08-104895 • 0 Mechanical
CiityDev deraentS Permit #: 08-104895-00-ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 tion InS eC Request Ph:(253)835-2607 Fax (253)835-2609 p Line: (253) 835-3050
U
Project Name: WIGGINS
Project Address: 28701 13TH AVE Si. Parcel Number: 720300 0710
Project Description: Remove/replace electric furnace
Owner Applicant Contractor
WILLIAM D WIGGINS ALL SEASONS INC.(GENERAL) ALL SEASONS INC.(GENERAL)
28701 13TH AVE S 4851 S WASHINGTON ST ALLSEI*03055 (12/17/09)
FEDERAL WAY WA 98003-3155 TACOMA WA 98407 4851 S WASHINGTON ST
TACOMA WA 98407
idl �� � ti1. d ,-.:,,,•714,~ k .,,`,, , -,.,),74:77n, ., , N .„ °' ' ysi
Mechanical Valuation 2800 Is this an Online or O.T.C.application? Yes
Furnaces I
PERMIT EXPIRES Monday, April 13, 2009
Permit Issued on Wednesday, October 15, 2008
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
c. an ity of Federal Way.
Owner or agent: Date: j0 7/j(�Q
allteo
>
• THIS CARD IS TO MAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104895-00-ME
Owner: WILLIAM D WIGGINS
Address: 28701 13TH AVE S
FEDERAL WAY, WA 98003-3155
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) E Gas Piping(4125) Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date Bk:_ a c\t Date 11:%,
•
.
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
•
Federal Vela _ : 1! e / p 4° g (75--
.1 -
7 —
COMMUNI7YDEVELOPMENTSERVI PERMIT SF MF Co
39325 8'�AVENUE SOIRH•PO ROX T 1 2 O CL PL DE EN FP
3835 07Y, X53-83-2609 pLI CATI O N
253-835-2607•FAX 253-835-2609
/ /
mrew.cttuoff'�ptl�{�yprr� FEDERAL
The o is WAY`• _,._ ^tion-an in" ,lets 1^Hendon wilt not be . - •ted. Please , nt -. jn ink)m' p
• PROPERTY INFORMATION
SITE ADDRESS 9 2;1 O \?5 k vt S eRckA \Nek. SUI
TE/UNIT#
ASSESSOR'S TAX/PARCEL# 0 3 0_ 0 - Q 1 I 0 LOT SIZE(V)
LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1)
lAaach+•ForumP,+9e.Ja 1.+YOWkiial desoiptlwy
TYPE OF PERMIT 0 BUILDING 0 PLUMBING
)(MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PR DESCRIPTION(Provide de d description of work Included on
rrrtit onl
)
� e ec-kta.\( u`Cz vla c e - U Ick '
PROJECT NAME(Name of Business or Owner Last Name) \A..)11 - () S
• PEOPLE INFORMATION
PROPERTY
OWNER \1l avh \� ' n S I541 ING - \tea
gl ADDRESS
3�h .
\ 1 �h‘i . ! cr. 1 y, vL I\ et 9)o03
CO Y: TOR CnOMPANY NAME APPLICANT NAME
y,\`1 S C ,6Y \�� OFFICE PHONE
11`MAILING ADDRESS V 1 l ���� ^ ��
-``(^' !` (n my,STATE,ZIP `{�/�v' /^� /CELL PHONE 'N'
I .01c1(g CITY OF ,FEDERAL WAYVBUSINESSv/V`1r►1 LIL S mbyi A -e u o I\ 991409 ` ) -
- �+. (� � � � EXPIRATION DATE FAX NUMBER
[- 2)- 1.0 a-B L 12- ' t / 6 ( 3b-161 Z tL3
CONTRACTOR'S REGISTRATION NUMBER(copy of card required id/leach application) _
5 L L 5 E 1 % O 3 0 �� i-GSEI*035NS(0I J0►)Ia/1�ND 'oci
APPLICANT C PANY NAME APPLICANT NAME
a CLS S Cly,\ ,OFFICE PHONE
MAILING ADDRESS ,` CI'[Y,STATE,ZIP `
`CELLPHONE
RELATIONSHIP TO PROJECT ( )
0 Architect o Tenant ❑Agent Other(Describe)` - Fax NUMBER
J'` �-'� 1 1 -
CONTACT IWW\Ite
t.1 ?a -O5 I 3� 1C� , 41 i E-MAIL ADDRESS l
LENDER I
P FRC P,19w' :0I` �itt� NAME
W ., t
MAILING ADDRESS -.� CITY,STATE,ZIP
/PHONE
l ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER ❑ LAHEHAVEN a HIGBLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKERAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT SQ.FT SQ.FT, SQ.
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) •
GARAGE 0 CARPORT 0
NUMBER OF FLOORS I m°°rmo I PROPOam I Toren. 'meat moor renn.reurouoe." aoutsr
**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
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS I FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or Tub/Shower Combo) SHOWERS WATER CLOSETS frouet MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
IAVS)Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGN.ATURE BLOCK
I under penalty of perjury that the information furnished by me is true and correct to the bast 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 claim),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 o icers and employees,upon the accuracy of the information supplied to the city as a part of
this application. �/ /�
NAME/TITLE/"� �'`^'I -E.A ? DATE 1 t
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent Contractor 0 Architect ❑ Other
•
a NEW a ADDITION n ALTERATION, chi REPAIR= n TEiANT 114PROVEADINT
BIJILDINO Sly"ONLY? o YES ci NO RABIC PLAN4 0 YES o NO
f&D Q l ION ANGE o YES o NO
NEW " CI Y/40 r� r/ A/SU
a YES o NO
PLAT PLOT? a YES a"NO 1(EMO' QT
3 ❑YES a NO
Bulletin#100—January 7,2005 Page 2 of 4 MandoutslPennit Application