 98023-5603 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. El Mechanical Rough-in(4165) El Gas Piping(4125) .1_ Fin 1-Me anical(4065) Approved Approved to release test Appr v 6 By Date By Date By I toe t y► NOV-28-2005 11:33 FROM:PERMIT 42,V7T56315 TO: 12538352609 P.3 e> OFA Q5 - I Q �.Q. q 0 ' nFederal Way PERMIT SF MP CO EL PL DE EN FP a0AfmmyDIVEIOPME TBO BOWES 3JJ75An.UM,W V.WArN•14.1 3-9711 APPLICATION - tD 1 / 1 MUM,WAY.WA A1061f711 2$3-RIS•?607•FM 2$3435.260f pwsw.drrwlkdtroltw v.eom The otlowing is .•ulred i aviation-an{neo •Tete a •lication will not be acct•ted. P i ase •mint tegibtg •n ink)or pe. • 2„:3__U— • PROPERTY INFORMATION SITE ADDRESS ZK o c/] T surrE/UNIT• R'S TAX/PARCEL I 1' �T 07 I_7 V LOT SIZE(sf) At3sESS0 AX/ _ LEGAL DESCRIPTION(e.g.Acme Estates,Lot I) uuthwsore•Wbni rawlu+crilded . ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING AKBLECHANICAL 0 DEMOLITION CI ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlg) 94 ! C/iy1 P_ JSP%Ace4' A PROJECT NAME(Name of Business or Owner Last Name) \12?"ldb 1. Mi PEOPLE INFORMATION PROPERTY NAME PRIMARY• MARI�N ADDRRSS CR Yr / Y STATE. ZIP /' f,7 CONTRACTOR , ,(A, om ^ Ar NAME 7 OFFICES PHONE tome. Mmerhe/N/Lei / aTt srATe cP 9 fes,/ ) - art OF FEDERAL WAY mums C to t3 QILMRATION DATE FAX A M ER Zr)-d /-�'pr 23 _ / / ( ) - ebTRAAV K 7� i "/PsFY V. Lk rak.v/LLc+ I S/ / 67( • TIoN ogre �_ APPLICANT �N arvieL! „itzr v Vi i� entardJ _N s7 2OoREX20?/(3 G /td _fit } - UATION51nP'rO pito.B4-r FAX NUMr o Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT ' net c 0�'`����•�• y J' 'WIAILADDRESS "I'LL P�:-'s/ N - V rt 7 / ENDER - 4,0 ;z Peet 12CW'14.27.O9S:Linder Information ti �►/ rftutr6d tfprifect:r{IUd CitKdi$4000 I i • MAILING ADDRESS aTY.STATE.EIF • . - • • I DETAILED BUILDING INFORMATION ' EXISTING USE PROPOSED USE . EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED WILDING? []YES n No TYRE SUPPRESSION SYSTEM PRoposEI?/REQUI PPJ)? a YES a No ' WATER SERVICE PROVIDER D LAKEHAVEN o HIGHLIKE a TACOMA o PI2id,ATE(WELL) SEWER SERVICE PROVIDER a LAKERAVEII O MGHUNE D PRIVATE(SEPTIC) A NOV-28-2005 11:34 FROM:PERMIT 4257756315 TO:12538352609 P.4 PROJECT FLOOR AREAS AREA DESCRIPTION EXIST/NG SQ.FT. PROPOSED 8Q.FT. TOTAL, EASEMENT FTRSP SECOND THIRD _ FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? tom coma foto TOTAL LUST=MID rww.m 1 "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE S, _ • FLKTURES indicate number of each type of future to be installed or relocated as part of this project Do not include existing fisxurus to remail. Value of ICAL nicer Work $ 2 S 3, AIR HANDGNO(!NITS EVAPORATIVE COOLERS OAS LOOS REFRIO.SYSTEMS BBQS FANS HOODS(cd oe•++r) • WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS I FURNACES GAB WATER HEATERS DUCTS OAS PIPE OUTLETS PLUMBING BATHTUBS t.r7,.brSlea.rambit SHOWERS WATER CLOS i.de MISC(Describe) DISHWASHERS SINKS - DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS IAAVS VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK 1.ceretfy anderpenattg of perjury that the tnJwrrnaston furnished by me is tree and correct to the best.fa.y knosotedgs,and further,that t sin malwrised by the mune►•1f the aims*premises to perform the work for s.rhieh the permit.ppiteatien is made- l further agree to hold harmless the City of Federal Way as to any elate((lnelading costs,expenses,and attarsuys'fess incurred in the investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Wag.but only where such claim arises eat of the reliance of the city, ng its sheers and employees,upon the accurnog of the e,(fmrmmatien euppUed t�the Cits as a(pert mf this appliedfan_ , ,- NAME/TITLE f � N U�o �+ DATE itA ierr (Signature) Mk) RELATIONSHIP TO67R(/ w,OJECT 0 Owner Agent O Contractor ©Architect O Other a NEW n ADDITION D ALTERATION o REPAIR b TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF IT8E? a YES a NO NEW ADDRESS REQUIRED? a YES fl NO UP/SEPA/SU? ri YES a NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES a NO Cf-7 "- .111.12e7 Bulletin#100-March 30,2004 Page 2 of 4 ki handouts-RevisedWermit Application