11-101697 • • Mechanical
ttity of Federal Way •
Community Development Services Permit #: 11 -101697-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line:
Ph.(253)835-2607 Fax(253)835-2609 p Q (253)835-3050
Project Name: SINGH
Project Address: 2624 SW 351ST PL Parcel Number: 502945 0960
Project Description: Reconfigure existing furnace***REVISED 5/20/11 TO INSTALL NEW FURNACE-NO
RECONFIGURATION OF***
Owner Applicant Contractor
KAMLESHWAR+LALITA SINGH KAMLESHWAR+LALITA SINGH KAMLESHWAR+LALITA SINGH
18826 39 AVE S 18826 39 AVE S 18826 39 AVE S
SEATTLE WA 98188 SEATTLE WA 98188 SEATTLE WA 98188
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Mechanical Valuation 500 Is this an Online or O.T.C.application? Yes
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Furnaces I
PERMIT EXPIRES Sunday, October 30, 2011
Permit Issued on Tuesday, May 3, 2011
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: • 4 Date:_21-e I
P4,4 I
o 6 /14 i1
4
THIS CARD IS TO REMAIN ON-SITE
CITY OF - Construction Iection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 11-101697-00-ME Address: 2624 SW 351ST PL
Project: KAMLESHWAR + LALITA SINGH FEDERAL WAY, WA
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.
fJ Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By DateDate-q 4_ /)
0 Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
44 CITY of A
l 1 1 0 f 7-
Fod+erai Way OPERMIT •MF CO ME PL DE EN FP
ECEIVED
COMMUNITY DEVELOPMENT SERVICES APPLICATION ‘i$.31.
253-835-2607•FAX 253-835-2609
H.fpw nruyfLelafivau corn
iV1Ay 0 3 2011
SITE ADDRESS CinifiFjj &DtKAL WAY
CDS
, --Vi) D-y Si 351k
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 5oo -' O 2,q4- -5 - O / 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING )MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT n
(Tenant Name/Homeowner Last Name) \
PROJECT DESCRIPTION Ctln Rqi Pr-e- �Ur 1�Q CQ
Detailed description of work to J
be included on this permit only
NAMEriPRIMARY PHONE
PROPERTY OWNER Llrn(g5kLIKr Cc) la r /_'1 f c -( U
LIN ADDRESS E-MAIL y �+ /�
1'OG\�� 2- �5 42 YI-'i Sb, ( �[1�Y�Sh5 P�c Si.k
CI CC' ��Cyt/ • - STATE4- ZIP^&1 b O
NAME ith y�,,nT , `,^n lV `� PHONE
r C ui
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
/ /
NAME it PHONE
-
YYtk t5 urt,z.-
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
`gym
(The individual to receive and v'h5 k D-afx ?13- 5- -
respond to all correspondence MAILING ADDRESS /r� E-MAIL
concerning this application) t k k Z� 5'Fl.
CITY f, STATE ZIP,-...airy
IP G ' ,/ FAX
ALTERNATE CONTACT NAMggs,� PHONE E-MAIL
+11111+4 JIr/ L, dolt) if3lOhpU
PROJECT FINANCING NAME o OWNER-FINANCED
Required value of$5,000 or more
1RCW 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 harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person,including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to t w;, • part of this application.
SIGNATURE: : DATE 5)a I 1
PRINT NAME: Ir I. In/ i _ I 7
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK $ - nL = .7`:�z > .'..s�;��, "nyirya*A'"I,..>y•`3."y,i..��Z,s.'.'•,,K.;.
(a copy of bid 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(Commermal)
BOILERS FURNACES HOT WATER TANKS)Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
•
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.
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/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES ''i, ,a• a#xiw /
•
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF .+•STING IMPROVEMENTS
F=ISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
•
•
AREA DESCRIPTION(in square feet) EXISTIN PROPO: D IF2311 FOR OFFICE USE
•
FIRST FLOOR(or Mobile Home) i , —,
COVERED ENTRY ,
GARAGE 0 CARPORT 0 _-_— — — — -- —
Area Totals r PROPOSED• TOTAL — — -------- --------------
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
•
AREA DESCRIPTION r Occupancy Groups( Construction #of Additional Information
Stories
ADDITION
• AREA DESC- ION Area ren Occupancy Group(s) Construction #of Additional Information
in •uare Feet
Stories
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Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application