10-103629 Mechanical
City of Federal Way • •
Community Development Services Permit #: 10-103629-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: DUNN
Project Address: 857 SW 354TH ST Parcel Number: 066231 0640
Project Description: Replace gas furnace.
Owner Applicant Contractor
KEVEN E DUNN KATHRYN DUNN
KATHRYN M DUNN 857 SW 354TH ST 'tn ,
857 SW 354TH ST FEDERAL WAY WA 980230 1/..�/', e v
FEDERAL WAY WA
... ` AS S '" te 8 a. A 9 ayw •. `"� .' " *"' ;,* i r
Mechanical Valuation 4700 Is this an Online or O.T.C.application' Yes
Furnaces 1
PERMIT EXPIRES Sunday, February 20, 2011
Permit Issued on Tuesday,August 24,2010
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: �fvwv� Date: r/2if i 6
- � /749 fln
THIS CARD IS TO AIN ON-SITE
CITY OF 0Construction Ins ction Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 10-103629-00-ME Address: 857 SW 354TH ST
Owner: KEVEN E DUNN FEDERAL WAY, WA 98023-8124
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) El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By C,` Date $ ^ _1,- 1
❑ Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
7Oo3cj 6 0Z
,
. Federal Way 4OPERMITD pcEntoco 0 PL DE EN FP
COMMONITY DEVELOPMENT SERVICES APPLICATIdk .
253-835-2607•FAX 253-835-2609
WWI,,itveili..,irro.t,,N.i.Cerl AUG 2.4 2'61'
SITE ADDRESS CITY OF FEDERAL WAY SUITE/UNIT 0
> 65'7 9-J 35'144% St. Feder-Al wAl. 1.-)A cttS2.3
,
PROJECT VALUATION __. ZONING ASSESSOR'STAX/PARCEL#
,!. .._, ----"---------*---------- / ' ----.' ,o_. 6_. 6 3 L - 0 'I 0
TYPE OF PERMIT . BUILDING 0 PLUMBING '<MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) A -41 _
r ePleAC.4111 -FIA.(eloat,&
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER "--17' KeN&I ctivtat ka.+14riir) --bili-PLY 26 — 874- 7585
MAILING ADDRESSE-MAIL
6,57 st,) 61-144 51.•
CITY STATE ZIP
FLA I?AL "al ;NIA 9S02-3
NAMEPHONE
C)
tiOILQA
MAILING ADDRESS E-MAIL -
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PHONE
APPLICANT MAILING DRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT ( P&E IBML.1.....)E
(
(The individual to receive and ( ,) ./(11/1.tfY)
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
----
CITY STATE ZIP ..-----" FAX
. .., ,„ ss,
...-------
.....--
• ALTERNATE CONTACT N . PHONE E-MAIL
PROJECT FINANCING NAME
r'- WNE0 0 R-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP ,ter
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property o .I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: Li t TiA/Pt+N-/)/1416. DATE T i 24/0
77 PRINT NAME: Kalil rbv% 1,(4 il PI
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
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VALVE OF MECHANICAL WORK l 1 W .oo copy of bid or estimate must be provided)
Indicate how many of each type of fixture o b8 if std or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNiTS FANS GAS PiPE OUTLETS OTHER(Describe) _:
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS I FURNACES HOT WATER TANKS Ic.$)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST '
DUCTING GAS PIPING WOODSTOVES •
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.. 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 IorTub/shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS 0 'ER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Meanie)
•SE BIBBS SUMPS WASHING MACHINES . ': ? #':;p `A "`
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CRITICAL AREAS ON P-••'ERTY? WATER PURVEYOR SEWER PURVEYOR
E aSTING/PREVIOUS USE LOT SIZE(In Square Feet) EIQSTING FIRE SP - SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes w No ❑Yes ❑ No
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AREA DESCRIPTION(in square --t) EXISTING PROP e: D TOTAL FOR OFFICE USE
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Area Totals
ESTIMATED SELLING PRICE '. #OF BEDROOMS
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