00-105545City Federal Way
Community Development Services Mechanical Permit #:00 -105545 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210 Inspection request line: 253.661.4140
Ph: 253.661.4000 Fax: 253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: SMITH
Project Address: 29607 4TH S Parcel Number: 186270 0400
Project Description: MECH - Replace gas furnace.
Owner
Applicant
Contractor
Tery D & Marilee A Smith
NONE
ALL SEASONS INC
29607 4TH AVE S
FEDERAL WAY WA
ALL SEASONS INC
98003-3668
NONE
PO BOX 1935
Mechanical Valuation..........................................1200. Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description . Quanti Description Quanti Description Quantityl
Furnaces
PERMIT EXPIRES May 12, 2001, IF NO WORK IS STARTED.
Permit issued on November 13, 2000
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 and
the City of Federal W
Owner or agent: �� 4 Date: 3 — C
11
a
G CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: ®�
PPLICATION NUMBER: -
APPLICATION NUMBER: - -
**The following is required information — Please print (in ink) or type**
Please note: Electrical, Fre Prevention Systems and Engineering permits may require a separate application.
PROPERTY•. •
SITE ADDRESS: 29UO:' 1-44-V' A\JG S ASSESSOR'S TAX/PARCEL #: 1 - (2 j
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT•• •
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING 03 MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): R6PL-A}C.r-- '7)O It 51-U 11Z AMM XV SU CTAS
�-ue- N AcE
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: DAYTIME PHONE:
Tef-Q-Y sm lTI-1- I (Z53)
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
Jam+ r6b6RAc__, WAY. UJA 9$ m 3
NAME:
DAYTIME PHONE:
ALL s67o,svivs /A)c_
(?s2, ) 8�i9
-9 /4q -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
5118 k) f41614LAIV b S7- 7xl CC-,,Akj4 a -q
(Z.s3) 879
- 9/14
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: I q Q ( C
FAX NUMBER:
-Q
(-S�) &49
-17/4
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
A L L S E, I O Q 5 S
12- / /-+
/ G O
NAME:
Au /N c -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT LrJ CONTRACTOR
EXISTING USE: S/NAL E AZ EXISTING BUILDING ASSESSED/APPRAISED VALUATION
DAYTIME PHONE:
(25,�>) 849 -q
EVENING PHONE:
(2GF>) 8--�9 - 91+3
E-MAIL ADDRESS:
PROPOSED USE: S! P&,LC— PROPOSED VALUATION FOR IMPROVEMENTS: $ 1 2f -)n •O®
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** i
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
=;,_ ■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S) �—
DUCT(S)
° BATHTUB(S)
DISHWASHER(S)
Indicate number of each type of fixture
I �0I:I:12
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. [
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
DRINKING FOUNTAIN(S) SHOWER(S)
GAS PIPE OUTLET(S) SINK(S)
INTERCEPTORS) SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
I certify under penalty of perjury that the information furnished by me is true and correct to the best 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 officers and employees, upon the accuracy
of the Information supplied to the city as a part of this application.
NAME/TITLE: DATE: k H2 -5
❑ PROPERTY OWNER ❑ APPLICANT LSYCONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX: 253-661-4129