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HomeMy WebLinkAbout19601 KNOLL DR_BLD1213_2026 RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington,WA 98223• Phone(360)403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES, PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address: Project Description��1 _�yl _ C� e- tyke Owner: ` cccG Address: J%of k4i61A pr City: i JJP- State: Zip Code: �C9aIa Phone: C )' J�I`� ls��� Email: QCL1 UAL � .' C -U Applicant: Address: - City: - _ State: Zip Code: Phone: Email: CONTRACTOR INFORMATION Contractor Name: V Address: G a11411 , city: � �; State: �J - Zip Code: License Number:_ Expiration: j ( � Phone' i / L Email:�1 �L i;,,uf.'t Cq � J STAFF USE ONLY Received Permit#: Accepted by: Date: NOV 14 2016 6/16LP Page 1 of 2 r. RESIDENTIAL MECHANICAL ��lrNU'io PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE•Arlington,WA 98223• Phone(360) 403-3551 SELECT ALL� 3UC PROPOSED APPLIANCES �r� Furnace (80+) Model# TXP� I' «" AFUE 30 1 ❑ Heat Pump Model# _..` AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ Gas Piping ❑ Solid-Fuel Appliance *_0_1her < V Gas Piping information Not Applicable: ❑ Pipe Material: l ' � l f�C\ Pipe Size: �t� J�i coo yDUc) Distance from Meter to Furthest Appliance: Total BTU's of all Appliances: 103, 00(� • New gas piping requires a pressure test hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper Combustion air and venting required for all appliances • A shut-off alve is re Sireithin 6 fee a pli_an_ces Applicant Signature:' l I > L�lDate: Applicant Printed Name: f&&.(; (,_- I hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. 6/16LP Page 2 of 2 1 �J'f O (71 1 Received ,' NOV 14 2016 CITE( CIF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 s , PHONE; (360)403-3551 BUILDING PERMIT Address:19601 Knoll Drive Permit#: 1213 Parcel#:00898100003700 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:CRAIG ROBERT A&PAMELA M Name:King's Heating,Inc. Name:King's I leating,Inc Address: 19601 KNOLL DR Address:6825 216th St SW Address:6825 216th St SW City,State Zip:ARLINGTON,WA 9822 3-40 1 1 City,State Zip:Lvnnwood,WA 98036 City,State Zip:Lynnwood,WA 98036 Phone: Phone:425-275-5153 Phone:425-344-9668 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:King's Heating,Inc. Name: Address:6825 216th St SW Address: City,State,Zip:Lynnwood,WA 98036 City,State,Zip: Phone:425-344-9668 Phone: LIC#: EXP: LIC#: F.XP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: I OCC GROUP BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREF TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED TIIEREBY;NO PERSON WILL 131;EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RPI.A FINE TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT.UNTIL a1GNED BY I'HL BU[LDING OFFICIAL OR IIIS/IIER DI.PI'T)'AND.AI.I.FEES ARE PAID IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR S fRUCTURE UNTIL A FINAL INSPECTION I LAS 13EEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI 10/IRC110. SALES O C S s x relati g to construction and construction materials in the City of Arlington must be reported on your sales tax return form and c e City rl' to nat a Print Name Dale Released 13%, ate CONDITIONS Approved as submitted. Duct Testing is required per the 2015 Washington State Energy Code R402.4.1.2 THIS PERMIT AUTHORIZS ONLY THE WORT:NOTED."PHIS PERMIT COVERS WORK'1'0 BE DONE ON PRIVATE PROPERTY"ONLY ANY CONSTRUCTION ON TIIF PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 1 1/1 61201 6 Furnace $25.00 11/16/2016 Gas Outlets Base Fee 1 to 5 $10.00 11/16/2016 Mechanical Permit Base Fee $25.00 Total Due: $60.00 Total Payment: SO.00 Balance Due: $60.00 CALL FOR INSPECTIONS BUILDING(360)403-34I7 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:19601 Knoll Drive Permit#: 1213 Parcel#:00898100003700 Valuation:0 00 OWNER APPLICANT CONTRACTOR Name:CRAIG ROBERT A&PAMELA M Name:King's Heating,Inc. Name:King's Heating,Inc. Address: 19601 KNOLL DR Address:6825 216th St SW Address:6825 216th St SW City,State Zip:ARLINGTON,WA 9 8223-40 1 1 City,State Zip:Lynnwood,WA 98036 City,State Zip:Lynnwood,WA 98036 Phone: Phone:425-275-5153 Phone:425-344-9668 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:King's Heating,Inc. Name: Address:6825 216th St SW Address: City,State,Zip:Lynnwood,WA 98036 City,State,Zip: Phone:425-344-9668 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID, IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC 110/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By to CONDITIONS Approved as submitted. Duct Testing is required per the 2015 Washington State Energy Code R402.4.1.2 THIS PERMIT AUTHORTZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 11/16/2016 Furnace $25.00 11/16/2016 Gas Outlets Base Fee 1 to 5 $10 00 11/16/2016 Mechanical Permit Base Fee $25.00 Total Due: $60.00 Total Payment: $0 00 Balance Due: $60.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon CITY CIF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON,WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:19601 Knoll Drive Permit#: I213 Parcel#:00898100003700 Valuation:0.00 OWNER, APPLICANT CONTRACTOR Name-CRAIG ROBERT A&PAMELA M Name:Kinds Heating,Inc. Name kings I lealing,luc Address: 19601 KNOLL DR Address:6825'_I6th St SW Address:6825 2161h St SW City,State Zip,ARLINGTON,WA 98223-4011 City,State Zip:I.viinwood,WA 98036 City.State Z.ip'Lvnnwoud,WA 98(136 Phone Phone:425-275-5 153 1'hone:425-344-9668 MECHANICAL CONTRACTOR PLUMPING CONTRACTOR Narne:Kinds Heating,Inc Name. Address.6825 21601 S(S W Address: City,Stale,Zip:Lynnwood,WA 98036 Cily.Slate,Zip: Phone:425-344-9668 Phone: L1C#: EXP: LIC#: FXP JOB DESCRIPTION PERA4II IYPF: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE - DWELL.ING UNITS: ( OCCGROUP BUILDINGS: OCC LOAD' PERMIT APPROVAL 1 AGREF TOCOMPI,Y WITH CI'I Y AND STATE LAWS REGULATINGCONS1 RUCTION AND IN IHJING T1II:WORK AUTHORIZED TIIEREBY{NO PERSON WILL 131,IiMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WA.SHING'FoN RFLA I'IN(,TO WORKMEN'S COMPENSATION INSURANCE AND KCW IS?7 HIS APPLICATION IS NOT A PL:RMI'I'UN'rIL.%10NED BY I'HI:BIJII.DING OI'FICIAL OR 1IIS/HER DEPI"T`-AND ALL FEES ARi{PAID FL IS UNLAWFUL TO USE.OR OCCUPY A BUILDING OR S I'RUCTURL UNTIL A FINAL.INSPECTION 1[AS BEEN MADE AND APPROVAL OR A CER'FIFICA'rl?OF OCCUPANCY HAS BEEN GRANTI'.D. IBCI I01IRC110 SALES O CE S s x rclati S to construction and consu ucEion materials in the City of Arlington must be reported on ynur,ales tax return form under c Crty rl to r tat re Pant Name Dale Rcicnscd 13s ( tc CONDITIONS Approved as submitted, Duct Testing is required per the 2015 Washington State Energy Code R402.4.1.2 THIS PERNUT ALI I'HORIZS ONLY THE:WORK NO fF.D TIIIS PERMIT COVERS WORK'I O HE'.GONE ON PRIVA FE PRr)PERTI OM.Y ANY CONSTRUCTION ON TIIF PURI IC D(I:MAIN(CURBS SMEW'ALKS DRIV!WAYS,MARQUEES,HI'C)WILL REQUIRF SITARATE PERJMISS(ON PERMIT FLEES Date Description Fee Amount 11/16/2016 Furnace $25.00 11/16/2015 Gas Outlets Base Fee 1 to 5 $10.00 11/16/2016 Mechanical Permit Base Fee $25,00 Total Due: $60.00 Total Payment: $0.00 Balance Due: $60.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling Far an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon - CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 ` PHONE; (360) 403-3551 BUILDING PERMIT Address:19601 Knoll Drive Permit#:1213 Parcel#:00898100003700 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:CRAIG ROBERT A&PAMELA M Name:King's Heating,Inc. Name:King's Heating,Inc. Address: 19601 KNOLL DR Address:6825 216th St SW Address:6825 216th St SW City,State Zip:ARLINGTON,WA 98223-401 l City,State Zip:Lynnwood,WA 98036 City,State Zip:Lynnwood,WA 98036 Phone: Phone:425-275-5153 Phone:425-344-9668 MMMCHANICAL CONTRACTOR T PLUMBING CONTRACTOR''-"- Name:King's Heating,Inc. Name: Address:6825 216th St SW Address: City,State,Zip:Lynnwood,WA 98036 City,State,Zip: Phone:425-344-9668 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: ] OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC1l0/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By ate CONDITIONS Approved as submitted. Duct Testing is required per the 2015 Washington State Energy Code R402.4.1.2 THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 11/16/2016 Furnace $25.00 11/16/2016 Gas Outlets Base Fee 1 to 5 $10.00 11/16/2016 Mechanical Permit Base Fee $25.00 Total Due: $60.00 Total Payment: $0.00 Balance Due: $60.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon i I Permit Information Date 11/14/2016 Permit Number 1213 Project Name Craig Applicant Name King's Heating, Inc. Applicant Address 6825 216th St SW City,State,Zip Lynnwood,WA 98036 Contact Michaela Pollard Phone 425-275-5153 Email michaelap@kingsheating.com Permit Type Residential Mechanical Site Address 19601 Knoll Drive Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Replace gas piping and furnace Assigned To Kristin Foster Property Information Owner Information Parcel#:00898100003700 CRAIG ROBERT A&PAMELA M CRAIG ROBERT A&PAMELA M 19601 KNOLL DR 19601 KNOLL DR ARLINGTON,WA 98223-4011 Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# King's Heating, Inc.IMichaela Pollard 425-344-9668 michaelap@kin sheating com CONTRACTOR IlLabor&Industries KINGSH1044JA Review Date Type Description I Target Date I Completed Date I Assigned To 7 Status 11/14/2016 (Residential Mechanical 11/21/2016 1 (Kevin Olander 11n Review Uploaded Files Upload File Date File Uploaded By 11/14/2016 3:50:10 PM 11213 Gas Pipin .pdf Foster. Kristin 11/14/2016 10:34:14 AM 11213 Apglication. df IFoster, Kristin i I `'���� �� RESIDENTIAL MECHANICAL 0 PERMIT APPLICATION N `C Department of Community&Economic Development City of Arlington • 18204 59th Ave NE• Arlington,WA 98223• Phone(360)403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address:-A 61--h(1,.Q.0 �,� I �i'�e Project Description:_ Wl yt C'- 'I&S, jy CLC.­ Owner: C Address: I l�Q� � L' L City: State: Zip Code: Phone: L8 Email:QQ(b�_ti u� 4� C_w .C-Ofm � I a� t - Applicant: �, �V�� Address: City: State: Zip Code: Phone: Email: CONTRACTOR INFORMATION r Contractor Name: lffl- ec,29� I VAC,- Address: �� I city: CL Stater Zip Code: License gN ber_ �� � � Expiration: Phone: Email: i_.�t0(,Q,� STAFF USE O Received Permit#: 171117 Accepted b . Date: NOV 14 2016 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community&Economic Development City of Arlington • 18204 59th Ave NE• Arlington,WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES 4�M Furnace (80+) Model X rO -k [a AFUE ❑ Heat Pump Model# AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert Outdoor BBQ v� Gas Piping ❑ Solid-Fuel Appliance 4er- V Gas Piping Information Not Applicable: ❑ Pipe Material: Pipe Size: Distance from Meter to Furthest Appliance: Total BTU's of all Appliances: • New gas piping requires a pressure test hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper Combustion air and venting required for all appliances • A shut-off aloe is re ire 'thin 6 feet all pliances Applicant Signature: D e: ! 11 / l p � _ _ at _� l Applicant Printed Name: rn, ���1&C- I hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. 6/16LP Page 2 of 2 I � Received NOV 14 2016 PAP 1111� r. ti I I i i i w 11/14/2016 KING'S HEATING INC Home Espanol Contact Search L&I A-%Index Help Nh•L&-f Safety&Health Claims&Insurance Workplace Rights Trades&Licensing Washington State Department of " Labor & Industries KING'S HEATING INC Owner or tradesperson 6925 216TH ST SW C Principals LYNNWOOD,WA 98036 425-275-6153 POLLARD, GARY B SNOHOMISH County POLLARD, ERIN K Doing business as KING'S HEATING INC WA UBI No. Business type 601 682 595 Corporation Governing persons ERIN KELLY POLLARD GARY BROOKS POLLARD; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no KINGSH1044JA Effective—expiration 04/01/1996—03/10/2018 Bond CBIC $12,000.00 Bond account no. SA1782 Received by L&I Effective date 03/05/2002 03/07/2002 Expiration date Until Canceled CBIC $12,000.00 Bond account no. SA1782 Received by L&I Effective date 03/05/2002 03/07/2002 Expiration date Until Canceled Insurance American Fire&Casualty Co $1,000,000.00 Help cos improve https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=601682595&LIC=KINGSH1044JA&SAW= 1/2 i 11/14/2016 KING'S HEATING INC Policy no. BKA57560613 Received by L&I Effective date 10/11/2016 08/26/2016 Expiration date 04/01/2017 American Fire&Casualty Co $1,000,000.00 Policy no. BKA155515384 Received by L&I Effective date 03/31/2016 04/01/2015 Expiration date 04/0112017 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees?If so,verify the business is up4o-date on workers'comp premiums. L&I Account ID Account is current 841,812-01 Doing business as KINGS HEATING INC Estimated workers reported Quarter 3 of Year 2016"11 to 20 Workers" L&I account representative T1/NIKKI BUTLER(360)9024918-Email:BUTQ235@lni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. hftps://secure.i ni.wa.gov/verify/Detai i.aspx?U BI=601682595&LIC=KIN GSH 1044JA&SAW= 2/2 I I 1 V Permit#: 1213 Permit Date: 11/14/16 Permit Type: RESIDENTIAL MECHANICAL Project Name: Craig Applicant Name: King's Heating, Inc. Applicant Address: 6825 216th St SW Applicant, City, State, Zip: Lynnwood, WA 98036 Contact: Michaela Pollard Phone: 425-275-5153 Email: michaelap@kingsheating.com Scope of Work: Replace gas piping and furnace Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 11/16/2016 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00898100003700 19601 KNOLL DR CRAIG ROBERT A 111 Single Family &PAMELA M Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# King's Heating,Inc. Michaela Pollard 425-344-9668 6825 216th St SW CONSTRUCTION Labor&Industries KINGSH1044JA CONTRACTOR Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 11/18/2016 R09.GAS PIPING 11/17/2016 BUILDING Approved ROUGH-IN Plan Reviews Date Review Type Description Assigned To Review Status 11/14/2016 RESIDENTIAL BUILDING MECHANICAL Fees Fee Description Notes Amount Forced Air Heat fee per Btu $25.00 Gas Piping/Units Enter#of units $10.00 Mechanical Base Permit Fee $25.00 Total $60.00 Attached Letters Date Letter Description 11/16/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 11/16/2016 Gary Pollard 62320483 cc $60.00 Outstanding Balance $0.00 Uploaded Files Date File Name 11/16/2016 1954324-1213 Issued Permit.pdf 11/14/2016 1948878-1213 Gas Piping.pdf 11/14/2016 1947540-1213 Application.pdf