11-104884 • Mechanical
City of Federal Way
Community&Econ.Dev.Services p
33325 8th Ave S Permit11-104884-00-M E
Federal Way,WA 98003
Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
,. .
Project Name: ARNOLD
Project Address: 3111 SW 346TH PL Parcel Number: 788878 0140
Project Description: Replacing an existing furnace
Owner Applicant Contractor
PATRICIA ARNOLD M M COMFORT SYSTEMS(GENERAL) M M COMFORT SYSTEMS(GENERAL)
3111 SW 346TH CT 18103 NE 68TH SUITE C-200 MMCOMMC934B4(1/24/13)
FEDERAL WAY WA 98023-3111 REDMOND WA 98052 18103 NE 68TH SUITE C-200
REDMOND WA 98052
Mechanical Valuation 5000 Is this an Online or O.T.C.application? Yes
Furnaces 1
PERMIT EXPIRES Wednesday, June 6, 2012
Permit Issued on Friday, December 9, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u - •- in accordance with the laws, rules and regulations of the State of Washington
an. •- • • Federal Way.
Owner or agent: Date: / CI I!
� N rz z &i
•
THIS CARD'IS TO MAIN ON-SITE ,
�� 4aF Construction I ection Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT#: 11-104884-00-ME Address: 3111 SW 346TH PL
Project: PATRICIA ARNOLD FEDERAL WAY, WA 98023-3111
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) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By c- L Date
•
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RMIT
Federal ANipMF CO3)MPL DE EN FP
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CE ICATION
f.OhLMLNITY UEVEl.O1MET'T S `�./i_,�
2.5:3-8.35-2607•FAX 253-83.5- 60 �W
DEc 0 9 -a41 13.I I 2-I
SITE ADDRESS ERAL WAY SUITE/UNIT#
�� C FV
U P1
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL it
$ ( ) --1 - - G I QC
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT el�
(Tenant Name/Homeowner Last Name)
il
PROJECT DESCRIPTION -p a l Q (jc ��
Detailed description of work to
be included on this permit only
_-- - - NAME • ^ a PRIMARY PHONE __
PROPERTY OWNER � •
- 1 a 1mold el-- -_,2 3 Q`
. G ADDRESS E-MAIL
/1,C CIS el 100✓-
CI STATE ZIP
� � (wc1 � STATE
NAME PHONE
M1M 00fr CD r t- 5�s-V__T 20 3 ----745'S-
MAILING
lADDRESS G (� p q E-MAIL
CONTRACTOR L's \\O)7D tJ ELoSIT1 ✓ `- y O
CITY STATE 4..X 1 I ord con- •/^. " `, FAX
WA STATE CONTRACTOR'S LICENSE b V`J EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 6
MMC_b1Y1YY/IcCct �-I1/(l 11 i Z1-( i_ )1 cc`11LY.7c leo 61-
N j c't Mt c1 J CO V l 11 a C 1 V r PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and t/�(tl
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 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 the city 'art of this applicati
SIGNATURE: DATE
PRINT NAME: 8M.a vi.ttei G s i-e-
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Permit Application