09-104916Mechanical
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: MARIE
Project Address: 37648 18TH PL S
Project Description: Replace furnace
PermA #: 09-104916-00-ME
Inspection Request Line: (253) 835-3050
Parcel Number: 721265 0960
caner
Awlicant
Contractor
DEBRA MARIE
ADVANCED FILTER & MECHANICAL INC
ADVANCED FILTER & MECHANICAL INC
37648 18TH PL S
(GENERAL)
(GENERAL)
FEDERAL WAY WA 98003-7574
418 VALLEY AVE NW UNIT B115
ADVANFM044RD (12/29/10)
PUYALLUP WA 98372-2503
418 VALLEY AVE NW UNIT B 115
PUYALLUP WA 98372-2503
Additional Permit Information
Mechanical Valuation............................................2418 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Furnaces ...................... ................. 1
PERMIT EXPIRES Tuesday, June 15, 2010
Permit Issued on Thursday, December 17, 2009
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: 6k2 ez Z Date:_ 3 _ lA
FJNatil,Ob 3/1$/Iu
THIS CARD IS TO _REMAIN ON -SITE
CITY of - Construction h... ection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT f#: 09-104916-00-ME Address: 37648 18TH PL S
Owner: DEBRA MARIE FEDERAL WAY, WA 98003-7574
Scheduled inspections may be failed if this card is not on -site. DU 1VOT L05E THUS 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.
Mechanical Rough -in (1 5)
as Piping (Final
- ffechavuesd (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By
Date 3 , / 7-/0
❑
h Electrical
Rough
Approved
El
Final Electrical
ApprovedEl
i -
Ilighl of Way
Approved
By
Date
By
Date
By Date
FedftCEIVFF
Fe_
PERMIT SF MF CO IE EL PL DE EN FP
��°�'�� � 7 za�q APPLICATION
�331fi 9+p AVSM783t7U7I1 • F'O 8
FEDSRAI,WAY. WA 98p83.871�
959-2H07•P'M383-3S-2&W
OF FEDERAL WAY
77lefolk wing is r"4tio'n - an incomplete application will not be accepted,. Please print legibly (in ink) or type.
SITE ADDRESS G L c SUITE/UNIT
- 122ASSESSOR'S TAB/PARCEL — — — ` LOT SIZE (s, j1
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach.M-W tW1�Ia@rgeyt p«�A�J
PROJECT• •
TYPE OF PERPAIT ❑ BUILDING ❑ PLuNaUNG %9LLCSANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DE TION (Provide detailed des an of work inchtded on this Permit Ord
PROJECT NAME (Name of Business or Owner Last Narne)
PROPERTY
OWNER
'Sfi�V 4:71�
COFTdDada - I I
PROJECT
CONTACT
LENDER
PEOPLE INFORMATION
w
,
IMI
r
`.,
COMPANY NAUS
NAME
OFFICE PHa E
STATE.
a -�
CELL E
G QIiEBS
c -C-
l.L�
CIIY O DE WAY BUSINLjVKm5z
NUMBER
EXPIRATION DATE
FAX MMBER
CONTRAcmR:r-REGISTRATION NUMBER'
EXPIRATION DATE
AIL ADDAs�o
a'N")T
, II
%A �
�!�d':
7 4'�
CO
_ C�R(
UCANT NAME
OFFICE PHONE
)
MAR1N RESS
CrrY, STATE, ZIP
CELL PHONE
RE1A710NSWP TO PROJECY
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( )
N PRIMARY PHONE E-N ULADDRESS
- --z(( 0
"LE
pc�f% "—
Per RCW 19.27.095:
Lender igforntation is required (fproject value exceeds $5,000
MAILINGADDRESS
CrIY. STATE, ZIP /PHONE
l ) -
EXISTING 8aKS vD/A.PP9AISED VALUE $
VALUE OF PROPOSED WORK $
SPRDrEMZRED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ L.ASFLAVEN ❑ EIGEMMYE ❑ TACOMA ❑ PRIVATE (WELT.)
SEWER SERVICE PROVIDER ❑ I AKEELALLLII AVEN ❑ SIGIiLiNE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR
AREA DESCRIPTION
,kRFAS
mom rTSED
SQ.FT. T.
TOTAL
FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
ra�mm
rauot�
xorer.
7w,"srerarosr
rarer.rracraetoaer
amver
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of jhture to be Installed or relocated as part of this project. Do not include existing, f vtures to remain.
Value of Mechanical Work S
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (orl)tb/sho combol
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
�(A COPY OF BID OR ESI71fA7E MUST BE INCLUDED WADI APPLICA7I0N1
EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
FANS GAS WATER HEATERS MISC (Describe)
FIREPLACE INSERTS HOODS [ o n x TkU
FURNACES RANGES
GAS LOG SETS REFRIG. SYSTEMS
LAVS (Batbm &Oksl
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS obllery
SINKS
WASHING MACHINES
SUMPS
I cerft under penalty tirpedurXAborr The information furniehed by me is trice and correct to the hest of my knowledge. and further. that I
am authorised bg the owner of abuse to rm the for which the permit application is made. I further agree to hold
harmless the City of Ir,deral ay as to claim (i rry costa, and attorneys' jeer incurred in the irtuestigatiwr nred de nse 4f
such clairtU, which may be ode by any i inq the u 4)1d filed against the City gfFederal Way, but only inhere such claim
arises out of the re If of the city, luding t($9ce►s and Leyte�«� pun the accuracy of the ir&rmotion supplied to the city as a part of
this application. �� f J_• y
NAME/TITLE
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor
mticl
❑ Architect
DATE _ Z 2—` l / —07
❑ Othtr
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT ffJMCWEMENT
BUHMING 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 REQU%RED?
❑ YES
❑ NO
Bulletin #100 - April 2, 2007 Page 2 of 4 k\Handouts\Permit Application