07-105329C ty of Federal Way
community Development Services Mechanical Permit #: 07-105329-00-ME
P.O. Box 9718
Federal Way, WA 98063 -9718 +�
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3V50
Project Name: CATE
Project Address: 643 S 305TH ST , Parcel Number: 104250 0150
Project Description: Ifeplace gas furnace.
Owner
Applicant
Contractor
RONALD & DONNA CATE
GLENDALE HEATING
GLENDALE HEATING
643 S 305TH ST
12462 DES MOINES MEMORIAL DR
GLENDHA053Q2 (11/02/07)
FEDERAL WAY WA 98003 -4021
SEATTLE WA 98168
12462 DES MOINES MEMORIAL DR
SEATTLE WA 98168
Additional Permit Information
Mechanical Valuation ................. ...........................4930 Over the Counter Permit? ................. ..................... Yes
Owner or
Mechanical Fixtures
............. 1
PERMIT EXPIRES Fr.day, September 25, 2Q09
Permit Issued on Tuesday, -September 25,:2007
bove informE
use will be in
F1','\'Al ED
s correct and that the construction on the above descrili prop°ty and
rrdance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Date:
z
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105329 -00 -ME
Owner: RONALD & DONNA CATE
Address: 643 S 305TH ST
FEDERAL WAY, WA 98003 -4021
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 Date l
For inspector reference onl
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
so' • RECEIVED
Federal way SEP 2 5 2007 PERMIT
SF MF CO
COMMUNDYDEVEIAPMENT SERVICES
333258m AVEMJE SOUIH•POB� OF FEOEA "LIGATION ,
FEDERAL WAY, WA 980&? -9
253$36 -2607• FAX 253- 835 -2809 B U I LD I N G
www.dtuofkdera1wQu.co
-5 —5 121,f
PL DE EN FP
The following is required information - an incomplete application will not be aooepteX Please print legibly (in ink) or type.
ASSESSOR'S TAX /PARCEL # -L () -4- D - -L -L �L LOT SIZE NJ)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) -(f5 )� U -
VdUwh wpmxtW rw " &Vd desvlp OW
PROJECT
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING M406CHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
DESCRIPTION (Provide derf*d description of work included on tits permit onlR�
PROJECT NAME (Name of Business or Owner Last Namel
PEOPLE INFORMA'I'ION
PROPERTY
OWNER
CONTRACTOR
vttb of no app-
APPLICANT
NAME -7
per RCw 19.27.095:
Lender irUbrrnation to required Vproject value excsede $5,000
MAILING ADDRESS
PRIMARY ) r "{ -km
lE-
MAILING ADDRESS ` •
TATS. 2IP ^
� .
ADD
COMPANY NAME
per RCw 19.27.095:
Lender irUbrrnation to required Vproject value excsede $5,000
MAILING ADDRESS
n
APPLICANT NAME
OFFICE PHONE
)
DRESS
Ih
ff f
b
( 41,
173
MAI,IN ADDRESS
1.
!ELL ONE
-
IFAX
/)� !
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�
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-
CITY OF ERAL WAY BUSINESS LICENSE NUMBER,
EXPIRATION DATE
ER
1{
I
)
-
1 `j
CO
CTOWS REGISTRATION NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
� Z
1
COMPANY NAME
per RCw 19.27.095:
Lender irUbrrnation to required Vproject value excsede $5,000
MAILING ADDRESS
n
APPLICANT NAME
O CE PHONE
t ID
DRESS
CITY CITY STATE'
ff f
b
C PiIONE
173
1.
I
-
IFAX
RELATIONSHIP TO PROJECT
NUMB/ ER
❑ Architect ❑ Tenant ❑ Agent P16ther
PROJECT NAME (� r1'" PRIMAlb PHO E E-MAIL ADDRESS
CONTACT I) &V/k _ _JOPh/7 _- ( ) D - )_p f I
E9-�Uf 1:1 Li�l
EXISTING USE
NAME
per RCw 19.27.095:
Lender irUbrrnation to required Vproject value excsede $5,000
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO I= SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAREHAVEN ❑ MGMJNE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKWIAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
M PROJECT FLOOR
AREA DESCRIPTION
AREAS
EIQSTII(LG
. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
FANS
(LAS WATER HEATERS
MISC (Describe)
FIRST
FIREPLACE INSERTS
HOODS (c m me w)
BASIC PLAN?
SECOND
�_ FURNACES
RANGES
THIRD
GAS TAG SETS
REFRIG. SYSTEMS
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
UP /SEPA/SU?
o YES
DECK (❑ COVERED OR ❑ UNCOVERED ?)
LAVS (B th mn sh,ke)
URINALS
MISC (Describe)
GARAGE ❑ CARPORT ❑
RAINWATER SYST
VACUUM BREAKERS
NUMBER OF FLOORS
mrerap
MOMINo
rorAL
TUaEMrosr
UMM." PORWOr
WASHING MACHINES
"NEW HOMES ONLY"` NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of f xture to be installed or relocated as part of i is project Do not include existing_j%duies to remain.
DIECEfANWAL,
Value of Mechanical Work $ 1 (A COP' OF BID OR ES7I 7E MUST BE WCLVDED WIM APPI]CA770M
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS
WOODSPOVES
BBQS
FANS
(LAS WATER HEATERS
MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (c m me w)
BASIC PLAN?
COMPRESSORS
�_ FURNACES
RANGES
DUCTS
GAS TAG SETS
REFRIG. SYSTEMS
❑ NO
G
UP /SEPA/SU?
o YES
BATHTUBS (- Tub /shomu combo)
LAVS (B th mn sh,ke)
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (muse
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I certt under penalty of perjury that the irtformation furnished by me is true and correct to the best qj my knowledge, and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is made. I f kuther agree to hold
harmless the City of Pederal Way as to any claim (including casts, expenses, and attorneys' fees incurred in the investigation and defense of
such clalW. which may be made by any person, including the undersigned, and filed iled against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its gfEicers and employees, upon the accuracy of the igformation supplied to the city as a part of
this application.\ n
NAME /TITLE
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent
❑ Architect ❑Other
oWfi'�lnl
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF [LSE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP /SEPA/SU?
o YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 - April 2, 2007
Page 2 of 4
WiandoutsWermit Application