08-105201 r
' Mechanical
City of FederaWay Permit #: 08-105201-00-ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718Ins ection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 P q
Project Name: NEDVED f;*
Project Address: 801S 299TH PL Ly" l'IParcel Number: 515160 0050
Project Description: Remove/replace gas furnace
•
Owner Applicant Contractor
NANCY L KNUDSEN WARREN NEDVED WARREN NEDVED
WARREN NEDVED WARREN NEDVED 801 S 299TH PL
WARREN NEDVED 801 S 299TH PL FEDERAL WAY WA 98003
801 S 299TH PL FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
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Mechanical Valuation 3685 Is this an Online or O.T.C.application" Yes
Furnaces 1
PERMIT EXPIRES Wednesday, April 29, 2099
Permit Issued on Friday, October 31, 2008
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 Ci of F-deral Way.
Owner or agent: = iiL Date: !dj v
601- (9 67 N ' 71‘(t)
Mihh, THIS CARD IS TO REMAIN ON-SITE - -~
CITY OF 40111 • Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-105201-00-ME
Owner: NANCY L KNUDSEN
Address: . 801 S 299TH PL '
FEDERAL WAY, WA 98003-3749
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. PO 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
•
By Date By Date By % E.
Date VOk
,
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
t
i
CITY OF C E N CD C', E—— L O �S— z— C
edl 1N�y Fera
_ SERVICES PERMI'j` , SF MF CO .d EL PL DE EN FP
33325 8 N ENUE SQTY a!IfF1f-- POBOX 971®C T 31 20t'. R
FEDERAL WAY, WA 3 AP PP CATI O N
253 R3526Q7• lPAX 253-853-835-260-2609 7
Of: FEDERAL VI
The following is required ire"ion - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY•. •
—AITE ADDRESS " 7 z 1: . SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 9' Lit ►�! _ - — — LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate pagelor lengthy legal descrotton)
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
ROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)onlu)
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE•• •
NPROPERTY
PO WNER
CONTRACTOR
,CAPPLICANT
�I PROJECT
`CONTACT
LENDER
EXISTING USE
NAM
PRIMARY PHONE
_
(155) 4 - o rC
G DRESS
CITY, ATE, z
E-MAIL ADDRESS
l 5a.Ttlti - r
�o
, T �.
COMPANY NAME.
C.• c {
hPPi.ICANr N
OFF[CU PHONE
(r,5-) f7 - z 7 4-
MAILING ADDRESS
l f7s
CITY. ATE. Z I '
,'
CM I. PHONE
( J -
WAY eUslN umNS$ NUMBER EXTUIATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
G
E-MAIL ADDRESS
IC -A y 101 ..Lj 0'aawAJ]
COMPAANY NAME
APPLICANT NAME
OFFICE PHONE p
MAILING ADDRESS
�i 511- �-���c i��
Cam,
t
TATE, IP �O
�z A
`ELL PHONE
l J -
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant' ❑ Agent X Other ���iI
FAX NUMBER
( )
NAME
� ,p
ry A r
PRIMARY PHONE
(L ) -
E-MAIL ADDRESS
NAME
I 9.27.095:
Lender l atlan is required irproject value exceeds $5,000
MAI C
CITY, STATE, ZIP
(
EXISTING ASSESSED/APPRAISED VALUE $,
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
USE
VALUE OF PROPOSED WORK $
SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
QHLAVE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
vtLt
PROJECT FLOOR AREAS
DESCRIPTION
EXISTIN
S .
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR U UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EXIS76
PROPOSED
TOTAL
TOTAL &YOTA'O SF
TOTAL PROPOSED SF
TOTAL SF
"*NEW HOMES ONLY" NUMBER OF BEDROOMS IS �I-ED SELLING PRICE $
Indicate number of each type of fixdure to be installed or relocated as part of this project. Do not include existing f lures to remain.
MECHANICAL
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
(or Tub/Shower
0 Q I COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
FANS GAS WATER HEATERS MISC (Describe)
FIREPLACE INSERTS HOODS (Commercial)
FURNACES RANGES
GAS LOG SETS
LAYS (Bathroom Sinks)
RAINWATER SYST
ELECTS HEATERS SINKS
HOSE BIBBS SUMPS
REFRIG. SYSTEMS
WATER CLOSETS (To0et)
WASHING MACHINES
MISC (Describe)
I certUy under penalty of perjury that I am the property owner or authorized agent qr the property owner. I cert)fy that to the hest of my
knowledge, the information submitted in support of this permit application Is true and correct. I cert(ry that I will comply with all applicable
City qr 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, orfederal 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 dq,jense 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 ofthe fiance the city, including its gfjicers and employees, upon the accuracy of the Information supplied to
the city as a part of this applicaWtor
Owner and/or Authorized Agent
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN? ❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE? ❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU? ❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
Bulletin #100 — January 1, 2008 Page 2 of 4 k\Handouts\Pernvt Application