12-100177 Mechanical
City of Federal Way Permit #: 12-100177-00-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: SMITH
Project Address: 30117 8TH AVE S Parcel Number: 515200 0240
Project Description: Installing new gas furnace,like for like changeout
Owner Applicant Contractor
ROBERT E RATCLIFF M M COMFORT SYSTEMS(GENERAL) M M COMFORT SYSTEMS(GENERAL)
30117 8TH AVE S 18103 NE 68TH SUITE C-200 MMCOMMC934B4(1/24/13)
FEDERAL WAY WA 98003-3724 REDMOND WA 98052 18103 NE 68TH SUITE C-200
REDMOND WA 98052
Mechanical Valuation 3179 Is this an Online or O.T.C.application? Yes
�4V., o ,
Furnaces 1
PERMIT EXPIRES Monday, July 9, 2012
Permit Issued on Wednesday, January 11, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t ill be in accordance with the laws, rules and regulations of the Stat of W shington
the City of Federal Way.
Owner or agent: Date: / I/ /
. z 13
12'
THIS CARD IS TO REMAIN ON-SITE
CITY •°F Construction Lection Record(253)
Federal Way INSPECTION RE UESTS: 835-3050
Q
PERMIT #: 12-100177-00-ME Address: 30117 8TH AVE S
Project: ROBERT E RATCLIFF FEDERAL WAY, WA 98003-3724—
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) El Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date •By 0n Date a. L 3_I-.).,
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
ill S- d
CITY OF,... '^ - CV E ERMIT - -
Federal VI d SF' MF CO 0 PL DE EN FP
COMMUM7Y DEVELOPMENT SERVICES t p p LI CATI O N 1-2--
253-835-2607*
ePAXde 253-835-2609 ,1 IV . _ ,- f 2/101 1 }�
www.citUarederaiwau COM
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CITY OF FEDERAL WAY
SITE ADDRESS SUITE/UNIT#
30 1 n f- pwe S
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1 t-C\ \ rj 0_ 0_ - q n
TYPE OF PERMIT ❑BUILDING 0 PLUMBING XMECHANICAL
❑ DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) f3 ry'1 1--v--y)
PROJECT DESCRIPTION k (-\ .tCA1k Cv0 f1 )r ( O
� n ,
\ U Co
Detailed description of work to D c LA � �X
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER' f r)-) t-Vim •26 ---i`)ip jfl'
MAILING ADDRESS E-MAIL
--'ft MS cis i
CCIxI Vl lCTA CA „_6
ccsocy ,
NAME mm 0,01)1 Nil Si-e S 421 -1(3'2_0
MAILING ADDRESS L- IL
CONTRACTOR \v `O' 1"e- o g i--) 6t- ` 9,0
CD
STIlk. r f� �TI ! - FAX STAONTRACTOWS
A� �CEIRATION DATE FEDERAL WAY BUSINESS LICENSE#
►111 �c-LJ'—LS II ELLS
I //ij4 / 1� 206910010/00 1-
NAME , I'I.G cis C f�l L I ' r����/f V• PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and 04-l'V1 M^,L ``i fid
respond to all correspondence MAII DHG ADDRESS E-MAIL
concerning this application)
CITY STATE ZIPS FAX
ALTERNATE CONTACT NAME: Pf�LI E-MAIL
PROJECT FINANCING NAME t'll El 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 • out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to - city as a .' of this application. /
SIGNATURE: `' DATE 1 J -L2-
PRINT NAME: ' //!da I
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
a • •
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VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type offixt tre to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLI:1b OTHER(Describe)
AIR CONDITIONERFIREPLACE INSERTS HOODS(commerctm)
T
BOILERS { FURNACES HOT WATER TANKS(cas)
COMPRESSORS GAS LOG SMS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tb/Shower Combo) LAVS(HandStnha) TOILIAb WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES 60? 5 a ,a
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?
❑Yes❑ No ❑Yes 0 No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home) --
COVERED ENTRY __—._......_._.._..._... - _ ._ _ — —._........__._............._
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL.
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTIONPPM' Occupancy Group(s) St ries Additional Information
�,
ADDITION
Area Construction #of
AREA DESCRIPTION ,uare Feet Occupancy Group(s) �,a Stories Additional Information
inTENANT AREA ONLY
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application