18-103458 . ... ...
FILE .,- a,
Mechanical
City of Federal Way Permit #:18-103458-00-ME
Community Development Dept.
33325 Sth Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax.(253)835-2609
Project Name: MCFARLANE
Project Address: 33240 39TH AVE SW Parcel Number: 109961 0800
Project Description: Installation of gas furnace and gas piping.
Owner Applicant Contractor
KIMBERLY MCFARLANE JAMES MCFARLANE OWNER IS CONTRACTOR
26906 10TH AVE S 26906 10TH AVE S
DES MOINES WA 98198-9316 DES MOINES WA 98198
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Additional Permit Information
Mechanical Work Valuation? 1500 Is this an 4116
I .appli •; n? Yes
0
(
Furnaces 1 Gas Piping
PERMIT EXPI ESV ,day, ,1 nuary,2019
Permit Iss i 1 . I ay,Aug 3,2018
I hereby certify that the above informatiiii .• -ct and th4re construction on the above described property
and the occupancy and the use will'6ellf •rdanc the laws, rules and regulations of the State of
w W- •i r •n and th of Federal Way.
Owner or agent 4.111 ',i 4 Date: 2 —3 8
/ i
1
w •
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
my or p
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 103458 00 Address: 33240 39TH AVE SW
Project: JAMES MCFARLANE FEDERAL WAY WA 98023-2910
Scheduled inspections maybe 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) Gas Piping(4125) Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By • Date ' ty-1 By Date
Rough Electrical Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
�► PERMIT APPLICATION
CITY OF AUG 0 3 2018
Federal waPERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
yw,�Y 253 835 2607 + FAX 253 835 2609 +permitcenter@cityoffederalway.com
PERMIT NUMBER S/'
/ _ / L� `� — /�` TARGET DATE
SITE ADDRESS / ���/// ([ b SUITE/UNIT#
332ye, 39TH Awe Stv
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ isoo J ii 9 9 6 L - D 8 v 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING XMECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECTal:: :747EMc-FAA- 1 et--h
PROJECT DESCRIPTION q a`5 kt. ^_e_ / �v r elQCG
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
�A_� ,1 e HcF,- / -' _ a x.3 .332 SS*,
PROPERTY OWNER MAILING ADDRESS E-MAIL
Volt' To /Orr' /4.11 5 4-.•-n leiAt P14 cCa//
CITY STAT ZIP •co
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NAME PHONE
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MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
_
NAPAL. PRIMARY PHONE . ..
..j a_44..e S M,C r (u.lt-e 25 3 .33 2 ,55 46,
APPLICANT- MAILING ADDRESS E-MAIL
,Th
Ti ,0b J 0 t� ve S iirr.�/'iet/Kacatr Lai e__
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CIT_Y SMO , ►5 S_ I:T Z 8 I ^ FAX 'e O/11
NAME (�, 1 Y PRIMARY PHONE
PROJECT CONTACT G5/Q 1,41.I- A5 ,k P p 1 I C . n T
(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
When value is$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 arty 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 he reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a pa .f this application. �{
SIGNATURE: V DATE ✓ '3 • / 8'
1 �
PRINT NAME: 0l the (��dl d' ( 4v( ' -
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application