15-100362 ilk
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federal Wa�o�.A..FeAN 2 3 2015 PERMIT SF MF CO 0 PL DE EN FP
COMMUNITY DEVE1APOW FED ERAAPPLICATION
253-835-2607•FAX 1521815126.,
www,cituoffederalwau.com CDS
SITE ADDRESS SUITE/UNIT#
28546 20th Ave So.
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 3700 4 2 2 2 0 0 _ 02 0 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING Cc MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT C MA-Ty)
(Tenant Name/Homeowner Last Name) Alhpa Restoration
PROJECT DESCRIPTION Like for like gas furnace replacement, Gas pipe to furnace
Detailed description of work to 9 supply ducts, one return
be included on this permit only 3 Exhaust fans, one Range Exhaust
NAME PRIMARY PHONE
PROPERTY OWNER Terry Floyd 425-623-5494
MAILING ADDRESS E-MAIL
1402 Auburn Way N Suite 451
c Auburn siVa 18002
NAME PHONE
Bob's Heating and A/C 800-840-3346
MAILING ADDRESS E-MAIL
CONTRACTOR 14148 NE 190th ST
CITY STATE ZIP FAX
Woodinville WA 98072
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
BOBSHHA9790B 9/ 3 / 15 20-04-104965-00-BL
NAME PHONE
James Gosnell 206-378-6723
APPLICANT MAILING ADDRESS E-MAIL
14148 NE 190th ST jgosnell@bobsheating.com
CITY STATE ZIP FAX
Woodinville WA 98072
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) • MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 cl'., arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to l e city as a part of this application.
SIGNATURE: / DATE 22 Jan 2015
PRINT NAME: , me s Gosnell
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
r •
VALUE OF MECHANICAL WORN $ 7000 (a copy of bid or estimate must be provided)
Indicate how many of each type offvcture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS 4 FANS 1 GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS 1 FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
1 0 DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or 11th/Shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
RAL ORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
I I + v NEW ORAteM4
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
EMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
CYPHER(describe)
EXISTING PROPOSED TOTAL _�_..,._�....�-
Area Totals
*"NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
r
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nnrrioN
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEw BunAMM
ADDITION
1 rx"" ENA ' i r 1 . ,a
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Sq Feet Type Stories
1 a
TENANT AREA ONLY
PROJECT AREA It
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application