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City of Federal Way Mechanical Permit #: 05 - 100005 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: GLATT Fig,
Project Address: 32412 7THISW Parcel Number: 132190 0170
Project Description: Replace existing gas furnace.
Owner Applicant Contractor
Anderson D Glatt ALL SEASONS,INC. ALL SEASONS,INC.
32412 7TH AVE SW 5118 N HIGHLAND ST 5118 N HIGHLAND ST
FEDERAL WAY WA TACOMA WA 98407 TACOMA WA 98407
98023-4931 (253)278-9344
Mechanical Valuation........ ..... .3721 Over the Counter Permit Yes
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 10)and must comply with FWCC,Chapter 22,
Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES July 3,2005.
Permit issued on January 4,2005
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: /cr/�S
FINALED
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THIS CARD IS TO REMAIN ON-SITE -- �+
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100005-00-ME
Owner: ANDERSON D GLATT
Address: 32412 7TH AVE SW
FEDERAL WAY, WA 98023-4931
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date 0 Date S—��
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RECEIVED _a �- 1 Q.. Q_ ) 5
FederalWay PERMIT
i1 SF MF CO L PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES ?az
33530 FIRST WAY SOUTH•PO BOX 9718 j Y F D N TD
RAL W , 8 - �;�
253-661-4FEDE11AY•FAXWA 2536690631-0]29918 BUILDING
� „APPLICATION
www.dtuoffederalwau.com L DEPTWA
The ollowi is re•uired i ormation-an inco •fete • ••lication will not be acce•ted. Please •rint le•ibl in in or • -.
• PROPERTY INFORMATION
SITE ADDRESS 32412 7th AV SW SUITE/UNIT#
ASSESSOR'S /PARCEL# _1_ 3_ _2_ 1 9 0 - _0_ _1_ _7_ _0_ LOT SIZE(sf)
11$
LEGAL D ION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descnptton)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING )(MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
REMOVE EXISTING AND REPLACE WITH 90K BTU GAS FURNACE
PROJECT NAME(Name of Business or Owner Last Name) GLATT
IN PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ANDERSON GLATT ( 253 ) 815-0187
MAILING ADDRESS CITY,STATE,ZIP
32412 7TH AV SW FEDERAL WAY, WA 98023
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ALL SEASONS INC ROBYN BRADSHAW ( 253 ) 278-9344
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
5001 N 28TH ST TACOMA, WA 98407 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1 9 9 8 1 0 5 2 6 2 0 0 B L 12/31 /2005 ( 253 ) 879-9143
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
A L L S E I * 0 3 0 5 5 12/17 /2005
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
ALL SEASONS INC ROBYN BRADSHAW ( 253 ) 278-9344
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
5001 N 28TH ST TACOMA, WA 98407 ( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( 253 ) 879-9143
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
DAVE BRADSHAW ( 253 ) 278-9344
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE RESIDENTIAL PROPOSED USE RESIDENTIAL
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 31-20• (
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE n PRIVATE(SEPTIC)
r
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SP TOTAL PROPOSED IP TOTAL SP
**NEW HOMES ONLY*' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
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 of Mechanical Work $ 3-4'2D.910
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS 1 FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks( VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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
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.
NAME/TITLE DATE I / /Q
(Signature( / (Title)
RELATIONSHIP TO PROJECT 0 Owner a Agent X Contractor o Architect o Other
FOR OFFICE USE ONLY
❑NEW ❑ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application