06-100413 City of Federal Way Mechanical Permit #: 06-100413-00-ME
Community Development Services
Po Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-2607 Fax.(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: FREITAS
Project Address: 1319 S 288TH ST Parcel Number: 516210 0640
Project Description: Replace existing gas furnace with new gas furnace.
Owner Applicant Contractor
ROBERT A FREITAS ROBERT A FREITAS ROBERT A FREITAS
NORA A FREITAS 1319 S 288TH ST 1319 S 288TH ST
1319 S 288TH ST FEDERAL WAY WA FEDERAL WAY WA
FEDERAL WAY WA 98003-3126 98003-3126
98003-3126
Additional Permit Information
Mechanical Valuation 1621.25 Over the Counter Permit'? Yes
Mechanical Fixtures
Furnaces 1
CONDITIONS:
PERMIT EXPIRES Wednesday, July 26, 2006 -
Permit Issued on Friday, January 27, 2006 .
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: ifr 7/06a
r. 411•.` THIS CARD IS TO REMAIN ON-SITE
CITY OF 111. Community Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-100413-00-ME
Owner: ROBERT A FREITAS
Address: 1319 S 288TH ST
FEDERAL WAY, WA 98003-3126
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 Z/7/40
. . .., F ' '•' . `
RECEIVED
411. F ,;'N'C��
;n�?�'' JAN 2 7 2006 OIL-
! 3
CITY OF
Federal Way PERMIT of pE�ERAL wAv MF CO EL PL DE EN FP
ra
BUILDING pEpT,
co.—,DEVELOPMENT SERVICES
33325 AVENUE SOUTH•PO BOX 9718
FEDERAL WAY.WA 96063-9718 APPLICATION
In
251 835 2607•FAY 253 835 2609
Via•,twg eskti, au.cmn
The followin• is re•uired i ormation-an incom'tete a••lication will not be acce•ted. Please •rint le•ibl (in ink)or •e.
■ PROPERTY INFORMATION
6I G C 288 sr SUITE/UNIT#
SITE ADDRESS i 1 •..7
ASSESSOR'S TAX/PARCEL# .5"- I ( 1 0- 0 6 474 `�n
LOT SIZE(sn
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) Ultach 5ea`Po9r1a lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING C IECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
RVI6de ,zef',:s--hy -.5• ) ,,,t-pe e--,(___
PROJECT NAME(Name of Business or Owner Last Name)
rr e_f'7ts
MI PEOPLE INFORMATION
PRIMARY PHONEg
PROPERTY NAME ' / L��b s �!^�- I ( 53) /q �- 421.
OWNER ( C�i�'l��j A/ F-� t/
MAI I( R `� f tlV t7 t CITY,
W y ' q V003
CONTRACTOR co.PANY NAME
APPLICANT NAME 4/ OFFICE PHONE
/t , i5, f J. V. / QreiC) CITY.STATE.ZIP CELL PHONE --
LINGADD'•.. (
()
r.nnn.. �.••.•-•• - FAX NUMBER
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER / / '
— — — B L - EXP1RAlION uncn
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application)
APPLICANT NAME OFFICE PHONE
APPLICANT COMPANY NAME 1 _
SAME AS ABOVE (
CITY.STATE.ZIP CELL.PHONE
MAILING ADDRESS r ) _
(
RELATIONSHIP TO PROJECT FAX NUMBER
r
❑ Architect 0 Tenant ❑Agent 0 Other(Describe) l
��/� PRIMARY PHONE I E-MAIL ADDRESSICONTACT tize
ea��"`'' t.LENDER RCW9.27. 5: Lender informal n is
NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE.ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE
PROPOSED USE '
��j
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 1(/j - c V
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
r ,
PROJECT FLOOR AREAS
_• ,
. _ EXISTING PROPOSEDTOTAL
AREA DESCRIPTION S r.FT. S•.FT. S•.FT.
- 1111111111111111 III
FIRST �'
_diiii....;
SECOND -"1411111111111111ILIMIIIMIIIIIMII
THIRD i-��
FOURTH
11.1=11 MOM
INIIII
ADDITIONAL FLOORS(DESCRIBE) - 11111111111111111111111M`, `_
DECK(COVERED?)
GARAGE 0 CARPORT `
❑ �
�`
daggIIIIIIIIIIIIIIII
EXISTING PROPOSED TOTAL TOTAL EXISTING SP TOTAL PROMSED ST
NUMBER OF FLS o"
=+It/E. •MES 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 remain.
MECHANICAL
Value
f t 15
Value of Mechanical Work $ `
GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS EVAPORATIVE COOLERS WOODSTOVES
ONES
FANS HOODS icnmmerrun MOO1SC(Describe)
BBQS RANGES
BOILERS FIREPLACE INSERTS
COMPRESSORS
FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING WATER CLOSETS trm�etl MISC(Describe)SHOWERS
BATHTUBS(orT,h/showcrcombui SINKS DRINKING FOUNTAINS
DISHWASHERS RAINWATER SYST
GAS PIPE OUTLETS SUMPS
URINALS HOSE BIBBS
WASHING MACHINES VACUUM BREAKERS ELECTRIC WATER HEATERS
IAVS(Bathroom Sld sl
DISCLAIMER/SIGNATURE BLOCK „
that the information furnished by me is true and correct to the best of my knowledge, and further, that I
remises to perform the work for which the permit application is made. I further agree to hold
I certify under penalty of perjury
amh
a authorized by the Federal
of Way the above P claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such
such
claim),the City of may erm as anyto anyt part
such which be made by person,including the undersigned,and filed against the
information osupplied to the cityeas a clar of
arises out of the reliance of the city,including its officers and employees,upon the accuracy f
[hisTE Az '
NAME/TITLE X (Till-
RELATIONSHIP
/ DATE X
(Signature)
RELATIONSHIP TO PROJECT Owner ❑Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY u REPAIR u TENANT IMPROVEMENT
u NEW u ADDITION u ALTERATION
BUILDING SHELL ONLY? a YES ❑NO YES o NO
BASIC PLAN? u YES a NO
CHANGE OF USE?
ZONING DESIGNATION ❑yES a NO
YES ❑NO SU?
NEWTLOT?
ADDRESSREQUIRED? UP/SEPA/SU?
PLATTED LOTo YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
1
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Bulletin#100-January 7,2005
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