06-101027 <6
City of Federal Way Mechanical Permit #: 06-101027-00-ME .
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: GINTZ
Project Address: 29825 24TH AVE SW Parcel Number: 893750 0280
Project Description: Changeout existing oil furnace
Owner Applicant Contractor
RONALD L GINTZ ADVANCED FILTER AND MECHANICAL ADVANCED FILTER AND MECHANICAL
29825 24TH AVE SW 418 VALLEY AVE NW SUITE B115 ADVANFM009C9 3/1/04
FEDERAL WAY WA PUYALLUP WA 98371 418 VALLEY AVE NW SUITE B115
98023-2300 PUYALLUP WA 98371
Additional Permit Information
Mechanical Valuation 3500 Over the Counter Permit? Yes
Mechanical Fixtures
Furnaces I
CONDITIONS:
PERMIT EXPIRES Wednesday, August 30, 2006
Permit Issued.on Friday, March 3, 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: Jam, u,14441:_t40,04 ;f 1��.,z .�- Date: .
THIS CARD IS TO REMAIN ON-SITE f
CITY OF10.4
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-101027-00-ME
Owner: RONALD L GINTZ
Address: 29825 24TH AVE SW
FEDERAL WAY, WA 98023-2300
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.
0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test - Approved
By Date By Date By C fidlDates- 3• Occ,
. 0,40
Fed :'.-.%.,,-;,',
..... - - -- - -. 4-
eral Way PERMIT RECEI --- IP-
SF MF ClaL PL DE EN PP
COMMUNITY DEVELOPMENT SERVICES
33325 8'w JIMMIE SOUM•PO BOX 9718
• FEDERAL WAY,WA 98063-9718 APPLICATION/1AR 03 'i06 maw
253-835-2607.FAX 253-835-2609 /
www.cituoffederalwau com
CITY OF FEDER• ', • •
The following is required information—an incomplete a.•lication will. 1, ,i; ...i.- 1,,,..,;;; Please •rint legibly(in ink)or type.
-.7*, - ••••:.' -'- - -- ::- ..- ."-'•-.' .•- . -
• PROPERTY INFORMATION
SITE ADDRESS 'RCiacb-"*"a#iii Ay e.6 t..t..) -FeriP rz-.1 Li— SUITE/UNIT It
ASSESSOR'S TAX/PARCEL# 7 3_ 0 ...,. (..) - &_(.2_ LOT SIZE(sj7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
fAtiadt separate page for lengthy legal description)
•'', ::'--..-;-.'- ."-: .-,!• -%-.1.'..--;• 2,i :.--'..-: - --- I. PROJECT INFORMATION ' •- * - • '- - -- -
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ,-IirMECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
,a) ' • . el .i t -*Fu..c`Au C e kOte, .4-0 r k '143, 211-1) /O)100
PROJECT NAME(Name of Business or Owner Last Name) C-3't cv-i-z.
:--- _' - ',- s. -'," - ' ' - • . : - ,- 1111 PEOPLE INFORMATION - , . . .
PROPERTY NAME PRIMARY PHONE
OWNER6\ (2-53) (27 -394 7
MA! a
A2rIRESS '(‘‘k"7— CITY,STATE,ZIP
Dt1 - 3.4il'N A‘,e i..x..:: A-se&r-c..t tocr,t (Le,. 58'0:33 _
CONTRACTOR COMPANY NAME APPLICANT NAME ge,rwt 4. %Linnets, OFFICE PHONE,
A.DYstis .
P kAt.1-1-01)e_r_k,/.,„.1 .3-(Atce, Sfy,,i-H
CITY,STATE,ZIP (z..5.3 1 , ...
CELL,PHONEi770 (9640
iilfFEVER,11,exttir;;,,,,g a)is- fu e . ipyi ( )
CITY OF Ay. r........,.....NSE NUMBERr.....ruwiTIO D TE FAX NUMBER
- / /
( 53 )7 ilp- l'Al..3
CONTRACTORS REGISTRATION NUMBER(copy of card required with each applicatioui EXPIRATION DATE ,
/
APPLICANT COMPANY NAME APPUCANT NAME OFFICE PHONE
(
MAILING ADDRESS — CITY,STATE,ZIP — CELL PHONE
( ) -
RELATIONSHIP TO PROJECT • FAX NUMBER .
CI Architect CI Tenant 0 Agent CI Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
--- ,0 0 GI Ai-z_. (13 )C17 -3`47
LENDER .!'t._Zr_?ZO::0",r7VInt;i_eVio':rmati.liit NAME
l'6ellim07e.i:-.4!$50194A
MAILING ADDRESS CITY,STATE,ZIP
- ''. :, . '',.., ' -..- - - .• DETAILED BUILDING INFORIVIATION - • ' .
: .
t•
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
- i WATER SERVICE PROVIDER Cl LAKERAVEN aHIGHLINE a TACOMA a PRIVATE(WELL) . .
I •
ISEWER SERVICE PROVIDER C LAKERAVEN o HIGKLINE 0 PRIVATE(SEPTIC)
•
t(s( `', •��4 PROSECT FLOOR AREAS .
�_�—
AREA DESCRIPTION EXISTING S•S.FT. PROPOSED S .FT. TOTAL
• BASEMENT
FIRST
- SECOND
THIRD
FOURTH —
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS?
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
_ _ - - = FIXTURES - - ._-, -J:-...!--2:::-.. .
Indicate number'of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
�c1
Value•
• Mechanical Work $ 35- 0'O'
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Comu ruai) WOODSTOVES
• BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS / FURNACES GAS WATER HEATERS
. DUCTS GAS PIPE OUTLETS -
PLUMBING (Describe)(or Tub/Shonercombo SHOWERS - WATER CLOSETS(Toilet MISC( )
DISHWASHERS SINKS DRINKING FOUNTAINS
. GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom sink.) VACUUM BREAKERS ELECTRIC WATER HEATERS
- _ _t. __-_ _ %'___:: _=_ - _ =',-INSCLAIDKER/SIGNATUREBLOCK- :,--'_'`_ =:•_ ;;:_-,.-- .1:1-:...-1--: -_ . =-
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
II 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.
4," 1 1 p.. p
L%-4- NAME/TITLE a lM1 Lr) LL e it.wi (+ Pi,in ei PAL,
° ' (Sttnatuvc) (Title) DATE`�
-13-1-126
ii,;:_# RELATIONSHIP PROJECT 0 Owner t]Agent o Contractor 0 Architect 0 Other
}
^. =FOROFFICE USEktiNL t-tc:
a NEW o ADDITION a ALTERATION a REPAIR 6TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES o NO
4 }
ZONING DESIGNATION CHANGE OF USE? a YES o NO
i
' t NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES o N
f
iBulletin#100-March 30,2004 - Page 2 of 4 k\Handouts-Revised\Pcrmit Application