07-1040614 •• a
City of Federal Way
Community Development Services • Mechanical Permit #• 07- 104061 -00 -M E
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: LOFTON
Project Address: 28819 20TH PL S Parcel Number: 422280 0110
Project Description: Replacer gas furnace & new heat pump system
Owner
Applicant
Contractor
SHARON LOFTON
ALL SEASONS INC. (GENERAL)
ALL SEASONS INC. (GENERAL)
28819 20TH PL S
4851 S WASHINGTON ST
ALLSEI *03055 12/17/07
FEDERAL WAY WA 98003
TACOMA WA 98407
4851 S WASHINGTON ST
TACOMA WA 98407
Additional Permit Information
Mechanical Valuation ................. ...........................9338 Over the Counter Permit ? ...................................... Yes
Mechanical Fixtures
Air Handling Units ......................... 1 Furnaces.......... ............................... 1
PERMIT EXPIRES Thursday, July 23, 2009
Permit issued on Monday, July 23, 2007
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: Date: 2
Fie w•owboD
THIS CARD IS TO REMAIN ON -SITE
CITY 0124 Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104061 -00 -ME
Owner: SHARON LOFTON
Address: 28819 20TH PL S
FEDERAL WAY, WA 98003 -3834
This card is part of your required inspection documents 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
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date B c-7 Date
For inspector reference o
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
PCHA%MCAL
My OF
Federal Way
S F �FjvF-Q (z -1 Q -Y 1
SERVICES
COMMUNITYDEVEIAPMENT �a 2 3 gor" RM I I SF MF CO O EL PL DE EN FP
33325 D RAL W AVENUE SOUIIT • Pp 971 9718 F.. ► t ATI CJ N 1
FEDERAL WAY, WA 98063 -9718
253 - 8352607• FAX 253 - 835-2609
wwm.cUUotfederatwauxorn 11 $�}�i,()tN13 DEPT'
The ollowin is r wired ' ormation - an inco fete a lication will not be acce ted. Please nt I (in ink) or
Qtr �} PROPERTY •. •
SITE ADDRESS Ep 319 ZC C� Lr75 SUITEMNIT #
ASSESSOR'S TAX /PARCEL # !. - A— LOT SIZE (sp
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
IAUwh separate pagelor lengthy Legal desaipUarU
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ,,MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
DESCRIPTION (Provide detailed description of work included on this permit onlu)
PROJECT NAME (Name of Business or Owner Last Name) _ _ _ _ _ _ (�✓ { t J +y t
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
evv
NAME S"A_Ro_�'j L+UFTON
PRIMARY PHONE
1 (2.5352
MAILING ADDRESS
2ONS t 9 U-0t PL S
C1T'Y, STATE, ZIP
rte... - w m 3
COMPANY NAME
ALL SICASON5 1 NC,
APPLICANT NAME
--- ---- --
OFFICE PHONE
(ZS50919 -C i1+4
MAILING ADDRESS
496t SOANNSOINOToT4 sy
CITY, STATE. ZIP
TPOMAI\N pt C
CELL PHONE
( _
CITY OF FEDDE]RAL WAY BUSINESS LICENSE } N_UMBER EXPIRATION DATE ^�
FAX NUMBER
l 9 %143
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE
IN is 5- E L Q 955 12/ 1-7/d
CO�SPA*MG. NY NAME � ��
QJ
APPLICANT NAME
OFFICE PHONE _
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
(
RELATIONSHIP TO PROJECT �}y�
❑ Architect ❑ Tenant ❑ Agent Other Mescribe) /►� kUlZ (�C f
FAX NUMBER
( -
" os
PRIMARY P ONE
01 OA111
ADDRESS
S A SO v%
lit' iirW� 9:. '?. . i? 9�i:X�OTtBi1Q1':t1,4MS'i9ttt#f i3Ott E6 . ?.
regytre} - - : ,
NAME
MAILING ADDRESS
CITY. STATE, ZIP
/PHONE
EXISTING ASSESSED /APPRAISED VALUE $
VALUE OF PROPOSED WORK $
SPRINI"RED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGI LME ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
* ` w+
PROJECT FLOOR AREAS 0
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
REFRIG. SYSTEMS
BBgS FANS
HOODS (Commerc al)
FIRST
o NO
ZONING DESIGNATION
SECOND
RANGES =MISC
(Describe)
COMPRESSORS FURNACES
THIRD
1 i��� P wYKP
DUCTS GAS PIPE OUTLETS
UP /SEPA /SU?
FOURTH
PLUMBING
PLATTED LOT?
o YES ❑ NO
ADDITIONAL FLOORS (DESCRIBE)
WATER CLOSETS (Toilet)
MISC (Describe)
DISHWASHERS SINKS
DECK (COVERED ?)
GAS PIPE OUTLETS SUMPS
RAINWATER SYST
GARAGE ❑ CARPORT ❑
WASHING MACHINES URINALS
HOSE BIBBS
NUMBER OF FLOORS
r #TM
rnoroe®
"TAL
Tot" zz n"W
TMALraurosrasr
mrAUSa
* *NEW HOMES ONLY ** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type ofjirture to be installed or relocated as part of this project. Do not
to remain.
MLCUANICAL
Value of Mechanical Work $ - / �✓ 8 —1
o ALTERATION
o REPAIR ❑ TENANT D P!ROVEN[ENT
AIR HANDLING UNITS EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBgS FANS
HOODS (Commerc al)
WOODSTOVES
o NO
ZONING DESIGNATION
BOILERS FIREPLACE INSERTS
RANGES =MISC
(Describe)
COMPRESSORS FURNACES
GAS WATER HEATERS
1 i��� P wYKP
DUCTS GAS PIPE OUTLETS
UP /SEPA /SU?
a 'TEES
PLUMBING
PLATTED LOT?
o YES ❑ NO
BATHTUBS (orTub /Sho Comb.) SHOWERS
WATER CLOSETS (Toilet)
MISC (Describe)
DISHWASHERS SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS
RAINWATER SYST
WASHING MACHINES URINALS
HOSE BIBBS
LAYS (Bathroom Sinks) VACUUM BREAKERS
ELECTRIC WATER HEATERS -
I cerWy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 clailN, which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its ofjkers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME /TITLE DATE _ �
( _ ature) ('!tile]
RELATIONSHIP TO PROJECT o er o Agent Yi Contractor ❑ Architect ❑ Other
o NEW o ADDITION
o ALTERATION
o REPAIR ❑ TENANT D P!ROVEN[ENT
BUILDING SHELL ONLY?
o YES c NO,
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE ?':
o YES
o NO
NEW ADDRESS REQUIRED?
q YES o NO
UP /SEPA /SU?
a 'TEES
o NO
PLATTED LOT?
o YES ❑ NO
DEMO PERMIT IMQUI M?
o YES
o NO
' Bulletin #100 -January 7, 2005 Page 2 of 4
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