08-101343 V •
City of Federal Way ° • Mechanical Permit # 8-101343-00-ME
Community Development 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: COURTNEY
Project Address: 34514 30TH AVE SW Parcel Number: 797200 0160
Project Description: replace electric furnace
Owner Applicant Contractor
BARBARA COURTNEY ALL SEASONS INC.(GENERAL) ALL SEASONS INC.(GENERAL)
34514 30TH AVE SW 4851 S WASHINGTON ST ALLSEI*03055 (12/17/09)
FEDERAL WAY WA TACOMA WA 98407 4851 S WASHINGTON ST
98023-3020 TACOMA WA 98407
i
Additional Permit Information
Mechanical Valuation 1895 Over the Counter Permit? Yes
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES Saturday, March 20, 2010
Permit issued on Thursday, March 20, 2008
I hereby certify that the above information infortha-hohls erect and that the,onstruction on the above described'. erty end
the occupancy and the use will be in accordance with t .- laws,rules and regulations-Of the State of Kington
dot th ederatay.
Owner or agent: �,,r% --fAtce Date:
F
• THIS CARD IS T MAIN ON-SITE
CITY OF Community Developlent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-101343-00-ME
Owner: BARBARA COURTNEY
Address: 34514 30TH AVE SW
FEDERAL WAY, WA 98023-3020
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.
0 Mechanical Rough-in(4165) 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date B $ Date3.&-
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
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Federal Way MAR 2 U 7-tl4'3 RMIT &ELY�,�J�.0kSF MF COPL DE EN FP
3332E 8D AVENUE LWAY, UTH•PoBOX
V" f E®� . II PLICATION TD
FEDERAL WAY,W - 18/Vl
253-835-2607•F - 09 e*+
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The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS \33- 1 I OW SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 761 .-1Q00 - 0 \ COO LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING XMECHArICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
P ECT DESCRIPTION(Provide detailed description of work included on this er it onl
-lUcC P,1 ec i c ` gnaGe, �- Li 1L LA ke, .
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY NA (� •414" • PRIMARY PHONE
OWNER �V,Yl ` titra6(147knel,
(x5 )$1 -5\ j
.�
MAILING ADDRESS
\ ITV,STATE,ZIP E-MAIL ADDRESS
5 f e 4" o f vo cat723
CONTRACTOR C MP E APPLICANT N OFFICE PHONE
vacts‘oa
1 V7' ADDRESS, skA CITY,STATE,ZIP a J\l(, e J s 1 �� CC 1 W I\ CI 406 `ELL PHONE -
CITY OF FEDERAL WAY BUSINESS , ENSE NUMBER EIRATION DATE FAX NUM/
BER
Iii -�` 10521Q o()- BL43S- "di l -9 ILO
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
6L 1 ' a�v0SS 1 I 09 0,\ seasons?wu(ma i (. '
APPLICANTCOMPANY
NAME
APPLICANT NAME OFFICE PHONE
WUaSCIB C ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant o Agent ❑ Other ( )
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
S S
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTINGG SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL 1,89 S'
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLEIS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS l FURNACES RANGES
DUCTS GAS LOG SI!:lb REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certifij that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
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 claim), which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part oft is application.
Q'
SIGNATURE: �'/�Lil '�1 d� DATE I X O O
Pro rty Owner and/or Authorized Agent
N''
wit' $.
E NEW n ADDITION ❑ALTERATION ❑REPAIR n TENANT IMPROVEMENT
BUILDING SHELL ONLY? n YES n NO BASIC PLAN? n YES c NO
ZONING DESIGNATION CHANGE OF USE? n YES c NO
G �w
NEW ADDRESS REQUIRED? n YES ❑NO UP/SEPA/SU? n YES n NO
PLATTED LOT? n YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—August 16,2007 Page 2 of 4 k\Handouts\Permit Application