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04-102083City of Federal Way Community De.-_lopmeQt Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: ARNDT Project Address: 3605 SW 328TH 5� Project Description: Install air conditioner Mechanical Permit #: 04 - 10200 00 - ME Inspection request line: 253.835.3050 Parcel Number: 873195 0360 Owner Applicant Contractor RONALD N & GLORIA J ARNDT VALLEY FURNACE INC VALLEY FURNACE INC 3605 SW 328TH ST PO BOX 507 PO BOX 507 FEDERAL WAY WA 98023 PUYALLUP WA 98371 PUYALLUP WA 98371 (253) 848-3517 Mechanical Valuation..........................................2900 Over the Counter Permit ...................................... Yes Mechanical Fixtures Description ___Quantity Description Quantity Description (Quantity Air Handling Units 1� PERMIT EXPIRES November 21, 2004. Permit issued on May 25, 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: �Iltlo Rf - "r-17iVot, THIS CARD IS TO REMAIN ON-SITEIfth A 1% Sows r CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04 -102083 -00 -ME Owner: VALLEY FURNACE INC Address: 3605 SW 328TH ST FEDERAL WAY, WA 98023-2658 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 CUT of Federal Way COMMUNITY DEVELOPMEM'sERVICEs 33530 FIRST WAY SOUTH • PO BOX 9718 FEDERAL WAY, WA 98063-9718 253-6614115• FAX 25366/4129 u .dtuo(federaltmy.com The following is RECEIVE -PERMIT ",Ai APPLICATION CITY Oi= f -- SITE ADDRESS ASSESSOR'S TAX/PARCEL # LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) will not he (Attach separate page for lengthy legd desoiptimj PROJECT• • 0— H-— 1 0-2 SF MF CO OL PL DE EN FP D / / ted. Please print legibly (in inlj or tune. SUITE/UNIT # LOT SIZE (sj) TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul PROJECT NAME (Name of Business or Owner Last Name) PEOPLEINFORMATION PROPERTY NAME PRIMARY PHONE OWNER Oj"rG (Zj3��j✓�Z-S MAILING ADDRESS CITY, STATE, ZIP CONTRACTOR APPLICANT CONTACT LENDER EXISTING USE COMPANY NAME APPLICANT NAME OFFICE PHONE 4�� AILING ADDRESS CITY, STATE, ZIP CELL PHONE MAILING ADDRE f%G, o� CITY, STATE, ZIP �� 6/� CELL PHONE ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER — — — — — B L CONTRACTORS REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE tlI& L z-��1 � ! 16� �?-lz le-- COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP AILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe) ( - NAME PRIMARY PHONE E-MAIL ADDRESS Per RC 19.27.095. Lender information is required if project value exceeds $5,000 NAME MAILING ADDRESS CITY, STATE, ZIP PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR o TENANT IMPROVEMENT FIRST BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? ❑ YES SECOND ZONING DESIGNATION CHANGE OF USE? THIRD ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO FOURTH ❑ YES o NO PLATTED LOT? ❑ YES ❑ NO ADDITIONAL FLOORS (DESCRIBE) ❑YES ❑ NO DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED **NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing futures to remain. MECHANICAL Value of Mechanical Work AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS PLUMBING BATHTUBS (orTub/Sh—r combo DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAVS (B.rh—m si tis) EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS PIPE OUTLETS SHOWERS SINKS SUMPS URINALS VACUUM BREAKERS GAS LOGS HOODS (Commerdad RANGES GAS WATER HEATERS WATER CLOSETS (roikq DRINKING FOUNTAINS RAINWATER SYST HOSE BIBBS ELECTRIC WATER HEATERS REFRIG. SYSTEMS WOODSTOVES MISC (Describe) MISC (Describe) 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. 1, NAME/TITLE /�' ignature) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent DATE r ❑ Contractor ❑ Architect ❑ Other FOR OFFICE USE ONLY ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP/SEPA/SU? ❑ YES o NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑YES ❑ NO Bulletin # 100 — March 30, 2004 Page 2 of 4 k\Ilandouts — Revised\Permit Application