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05-106354 . ♦ 41111, 1.1140P City of Federal Way Mechanical Permit #: 05-106354-00-IV E Community Development Services P 0 Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050 Project Name: SCHULTZ Project Address: 31045 7TH AVE SW Parcel Number: 555770 0140 Project Description: Replace gas furnace & gas hot water tank. Owner Applicant Contractor RICHARD SCHULTZ NORPAC HEATING&A/C INC NORPAC HEATING&A/C INC 31045 7TH AVE SW 3414 A ST SE SUITE 102 NORPAHAI23M5 (9/13/07) FEDERAL WAY WA AUBURN WA 98002 3414 A ST SE SUITE 102 98023-4604 AUBURN WA 98002 Additional Permit Information Mechanical Valuation 3328 Over the Counter Permit? Yes Mechanical Fixtures Furnaces 1 Plumbing Fixtures Water Heaters 1 CONDITIONS: This parcel is located within a Wellhead Protection Area (Capture Zone 5)and must comply with FWCC, . • ' Chapter 22,Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable. PERMIT EXPIRES Monday, June 12, 2006 Permit Issued on Wednesday, December 14, 2005 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy a • 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: l ol 41' 0. A 4 • THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-106354-00-ME Owner: RICHARD SCHULTZ Address: 31045 7TH AVE SW FEDERAL WAY, WA 98023-4604 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. ❑ Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date By (/ Date 2.2.i.- 1 A REcsi\o' . - Federal Way 0 5- / a =� 3 J COMMUNITY DEVELOPMENT SERV DEC 1 4 2-°°PERMIT RMIT SF MF CO L PL DE EN FP 33325 dTM AVENUE.WA 9•PO BOX 9718 , 1 CATION " F1IOERAL WAY,WA 94063-971 d D • 253-835-2607•FAX 253 35-2609 CITY OF F www.eiivofederalway.rprr BUILD The ollowi • is -• fined in ormation-an into •fete • .,lication will not be acce•ted. Please •rint le• •I n or j• . ■ .PROPERTY INFORMATION SITE ADDRESS 31 Cy S 7 ik A7U�_ S SUITE/UNIT# ASSESSOR'S TAX/PARCEL# S S T 7-0 - 0 J 4 0 LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (A +terata Page for UunWwlegal&NataUa) ' ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING kMECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM • PROJECT DFS CRD?T ON(Prouid detailed description . work included on .1:_ l' . \ PROJECT NAME(Name of Business or Owner Last Name) {v � I f\--1Co v k• — A\ l III PEOPLE INFORMATION PROPERTY NAME �'�� PRIMARY PHONE OWNER \--\,_„...\--\-z_____ ( z53 8'39-0 i y Co MAILING DRESS CITY STATE ZIP 31oLJ5 7/k Ao‘eSL3 l6 c1c&c) �. 3 CONTRACTOR COMPANY NAME NAME �O k� tcr 1 OFFICE PHONE MAILING ADDRESS ` �l3 931 -�loDg� Cry,STATE,ZIP CELL PHONE 7521 / y . A- 5+-S __.Su rl-ke - 4 h L1/4C N\A MO-z- WO ) 5t0 -s 6-3 • CITY 0[+'FED/B�RAL/�WAY BUSINESS LICENSE�NUMBER- /,0J-- EXPIRATION/DATE - ` FAX NUMBER _ -=/ (/-1 O1 OE B L / 3l ( oJ - CONTRACTOR'S REGISTRATION NUMB R(copy of card regain"with each application( EXPIRATION DATE Ai Q& L° /Pt M 5 1 / / 3 / 0 7- APPLICANT -`;© ME APPLICANT NAME OFFICE PHONE - MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER O Architect a Tenant ❑Agent a Other(Describe) ( ) - CONTACTbk.. i--)'eti. PRIMARY PHONE E-MAIL ADDRESS FA_ ( 53) 43/ -Ob o LENDER :.I. :< ''• i'._. r-icor;: 7.:Tr�TL.%tA 1, NAME MAILING ADDRESS CITY,STATE,ZIP • . • ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? a YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO I WATER SERVICE PROVIDER ❑LAKEHAVEN a HIGHLINE 0 TACOMA a PRIVATE(WELL) SEWER SERVICE PROVIDER a LAKEHAVEN 0 MGHLINE 0 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?) ASD# CARPORT 0 _ NUMBER OF FLOORS rearm PROPOS= TOTAL —M. .*NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES iJ Indicate number of each type of fixture to • installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Wor $ O - • AIR HANDLING UN EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commend) - WOODSTOVES BOILERS FIREPLACE INSERTSGES MISC(Describe) • COMPRESSORS V FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower Combo! SHOWERS WATER CLOSETS(roses MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom SOO* VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK •I certify 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 is made. 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 of Federal Way,but only where such claim arises out of the of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this appli NAME/TITLE �'► DATE ) I J . , _ (Signature) (Title) / RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ❑ Contractor ❑Architect 0 Other - r4 ;lit:tD1,d,tttcd),c 53 VA <.�;a.�,t'L .�„��;zt�,'�,,��i-i<< e;ti,itc4r,, )::F E;r. elAt.''” `np t .;to Y !(E •Ti L f.' a`51-: _ 4 0>" lae: j;r.7(r)4,'tk(rl4 = -- z- __ _ -; - - _ - —`t*---'- =-•_--_-- ;Atyt+ .rhe, k tit C,�j rlCE FL, t is i++ an Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application