12-104362 r �•• +
• Mechanical
City of Federal Way F I L 12-104362-00-M E
Community s Econ.Dev.Services E Permit #:
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: 253
Ph:(253)835-2607 Fax:(253)835-2609 p eQ ( )835-3050
Project Name: EIGNER '27°
Project Address: 2824 SW 340TH PL Parcel Number: 010920 0520
Project Description: Replace gas furnace and gas water heater
Owner Applicant Contractor
WILLIE A EIGNER JAIMIE HOW BRENNAN HEATING&A/C LLC
2824 SW 340TH PL BRENNAN HEATING&A/C (GENERAL)
FEDERAL WAY WA 98023-7734 4601 S 134TH PL BRENNHA971R9(12/29/13)
SEATTLE WA 98168 4601 S 134TH PL
TUKWILA WA 98168
Additional Permit Information
Mechanical Valuation 2500 Is this an Online or O.T.C.application? Yes
• Mechanical Fixtures
Furnaces 1 Hot Water Tanks. 1
PERMIT EXPIRES Sunday, March 24, 2013
Permit Issued on Tuesday, September 25, 2012
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 Date:
r,Nate 3/U (3
THIS CARD IS TO MAIN ON-SITE
CIOF Construction In ction Record
Federal way INSPECTION REQ TS: (253)835-3050
PERMIT#: 12-104362-00-ME Address: 2824 SW 340TH PL
Project: WILLIE A EIGNER FEDERAL WAY, WA 98023-7734
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) El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
•
CRY OF PERMIISAPPLICATION
Federal Way RECEIVED
�l JUN 242015
PERMIT NUMBER `, 5 _ ' 0 V _ 0 0
— — — — CITY ORFERrAIMEWAY �2q 1 �J
CDS
SITE ADDRESS SUITE/UNIT#
It 1, Sw 3S1,,..d 01. F 4 GO.-1
PROJECT
c '.-
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL#
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT P 61; 2:2.0 -e ge-1100 F
PROJECT DESCRIPTION < <`''�• 0 ce- C.cota- cs-s - OSn
,%i-.C)• ��f(�-
Detailed description of work to Zv�S�-« /�•�Q�.� s�^�"��3
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER C O( S t 4)01; 21-CA-4.-0 Z'S'3 - 4,10 - No'ZD
MAILING ADDRESS E-MAIL
?l 4 Sw 34,...1 PI -
T
1 -
CI STATE ZIP'_6
NAME PHONE
4-00 I SS-c S3. 221-2-
MAILING ADDRESS E-MAIL
CONTRACTOR P-v- 6 ox 19/1., ?w+1f o � dod(� • `sn"
CITY STATE ZIP FAX
rhuiv fi✓/- SVC, I 213-135-- 434 CO
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
aces.)q-2 toms ex_ Z / tt
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS J E-MAIL
CITY STATE ZIP FAX
. . _ .. NAME .._ PRIMARY PHONE
PROJECT CONTACT 1)ow.a's•
.IT " VN . AlA)N t_ 2S3-(05 3 • 2. (Al—
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 the city as a part of�this application. _
SIGNATURE: &W. .. '. as " /DATE (o I Ly ' 1 c
PRINT NAME: 'itks1D i j a i L4
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application