12-101316 • • Mechanical
City of Federal Way Permit #: 12-101316-00-ME
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 P q
Project Name: MARTIN
Project Address: 30432 2ND AVE S Parcel Number: 339190 0130
Project Description: Remove/replace existing gas furnace
Owner Applicant Contractor
CAROL A MARTIN RABAN CONTRACTOR SERVICES LLC RABAN CONTRACTOR SERVICES LLC
LAWRENCE E MARTIN PO BOX 7291 RABANCS935QF(11/6/13)
30432 2ND AVE S COVINGTON WA 98042 PO BOX 7291
FEDERAL WAY COVINGTON WA 98042
Additional Permit Information
Mechanical Valuation 2380 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES Wednesday, September 19, 2012
Permit Issued on Friday, March 23, 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: -216-
Date: 3 - 23 - -2
F1HAUZ1 3 G Z
r
i THIS CARD IS TO MAIN ON-SITE
CITY OF 1111& • Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101316-00-ME Address: 30432 2ND AVE S
Project: CAROL A MARTIN FEDERAL WAY, WA 98003-4001
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
�. vl/
By Date By Date By Date g-024-
El Rough ElectricalEl Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
L2 ± o -3_/. co
Fede IIECEIVREPERMIT 0 MF CO CUP PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES ►P P LI CAT I O N
253-835-2607•FAX 253535-2609 M A R 2 3 2,, $1 26
www.cihwffederalway.com A
O•
CITY OF FEDERAL WAY
SITE ADDRESS X CD SUITE/UNIT#
3bil • 2 Ave 1:- _A'eV' i
PROJECT VAL I TION ZONING ASS 1,•••'--M''S TAX/P 'CEL a
TYPE OF PERMIT Eli BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT `
(Tenant Name/Homeowner Last Name) 4 e,r 0hl4r/-iv
vi
PROJECT DESCRIPTION
6,14.s. l—u.wylrir� Ck�cmvl v.—C)L +
Detailed description of work to
be included on this permit only
PROPERTY OWNER _ NA a �e,N"f f t4 )63 PRY1fARY-P ¶ 3? /6602
D`r 3 2 ' Ave, S.
�>stAII �]
CITY :TA . i v IA
. N, x,1,04,1 Coo - ,)-Ota S�„�ii,l_efi PHONE 3-6 M. - Ql6_2
MALLOW ADD E-MAIL
CONTRACTOR ` +D, IX 7,Aq `
i STATE, TTP ?e,
FAX FAX
DU1 pv1 1� f � l.2
WA STATE1Cv1 CTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE a
NATC;Vc-;1/1 C il fl" 5reilS 41 -
APPLICANT _'C .v, Mag 76)1/d`9l
- Lil'id►Cihy/i ITV 11 2 FAX
PROJECT coNTACTNor,0i t) c ''l r,� ONE7 /
(The individual to receive and o �/r7 S, aS - c� 5f).
respond to all correspondence MAILING ADD E-
concerning this application) p. 1,k / oc'7j
CITY �. STA ZIP FAX
co Vi v/%,' kikgaoy-2
ALTERNATE.CO)t1'ACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME 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 •f the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a ' this application.
SIGNATURE: � .. .1/ -I �� !.�. DATE
3 _� ' 12.
I
PRINT NAME: ao a 161C.1 :n S A _ i
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
MECIIAmcAE FIxTuREs
VALVE OF MECHANICAL WOR $ _(a copy of bid or estimate must be provided)
Indicate how many of each type of future 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(CommerciaU
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYSr
DUCTING GAS PIPING WOODSTOVES
PLUMBING FixTuRTt s
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing futures 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/umuy( WATER HEATERS(eieetrld
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
n Yes❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR }
COVERED ENTRY
DECK
GARAGE ❑ CARPORT 0
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
**)v$w HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION
AreaConstructionGroup(s) Construction #of Additional Information
in Square Feet Type Stories
7
ADDITION
COMMERCIAL--REMODEL/TENANT IMPROVEMENTS
Area Construction #of
AREA DESCRIPTION Square Feet Occupancy Groups) Type Stories Additional Information
TCWAL.SMIDS4f8. r
TENANT AREA ONLY
PROJECT AREA wax
Bulletin#100-January 1,2011 Page 2 of 3 k:'Handouts\Permit Application