07-105687A
unityD vetop entS i Mechanical Permit ##: 074 05687 -00 -ME
Community D�vetopment Services
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: HOSICK
Project Address: 2819 S 299TH PL Parcel Number: 660250 0090
Project Description: Replace gas furnace with new gas furnace
Owner
Applicant
Contractor
DAVE HOSICK
GLENDALE HEATING & A/C
GLENDALE HEATING & A/C
2819 S 299TH PL
12462 DES MOINES WAY S
GLENDHA053Q2 11/2/07
FEDERAL WAY WA 98003
SEATTLE WA 98168 -2266
12462 DES MOINES WAY S
SEATTLE WA 98168 -2266
Addit onal. 'iqr'mit�rm*1'0"
Mechanical Valuation .................... ........................4085.93 Over the Counter Permit ? ...................................... Yes
Mechanical fixtures
Furnaces .......... ............................... 1
I her
the
Owner or agent:
T
THIS CARD IS TO REMAIN ON -SITE
W r,► OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835, -3050
PERMIT #: 07- 105687 -00 -ME
Owner: DAVE HOSICK
Address: 2819 S 299TH PL
FEDERAL WAY, WA 98003 -4266
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)
Approved
By Date
❑ Gas Piping (4125)
Approved to release test
By Date
❑ Final -Mechanical (4065)
Approved
By Date j/
For inspector reference only_ _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Federal ECEIVED 0-
PERMIT SF MF CO L PL DE EN FP
333258mAVEN[iESO(AiI•P0 9'815 ""APPLICATION
FEU6RAL WAY. WA 980&4•
253. 835.2607- FAX 2W-WS -2W
OF FEDERAL WAY
The foUoming is 9A*" = -an incomplete application will not be accepted. Pleas print legW r On &W or %W.
SITE ADDRESS 1, D M �(1
,t � �j
ASSESSOR'S TAX/PARCEL N JOL k- DL � �/ � LG-
LEIiAL DESCRIPTION (e.g. Mane Estates, Lot 1)
eunwum #
LOT SIZE (sfl
TYPE OF PERMIT ❑ BUILDING ❑ PLUM UNG Plgii;�EIANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ EN G} ❑ FM PREVENTION SYSTEM
DESCRIPTION (Provide 4&aaed description gpwk included on
a,tt .PT' (i ,; h,t wul VIT1 A,, In IAA) MAC 41 Xrlit
PROPERTY
OWNER
CONTRACTOR
� no b
PROJECT
CONTACT
LENDER
WaSTING1 USE
PI'OI'L1: 1tiF(11t.11A7 10-N
NAME
PHONE
MAILING ADDR135
NAME
O C H O Z
- V
H d
7B
n
q
EMAIL ADDRESS
�a
IY
C G l F$DABI31NS4 LCMSE
/B� � R Q ,✓ `
DATE
f / f D
U �O
CO RS REGISTRATION NUMBER
LL OH 15�iU)_
COMPANY NAME
APPLICANT
NAME
O C H O Z
- V
H d
6y-
-1200
V (
CELL PRONE
-
C G l F$DABI31NS4 LCMSE
/B� � R Q ,✓ `
DATE
f / f D
�
t - 8
�
CO RS REGISTRATION NUMBER
LL OH 15�iU)_
EXPIRATION DATE
11-01-01
EMAII ADD1tE8S
COMPANY NAME `
�t ,
APPLICANT NAME
OFFICE PHONE
�i
�n
(
-1200
MAILQIO ADDRESS
CITY, STATE, ZIP
CELL PHONE
6o"
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent a Other rujiWEr
( ) -
P(RIAtATtYI � _ � � E-MAIL ADDRESS
NAME
Per WW 19.27.096:
Lender inpnnution is nqutnd V pvect valve WW80 a $6.000
MAILING ADDRESS
CITY, SLATE. ZIP
PHONE
PROPOSED USE
EX WTING ASSESSED /APPRAIBED VALUE $ VALUE OF PROPOSED WORK $
spRnuumm BUDam? ❑ YES o NO FM SUPPRESSION SYSTEM PROPOSED/RROUD D? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAEEHAVEN D WGRI M ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIORLZNX ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EZiSTIIiG
89. FT.
PROPOSED
89.FT.
TOTAL
82. FT.
BASEMENT
FIREPLACE INSERTS
COMPRESSORS
FURNACES
FIRST
GAS LOG SETS
n YES ONO
SECOND
o YES
o NO
ZONING DESIGNATION
THIRD
CHANGE OF USE?
o YES
ADDITIONAL FLOORS (DESCRIBE)
NEW ADDRESS REQUIRED?
o YES o NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
o YES
o NO
PLATTED LOT?
GARAGE O CARPORT ❑
DEMO PMMUT REQUIRW?
o YES
F
NUMBER O FLOORS
��
'Mousse
'��`
'MAW
>nrUPSWo.eoer
rarwcW
*'NEW HOMES ONLY"• NUMBER OF BEDROOMS ES11MATED SELLING PRICE $
Indicate number of each type gfflxture to be installed or
Value of Mechanical Work $ (A wff OF
Alit HANDLING UNITS
EVAPORATIVE COOLERS
BBQS
FANS
BOILERS
FIREPLACE INSERTS
COMPRESSORS
FURNACES
DUCTS
GAS LOG SETS
BATHTUBS
LAVS mafta m su*o
DISHWASHERS
RAINWATER SYST
DRINKING FOUNTAINS
SHOWERS
ZIJDCTRIC WATER HEATERS
SINKS
HOSE BIBBS
SUMPS
as part gf this project Do not include exGstiny,/ixtures m remain.
MUST BE INCLUDED WITH APPLICAITOM
GAS PIPE OUTLETS WOODSTOVES
GM WATER HEATERS MISC (Describe)
HOODS (amm v w
RANGES
REFRIG. SYSTEMS
URINALS MISC (Describe)
VACUUM BREAKERS
WATER CLOSETS nwku
WASHING MACHINES
I owWfa under penally g/pmlft that the ftrarmationfu ntehed 611 me is trust and corrvux to the best of my knowledge, and j%rther, that I
am authorised by the owner gf the aboue pnanisa to perform the w v fbr which the permit application is made. I ffurther agree to hold
harmless the City gjltideral Way as to any claim (including costs, oTensss, and attorneys'.iass incurred in the investigation and dgAmm gf
such caiwU, which may be made by any person, including the undersigned, andfUed against the City g /federal Way, but only when such claim
arises out gf the nelianee gf the city, including its gdlcen and employees, upon the accuracy of the irjbrmation supplied to the city as a part gi
this application. N _ A ,
NAM /TITLE 1
RELATIONBAIP TO PROJECT o Owner o Agent
,kj�5 6Rl�i1ol
o Architect o Other
.. 4 51SwN)
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT 131PROVSUMNT
BUILIHNG SHELL ONLY?
n YES ONO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA/SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PMMUT REQUIRW?
o YES
o NO
Bulletin #100 —April 2.200? Page 2 of 4 MandoutaTermit Application