06-102419I.
_I Y
City of Federal Way Mechanical Permit #• 06-102419-00-M E
Commuoity Development Services
P.Q. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 ILE Inspection Request Line: (253) 835-3050
Project Name: WHITE
Project Address: 30212 24TH AVE SW
Parcel Number: 893750 0130
Project Description: Replace existing gas furnace with new Lennox 2 -stage gas furance
Owner
Applicant
Contractor
HOWARD H WHITE
GLENDALE HEATING
GLENDALE HEATING
30212 24TH AVE SW
12462 DES MOINES MEMORIAL DR
GLENDHA053Q2 (11/02/07)
FEDERAL WAY WA
SEATTLE WA 98168
12462 DES MOINES MEMORIAL DR
98023-2314
SEATTLE WA 98168
Additional Permit Information
Mechanical Valuation............................................4823 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Furnaces ......................................... 1
PERMIT_ EXPIRES Saturday, November 11, 2006
Permit Issued on Monday, May 16, 2006
I hereby certify thIt
ion ' ` rrect 0�njat the construction on the above described properly and
the occupancy aacbo da ce a laws, rules and regulations of the State of Washington
an the Federal Way.
Owner or agent: Date: /s G
THIS CARD IS TO REMAIN ON-SITE AV
CITY OF Community Development Inspection Rec(6rd
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102419 -00 -ME
Owner: HOWARD H WHITE
Address: 30212 24TH AVE SW
FEDERAL WAY, WA 98023-2314
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 A2Date
I%.
Z& 1A
SF MFC M EL PL DE EN FP
/0 � —74
ASSESSOR'S TAX/PARCEL # � � L a -D— - f-- a -0 LOT SIzE (sI%
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
4+�++>m�PrPJarMWeW � �1
TYPE OF PFJOUT ❑ BUILDING ❑ nunzINO maKMANICAL
❑ DENOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT =N (Provide, de fled description of work included on this Hermit onlul
Al2 V\k
PROJECT NAME (Name of Business or Owner Last Name W
PROPERTY
OWNER
CONTRACTOR
CONTACT
LENDER
EXISTING USE
NAM PRIMARY PHONE
_V � < 053) 3
MAIL
ADDRESS CTTY,TATE, ZIP
COMPANY NAME
APPLICANT NAME
. My00,A
Federal way
vlvFo
se PERMIT
COMMINITY DaVKWFM VT SERVICES
33325 WTH • POBOX 18
FEDERAL WAY, WA 98063-9718 Y � 0PLI CAT I O N
253.835-2607• PAX 253835-2609
www.ciluo/Iedualwamo m _--'mm-wAY
Z& 1A
SF MFC M EL PL DE EN FP
/0 � —74
ASSESSOR'S TAX/PARCEL # � � L a -D— - f-- a -0 LOT SIzE (sI%
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
4+�++>m�PrPJarMWeW � �1
TYPE OF PFJOUT ❑ BUILDING ❑ nunzINO maKMANICAL
❑ DENOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT =N (Provide, de fled description of work included on this Hermit onlul
Al2 V\k
PROJECT NAME (Name of Business or Owner Last Name W
PROPERTY
OWNER
CONTRACTOR
CONTACT
LENDER
EXISTING USE
NAM PRIMARY PHONE
_V � < 053) 3
MAIL
ADDRESS CTTY,TATE, ZIP
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
tv, c
MAILING ADDRESS
�y
MAILING ADDRESS
o o-0.�.
CELL PHONE
MAILING ADDRESS
�, �� S" IZI,tiSI lSt�7�C� Lk �Y
CITY, STATT, ZIP C.
W61- c D kAl
CELL PHONE
Go
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
rpdwa
CONTRACTOR'S REGISTRATION NUMBER J"w d 0434wltta wia �yiMatlsy
EXPIRATION DATE
CO ANY NAME
� kk, -,
APPLICANT NAME
OFFICE PHONE
(;;l„ ) �1
tv, c
MAILING ADDRESS
CITY, STATE, ZIP
MAILING ADDRESS
CITY, STATE ZLP
CELL PHONE
RELATIONSHIP TO PROJECT
o Architect o Tenant O Agent o Other (Describe)
FAX NUMBER
U(,1-') 1'1�4- 3l
NAME PRIMARY PHONE Ty
MAILADDRESS
SJR\xe r :zap;. - -)
Fm INCA 19.27AR& L ndw Ddb to
NAME
MAILING ADDRESS
CITY, STATE, ZIP
EXISTING ASSESSED/APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK
SPRINHI.ERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES o NO
WATER SERVICE PROVIDER o LAIRHAVEN o HIGHLINE o TACOI[A o PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAKESAVEN o HIGHLINE o PRIVATE (SEPTIC)
AREA DESCRIPTION
EIQSTINO
. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
FANS
HOODS (comm.rcip
PROJECT FLOOR AREAS
AREA DESCRIPTION
EIQSTINO
. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
FANS
HOODS (comm.rcip
WOODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (Describe)
SECOND
i FURNACES
GY WATER HEATERS
ZONIffO DESIGNATION
THIRD
GAS PIPE OUTLETS
o YES
o NO
FOURTH
DYES o NO
VP/8EPA/SU?
o YE8
ADDITIONAL FLOORS (DESCRIBE)
SHOWERS
WATER CLOSETS (T a q
MISC (Describe)
DECK(COVERED?)
SINKS
DRINKING FOUNTAINS
GARAGE ❑ CARPORT ❑
SUMPS
RAINWATER SYST
NUMBER OF FLOORS
msrms
reoromo
Torat.
70Taamw�Nw
1eTY raeeO�•
vwr"w
**NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
type of future to be installed or relocated as part of this project Do not include existing fuduses to
1fECFiAWICAL t �,
Value of Mechanical Work
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (comm.rcip
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
i FURNACES
GY WATER HEATERS
ZONIffO DESIGNATION
DUCTS
GAS PIPE OUTLETS
o YES
o NO
G
DYES o NO
VP/8EPA/SU?
o YE8
BATHTUBS (.rn blsb. c "
SHOWERS
WATER CLOSETS (T a q
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS wth„msij.)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I csri ft under penalty of pedury that the im{fornratiaa farnished by me is true and correct to the best of mg knowledge, and further, that 1
am authorised by the owner of the above premisss to perjbrm the work for which the permit appHeatiom is made. I farther agree to hold
harmless the city of rederal Way as to any claim (including costs, wipenssy and attorneys' fees incurred in the investigation and defense of
such claim), which may be made by any person, including the undersigned, and flied against the City qJ Federal Way, but only where such claim
arises out of the ro;Jaaeo of the city, including its officers and employees, upon the accuracy of the ir&rmation supplied to the city as a part of
this appli
NAI[E/TIT4 DATE'I7 C�
(Signature) (Title)
RELATIONSHIP TO PILOJE= ❑ Owner ❑ Agent Contraclor ❑ Architect ❑ Other
a
Bulletin #100 - January 7, 2005 Page 2 of 4 Mandout0ermit Application
o NEW o ADDITION
o ALTNRATION
o RRPAM O TENANT WZNZNT
SUILDINO SIDILL ONLY?
o YES D NO
BANC RAN?
o YES
o NO
ZONIffO DESIGNATION
CAME OF IISE?
o YES
o NO
NEW ADDRESS REQUIRED?
DYES o NO
VP/8EPA/SU?
o YE8
o NO
PLATTED LOT?
o YES o NO
DEMO PEFJW REQUIRED?
DYES
o NO
a
Bulletin #100 - January 7, 2005 Page 2 of 4 Mandout0ermit Application