06-100298City of Federal Way
Community Development Services
b P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
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Mechanical Permit #: 06 -100298 -00 -ME
Project Name: SIMS
Project Address: 3003 SW 317TH PL
Project Description: Install new Trane XR80 Gas Furnace.
Inspection Request Line: (253) 835-3050
Parcel Number: 438800 0260
Owner
Applicant
Contractor
VICTORIA SIMS
GATEWAY HEATING & AIR CONDITION
GATEWAY HEATING & AIR CONDITION
3003 SW 317TH PL
3802 AUBURN WAY N
GATEWHA025C7 8/20/07
FEDERAL WAY WA
AUBURN WA 98002
3802 AUBURN WAY N
98023-2217
AUBURN WA 98002
Additional Permit Information
Mechanical Valuation............................................1600 Over the Counter Permit? ...................................... Yes
PERMIT EXPIRES Wednesday, July19, 2006
Permit Issued on Friday, January 20, 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
and the City of Federal Way. /
Owner or agent: Date: C� �
10
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -100298 -00 -ME
Owner: VICTORIA SIMS
Address: 3003 SW 317TH PL
FEDERAL WAY, WA 98023-2217
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 W Date 3• Z�' d
ederal Way
C0At1 XffDEVELOP/ WSBRVKBS
33325 8m AVENUE SOUnY • PO BOX 9718
FEDERAL WAY, WA 98063-9718
2S3-835-2607• FAX 253-835.2609
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The foilowina is reauim
PERMIT
APPLICATION
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tcation will not be accepted. Please
dA -q40
LPLDEENFP
SITE ADDRESS J003 'Sk,,J 31, P) SUITE/UNIT
ASSESSOR'S TAX/PARCEL i C LOT SIZE (g)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
P--%-PvnaePWf-t Wfthwt l
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL /-
FjVED
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detat7ed description of work induded on tW •+p•• k onlui 2Q06
-- i AN 2 0
e,1TY OF FE T
PROJECT NAME (Name of Bus&ms or Owner Last Name)
PROPERTY NAME ; _1
OWNER 1 / ( � + N t A . \, ' � < PRIMARY PHONE • 1 . w
CONTRACTOR
APPLICANT
3003 P l . 1 F�
NAME
MMAIUNGADDRESS
APPI4CANT NAME `
o��u
OFFICE PHONE
(a53) X31
-D�IO
, ST TE, ZIP
CELL PHONE
Cfl Y OF FEDERAL AY BUSD1E33 U
s — — 1i la
SE NUMBER EXPIRATION DATE -
(0-- 1Z/ 3 i /Q(p
FAX NUMBER
(Z3) WN
-ft,0
B L
CO CTOR'S REGISTRATION NUMBEQR (�F7 �y'� =•galrk" with .pPapPu tion)
EXPIRATTIOQN' DATE
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1 Ef-IN �ou•�u4 k{ PS5)f, 3 I
Al RES3 CITY, STATE, Z1P — CELL PHONE
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REIAT(ONSHIP TO PROJECT FAX NUMBER
C Architect o Tenant ❑Agent Other (Descn7�e)l li'CL(Gtc (S�) _/
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AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
SO. FT.
TOTAL
SQ. FT.
BASEMENT
MISC (Describe)
GAS WATER HEATERS
FIRST
MISC (Describe)
DRINKING FOUNTAINS
SECOND
HOSE BIBBS
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT ❑
NUMBER OF FLOORS
susrua
�eorosso
roto
__..
t.
"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 fixtures to
AIEC114MCAL 0
Value of Mechanical Work $ (D Q)
_ AIR HANDLING UNITS
_ BBQS
_ BOILERS
COMPRESSORS
_ DUCTS
BATHTUBS (or 7Lb/sbaaercnmbd
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (eatluoom s wo
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOOS
REFRIG. SYSTEMS
HOODS (cemme,d.q
WOODSTOVES
RANGES
MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS (reoeq
MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I cert(& 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 authorised by the owner of the above promises 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 igormation supplied to the city as a part of
this application.
NAME/TITLE nA'rF
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor
(Title(
❑ Architect
❑ Other
Bulletin #I PJ — January, 7, 2005 Page 2 of 4 MHandoutsWermit Application