06-101581' f
City of Federal Way Mechanical Permit #• 06-101581-00-M E
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: GATES
Project Address: 30016 28TH PL S Parcel Number: 798490 0240
Project Description: Replace gas furnace with new 60Kn gas furnace.
Owner
Applicant
Contractor
BARBARA JEAN GATES
ALL SEASONS, INC.
ALL SEASONS, INC.
RICHARD L GATES
5001 N 28TH ST
ALLSEIs03055 12/17/07
30016 28TH PL S
TACOMA WA 98407
5001 N 28TH ST
FEDERAL WAY WA
TACOMA WA 98407
98003-4256
PERMIT EXPIRES Wednesday, September 27, 2006
Permit Issued on Friday, March 31, 2006
1 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
& I J� an .the City of Federal Way.
Owner or agent: Date:
•
e
v
' THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -101581 -00 -ME
Owner: BARBARA JEAN GATES
Address: 30016 28TH PL S
FEDERAL WAY, WA 98003-4256
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 G W Date'<`. 7 - Q
r it
CITY OF AA
Federal Way
COMMUNITY DEVELOPMENT SERVICES
33325 8- AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063-9718
253-835-2607• FAX 253-835-2609
www wwto.cituoflederalwau.comcom
The_followin-a is require
RECEIVED
MAR 3.1 2006
(`,1'i'Y OF FEDERVE `MIT
B" I`A LI CATI O N
- an
SITE ADDRESS 3 DO I \Q 4;2 O I • y
ASSESSOR'S TAX/PARCEL # �j_ , !4- q_ _a - _a,: 4+ D
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
SF MF CO 69 EL PL DE EN FP
7D
,ted. Please print leaMu (in ink) or tape.
SUITE/UNIT #
LOT SIZE (sfi
(Attach Separate pagef lengttuj legal de—fpflmO
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
e.Pca�, „ - 6nao Fw-rlax - (PC V, 3 u
PROJECT NAME (Name of Business or Owner Last Name) C J
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME ��� ��
r
PRIMARY PHONE
cas3� q4l
-
MAILING V L W \ 1 • V
ADDRESS Q -V1 {��J Ckk,
CITY. ST , ZIP -
`Nv, •AME` n
01 `A�
G
❑ HIGHIdNE ❑ PRIVATE (SEPTIC)
C63)8
ARESS rx
(`INNGDD
� o �i�
COMPANY NAME APPLICANT
Am i ,
OFFICE PHONE
�as3����
-�
MAILING ADDRESS C , STATE, ZIP
S 1 N• �` fI am W CA
CELL PHONE
(ds -3) 819
-91 3
CITY OF FEDERALWAYBUSINESS LICENSE NUMBER IRATION DATE
FAX NUMBER
❑ ❑
1 1.-q Q-1 (D 6-C�' (Q a -B L
I
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
Id- /( /0-7-
ftt-L4S E1 -1Q 3 S257s
j
COMPANY NAME
1
NAME
APPLICANT NAME
OFFICE PHONE
-9144
CITY, STATE, ZIP _
G
❑ HIGHIdNE ❑ PRIVATE (SEPTIC)
C63)8
ARESS rx
(`INNGDD
� o �i�
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
Architect Tenant
Agent 'Father CM [lf1JY
FAX NUMBER
-
❑ ❑
❑ (Describe)
I
N E pp PRIMARY PHONE p� E-MAIL ADDRESS
GtUV S3lO --L
Per RCW 19.27.095: Lender Wormation is
NAME
required (f project value exceeds $5.000 ,
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES
MAILING ADDRESS
CITY, STATE, ZIP _
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES
WATER SERVICE PROVIDER ❑ LAKEHAVEN
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAI SHAVEN
❑ HIGHIdNE ❑ PRIVATE (SEPTIC)
■W•
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
❑ NEW o ADDITION
❑ ALTERATION
c REPAIR ❑ TENANT IIldPROVEMENT
FIRST
BUILDINGSHELL ONLY?
❑ YES NO
BASIC PLAN?
SECOND
❑ NO
ZONING DESIGNATION
THIRD
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
FOURTH
UP/SEPA/SU?
❑ YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
❑ YES o NO
DEMO PERMIT REQUIRED?
o YES
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
BRISTM
p LOPOSM
TOTAL
TOTAL Riwimo 8P'....
TOTAL PROPOSED W
TOTAL W
"`NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $_
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS )or Tub/Shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS )Bamroomsinks)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS Commerriai)
RANGES
GAS WATER HEATERS
WATER CLOSETS )Tone[)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cert(fy 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 Cncluding costs, expenses, and attorneys' fees incurred in the investigation and defense of
such claim/, which may be made by any person, including the unders' ned, 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 em ees, upon the accuracy of the iriformation supplied to the city as a part of
this application. p r� /
NAME/TITLE /7e DATE L 1
Isigrila—ture) / Mtle)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent &,eo-ntractor ❑ Architect ❑ Other
FOR OFFICE USE ONCE
❑ NEW o ADDITION
❑ ALTERATION
c REPAIR ❑ TENANT IIldPROVEMENT
BUILDINGSHELL ONLY?
❑ YES NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
a YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT?
❑ YES o NO
DEMO PERMIT REQUIRED?
o YES
❑ NO
Bulletin #100 - January 7, 2005 Page 2 of 4 k\Handouts\Pennit Application