07-106265City of Federal Way
Community Development Services Mechanical Permit #: 07-106265-00-ME
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: DAVIDSON
Project Address: 32054 41ST PL SW a .;,, f + Parcel Number: 873196 0530
Project Description: Replace existing furnace i
Owner
Applicant
Contractor
MICHAEL WILLIAM DAVIDSON SR
GLENDALE HEATING & A/C
GLENDALE HEATING & A/C
MARIANNE DAVIDSON
12462 DES MOINES WAY S
GLENDHA053Q2 11/2/09
32054 41ST PL SW
SEATTLE WA 98168 -2266
12462 DES MOINES WAY S
FEDERAL WAY WA 98023
SEATTLE WA 98168 -2266
t
L\ - -,I Z' r a q -- (2-v.,
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106265 -00 -ME
Owner: MICHAEL WILLIAM DAVIDSON SR
Address: 32054 41 ST PL SW
FEDERAL WAY, WA 98023 -2403
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 By C Date , 1--2,0
For infector reference
O Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date
4
RECEIVED
Federal Way NOV 19 2007 PERMIT
COMMU�I,PAW SERV SF MF CO M�E5 EL PL DE EN FP
333258TMAYEIRUesatrllT•PO "$: `repERAL
FFAww.cUwY,WA eUiLDINGDEW. PLICATION
253.B3b2$07• FAX 463$R'L
ww w. cituof(ederalww. wm
The.followbW is rrWdred IsVorauLtion - an incomptets application will not be 000epiad. Pteam Print Ieoft An bW or bAw-
ASSESSOR'S TAX /PARCEL • 17
LEGAL DESCREMON (e.g. Acme Estates. Lot 1)
SL 0
TYPE OF PERMIT ❑ SUMU)ING ❑ PLUMKI G b-IfiCHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENQINZZIUNG ❑ FIRE PREVENTION SYSTEM
DESCRIPTION (Provide PWaaed description gt work included on thCs Dermtt A
(Aa "'. ill /l� vk Au `�/ A., V) DA] -_ 12 Ul
PROJECT NAME (Name ofd► ^,� or Owner Last
PROPERTY
OWNER
CONTRACTOR
w"� b
PROJECT
CONTACT
LENDER
PHO
A7E. U ! E-MAIL ADDRESS
ANY
Per WW IF27.098:
Lander 46matioa is mVdnsd Wpm value ezorrde ¢6.000
1n
APPI7CANT NAME
OFFICE ) 07 3 _ \ ,
O \� 11
ROES$) �y/�)'
1 '51 D ! / d / ✓
�yI
C . STA % 0
( ELL PHONE _
CIlY O ERAL WAY BUSINESS LICENSE NUMBER
EXPIRAMON DATE
I a -31 -AT
FAX NUMB/ ER
COf?MCTTOIr`S RMWIRAITON7NUMBER
I. l l • � � � 7 lS� �
EXPIRAMO`N DA]T�E /�
l l — V _/
E MAII ADDRESS
COMPANY NAME
Per WW IF27.098:
Lander 46matioa is mVdnsd Wpm value ezorrde ¢6.000
APPLICANT NAME
�) PHONE
PHONE
f h
(
ADD
CITY STATE
�//�
��
PHONE
)m
NAlm V
8
(EU
'
RELA ONSHIP 1b PROJECT 1
Agent t Other l /�
Architect Tenant h �(� t,6 V
FAX NUMBER\
❑ ❑ ❑ ,
NAME /PRIMARY PHONE E-MAIL ADDRESS
l ) '
NAME
Per WW IF27.098:
Lander 46matioa is mVdnsd Wpm value ezorrde ¢6.000
MAUMO ADDRESS
CITY, STATE, ZIP
PHONE
E LISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORT[ $
SPRIINl3XRED SUMLDING? ❑ YES ❑ NO FIRE SUPPRESSION STSTBM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAIMMVEN ❑ WGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAMMAVISN ❑ mom mm ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
'
EXIST940 PROPOSED TOTAL
Be. FT. 99.FT. . FT.
BASEMENT
BBQS
FANS
QM WATER HEATERS MISC (Dec'ft)e)
FIRST
FIREPLACE INSERTS
HOODS (Caaana*0
COMPRESSORS
SECOND
RANGES
DUCTS
GAS LOG SETS
THIRD
PLUAMM
BATHTUBS (wTUb /SeowwCooba1
LAVS Pktk mSk"
URINALS MISC (Describe)
ADDITIONAL FLOORS (DESCRIBE)
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
DECK (❑ COVERED OR ❑ UNCOVERED ?)
WATER CLOSETS ab&o
RLUCIht[C WATER HEATERS
SINKS
GARAGE ❑ CARPORT ❑
HOSE BIBOS
SUMP$
❑ TEO ❑ NO
NUMBER OF FLOORS
eioeea�s
��
��
roras�w
aor�r.rssiasww
rar�w
••NEW HOMES ONLY'• NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Ind kaW number y' each type gfJbdure to be Installed or relocated as part of tits project Do not include exls&WJktures to remain.
Value of Mechanical Work $ `�% lJ (A OF BID OR ES1VWA7E MUST BE INCLUDED WITH APPUCAnOM
Ant HANDLING UNrrS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
QM WATER HEATERS MISC (Dec'ft)e)
BOILERS
FIREPLACE INSERTS
HOODS (Caaana*0
COMPRESSORS
�_ FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
PLUAMM
BATHTUBS (wTUb /SeowwCooba1
LAVS Pktk mSk"
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS ab&o
RLUCIht[C WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBOS
SUMP$
❑ TEO ❑ NO
I owtW under pa uft gfPedW that true bUtronation.Un dshed bg we is true and ow oft to the best gf my knamisdge. and Ji+rther, that 7
am authorised by the Owner of the abase Pranisa to Pe pwn the wont Jbr which the permit application is made. I firthw' cow to hold
harmless the City gf FodwW Way as to any dabs (lndading cosh, expenses, and atta nqp- f res incurred to the investigation and dgjense of
such dairy„ whirl► may be made by ang Person, indudi W the umlerdOned, andJtW against the City gf redoW Wag, but onW where such daint
arises out of the reiianos of the ciW, including its gfflcws and effWuWma, upon the aemrac7l gf the tr{tbrmation supplW to the city as a Pmt gf
this application. , /�,,,,� ` },
NAME /TITLE -- "1 TE 1I ! V
RELATIONSEV TO PROD WT ❑ Owner ❑ Agent
❑ Architect ❑ Other
P .
G
a NEW o ADDITION
❑ ALTERATION
o REPAIR ❑ TENANT ROVSIZNT
BUILDING S1t MLL ONLY?
o YES ❑ NO
BASIC PLAN?
o YES,
❑ NO
ZONMG DESIGNATION
CHANGE OF USE?
o YES
❑ NO
NEW ADDRESS REQUIRED?
c YES ❑ NO
UPISEPA/SU?
❑ YE8
o NO
PLATTED LOT?
❑ TEO ❑ NO
I DEMO PERMIT REQUIRED?
c YES
❑ NO
Bulletin #100 - April 2, 2007 Page 2 of 4 MandoutsTermit Application _