04-102810City of Federal Way
Community Development Servicese�ll 1st Way S
Feder
Federal Way, WA 98003-62]0
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: LAVILLETTE
Project Address: 515 SW 322ND G;'i
Project Description: Replace gas furnace.
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Mechanical Permit #:04 -102810 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 926490 1110
Owner
Applicant
Contractor
John R Lavillette
ALL SEASONS, INC.
ALL SEASONS, INC.
515 SW 322ND ST
5118 N HIGHLAND ST
5118 N HIGHLAND ST
FEDERAL WAY WA
TACOMA WA 98407
TACOMA WA 98407
98023-5633
(253)879-9144
Mechanical Valuation..........................................2200 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quantity description Quantity DescriptionQuantityi'
Furnaces 1
PERMIT EXPIRES January 12, 2005.
Permit issued on July 16, 2004
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 Way.
Owner or agent: Date: % (p I&q
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04 -102810 -00 -ME
Owner: JOHN R LAVILLETTE
Address: 515 SW 322ND ST
FEDERAL WAY, WA 98023-5633
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.
❑
Mechanical Rough -in (4165)
❑
Gas Piping (4125)
❑
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By
Date
crrr of
Federal Way
For Office U., odr,, FW File Number
The followinq is req
RECEIVED .Oy *0Lt SWE
COnr"Mny DEVEWPMENr SERVIC6s
33530 FIRST WAY SOM • PO BOX 9718
J U L 1 Q 20 W, ERAL WAY, WA 98063.9718
PERMIT APT ICATION 1—W. IS•FAX 258-661.�Ip9
J - vnuw.titunllydcrtiltuay.mm
CITY OF FEDERAL WAY
BUIL ,
O - - L off. _ Qlf�
information - an
on will not be accepted. Please print legibly (in'ink) or tune.
SITE ADDRESS: 5 15 S(1,) 322 r'1 ST SUITE/APT #
ASSESSOR'S TAX/PARCEL #:.q Z (p 4 9 O - / / d -QUARE FOOTAGE OF LOT: .
LEGAL. DESCRIPTION (e.g.: Acme Estates, Lot 1)
(Att(, : I separate page for lengthy legal description)
TYPE OF PERMIT This application): ❑ BUILDING ❑ PL'_ '.BING G7 MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ EN, NEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work incluci t this perm t onlul:
R6Mou� E,(c I s n.0 6 GAS, Fu en�� ►2�Pu► c� w 1 � � 90 ic. 3ru GAs Fc12.v acs
L I k E Fo 2 L! 1L1C-0
PROJECT NAME (Name of Business/Owner Last Name): i_. -AV I t -L TTS
PROPERTY
OWNER:
CONTRACTOR
•
NAME:
JO(�IIJ LA,v 11.-L6TTE
MAILING ADDRESS (STREET ADDRESS;:
Sl S SLU A ZZn`I 'E:T
NAME
LL S &A-s0k)s ) AA,
MAILING ADDRESS (STREET ADDRESS;):
S 1) 8 4) 416 W-AA.J D ST
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
1
1
-9
B-iQ-5Z�p -oc�
� 13L
CONTRACTORS REGISTRATION NUMBER:
(copy of card required with each application) ,4 i. L
LENDER NAME:
(If Proposed VQue > $5,0001
MAILING ADDRESS (STREET ADDRESS;):
APPLICANT: NAME: )MPANY OFFICE PHONE:
A -u S, G AsoQ-
MAILING ADDRESS (STREET ADDRESS): "iY, STATE, ZIP EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ Architect ❑ Tenant ❑ Other (Describe• ( ) -
VA
C
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner f ontractor ❑ Applicant E-MAIL ADDRESS:
EXISTING USE:
5
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE:
VALUE OF PROPOSED WORK: $ 2-2-00-00
FIRE SUPPR' )N SYSTEM PROPOSED/ REQUIRED?: ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PRIMARY PHONE:
( 253) e38 - 4-493
STATE, ZII' _
iED W ktj (..UA- q 80 23
MPANY
OFP:_'E PHONE:
(253) 8-+9 -914+
Y, STATE, ZII'
4 COAs A- 4)A -�-
CELT. PHONE:
( ) -
EXPIRATION DATE: .
17.1 31 / Z.00$
FAX NUMBER:
(253) 5,-L9
EXPIRATION DATE:
1= =005 12/ 14- /2605
DAl 1IME PHONE:
( )
TY, STATE, ZIP
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner f ontractor ❑ Applicant E-MAIL ADDRESS:
EXISTING USE:
5
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE:
VALUE OF PROPOSED WORK: $ 2-2-00-00
FIRE SUPPR' )N SYSTEM PROPOSED/ REQUIRED?: ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
0110
■ PROJECT FLOOR AREAS 9
AREA DESCRIPTION
EXISTING SQ. FT..
PROPOSED SQ. FT.
TOTAL
BASEMENT
❑ YES L ❑ NO
BASIC PLAN?
❑ YES
FIRST
ZONING DESIGNATION:
•
SECOND'
❑ NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
THIRD
o YES
o NO
PI ATTED LOT?
FOURTH
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
Page 2
HOW MANY FLOORS?
TOTAL EXISTING
TOTAL PROPOSED
TOTAL EXISDNG AND PROPOSED
••NEW HOMES ONLY`• NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIECUAATCAL
Value of Mechanical Work $ 22J2:Q- 00
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub/shower combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Sink
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS REFRIG. SYSTEMS
HOODS (commial) WOODSTOVES
RANGES MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS (roikt) MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYS
HOSE BIBBS
ELECTRIC WATER HEATERS
'')TSCI.ATMFR/SIGNATURE BLC
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 epWloyees, upon the accuracy of the information supplied to the city as a part of this application-
NAME/TITLE: V Y I Dcc.
(Si atu (Title)
RELATIONSHIP TO PROJECT: operty Owner ❑ Applicant W Contractor ❑ Architect ❑
D� -1 5--2-004-
q NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑TENANT IMPROVEMENT
BUEE D.ING'SHELL ONLY?
❑ YES L ❑ NO
BASIC PLAN?
❑ YES
n NO
ZONING DESIGNATION:
CHANGE OF USE?
a :YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP/SEPA/SII?
o YES
o NO
PI ATTED LOT?
o YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Page 2
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT SPECIALTY
REGIST. # EXP. DATE
-05
CCAAAF ALLSEI*03055 1.2/17/20
EFFECTIVE DATE 08/25/1997
ALL SEASONS INC
5118 N HIGHLAND ST
TACOMA WA 98407
And
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