07-106288 City of federal Way • Mechanical Permit. 07-106288-00M E
Community Development Services ►
P.O.Box 9718
, 9
Ph:(253)835-2607FederalWayWA Fax:(253)8063-9718 835-2609 (32_ Inspection Request Line: (253) 835-3050
Project Name: DAVIS
Project Address: 3333 SW 323RD ST Parcel Number: 873190 0860
Project Description: Replace gas furnace & add heat pump
Owner Applicant Contractor
MARY DAVIS ALL SEASONS INC.(GENERAL) ALL SEASONS INC.(GENERAL)
3333 SW 323RD ST 4851 S WASHINGTON ST ALLSEI*03055 (12/17/09)
FEDERAL WAY WA 98023 TACOMA WA 98407 4851 S WASHINGTON ST
TACOMA WA 98407
Additional Permit Information
Mechanical Valuation 7140.75 Over the Counter Permit? Yes
Mechanical Fixtures
Air Handling Units 1 Furnaces 1
PERMIT EXPIRES Friday, November 20, 2009
Permit Issued on Tuesday, November 20, 2007
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
��
nd the City of Federal Way.
Owner or agent: ‘0 `�
A
/L Date: l /�
THIS CARD IS TO MAIN ON-SITE
CITY OF #=
} RECEIVAED
CITYOP oi - g
Federal Ware'�' 1 9 2007 '[
PERMIT SF MFCO ] EELPLDEENFP
COMMUNITY DEVELOPMENT SERVICES
3332FEDERAVENUE SO ** �Q tQERALPPT ICATION T°
FEDERAL WAY,W80 �!8 WA
253-835-2607•FAx 253- i N G DEPT:
www r:ityo ffederalw ati.com
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
' , l 2• PROPERTY INFORMATION
SITE ADDRESS )333 QS J" /' 'D.3F d/ L7 1 SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# �1 1 J t 9' 0 - U Q> Lo 0 LOT SIZE(sf 1
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING Y1VIECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PRO7T FS1RIPTION(Provide de iled description of work included on this permit onl
rm u.5 - u �nate- 1 h a • \ruck, u.v� e -.\--k)
Ci 5A'eXVI
PROJECT NAME(Name of Business or Owner Last Name) VA' V (S
• PEOPLE INFORMATION
PROPERTY NQM h �,n }� ^` ,l (BINARY)PHONE c
OWNER MAI I ` 1,G ')(/1 v 1 (� q may LAD I 61 - (1 of 5
c/ N33 �W 323�°� V�
CITY, ZIPV`/ 1 O^-.., E-MAIL
CONTRACTOR OMPA Y TE APPLICANT NAME OFFICE PHONE
1� Reason S 1Y1 c� 05 -19 - 9149.
INC ADD SS ] STATE,ZIP CELL PHONE
b5I b WGtS�i S'�- C� (>�r)t4 ( )
COY OF FEDERAL WAY BUSINESS LICEN UMBER EXPIRATION DATE FAX NUMBER
t °1 9 1 U S D ly a (3L 12/31/0--7 (25'3819 -9)43
CONTRACTOR'S REGISTRATION NUMBER ION DATE E-MAIL ADDRESS
AU-SE1 * 030s5 ) 11/0619
APPLICANT sMP E as /1 n, jam, APPLICANT NAME OFFICE PHONE
\J �riV II`�'L ( )
MAILING ADDRESS COY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant 0 Agent o 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 o NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) 4
r
4a3VIi 47
• 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 EXISTING 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
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS 1 MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial) rte COMPRESSORS FURNACES RANGES 1 ,r
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS rroilet)
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 certify 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 ofthisapplication. ,
SIGNATURE: , J j2 DATE ` 1 pJ /U-7
Prope Owner and/or Authorized Agent
tptamy
o NEW o ADDITION n ALTERATION n REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? n YES o NO BASIC PLAN? o YES n NO
ZONING DESIGNATION CHANGE OF USE? n YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? n YES o NO DEMO PERMIT REQUIRED? n YES n NO
Bulletin#100—August 16,2007 Page 2 of 4 k\Ha douts\Permit Application