04-103587 I t
om ofity eralvel Way* Mechanical Permit #:04 -103587 - 00 - ME
Community Development Services
33539 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax.253 661.4129 Inspection request line: 253.835.3050
Project Name: HILD
Project Address: 36500 3RD-SW Parcel Number: 302104 9153
Project Description: Remove and replace electric furnace.
Owner Applicant Contractor
James R Hild &Mary K Hild ALL SEASONS,INC. ALL SEASONS,INC.
36500 3RD AVE SW 5118 N HIGHLAND ST 5118 N HIGHLAND ST
FEDERAL WAY WA TACOMA WA 98407 TACOMA WA 98407
98023-7330 (253)879-9144
Mechanical Valuation 1300 Over the Counter Permit Yes
Mechanical Fixtures
Description JQuantity f Description Quantity][ Description Quantity
Furnaces 1
PERMIT EXPIRES March 7,2005.
Permit issued on September 8,2004
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: q/'/614
THIS CARD IS TO REMAIN ON-SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103587-00-ME
Owner: JAMES R HILD
Address: 36500 3RD AVE SW
FEDERAL WAY, WA 98023-7330
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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date _ By Date By L Date q., /3 _
CRT /1/& C2 - L 6 .3
Federal Way RECEIVED PERMIT - -
cOMMUMIYDEVELOPMENTSERV10ES SF MF CO090 L PL DE EN FP
33530 FIRST WAY SOUTH. BOX 9714` APPLICATION
FEDERAL WAY,WA 940606 3-9714 E I �' "I b To
253-661-/115•FAX 253-661-4129
www.dttiotfederahuau corn
The ollowin• is re•u>t Y• r `ii.:2 • • kIt'4nco •bete a.•lication will not be acce•ted. Please •tint le•ibi in ink)or .
� . .h
PROPERTY INFORMATION
SITE ADDRESS 2Nggio '(OSLO 3ra Au SU.) SUITE/UNIT r
ASSESSOR'S TAX/PARCEL M 3 O Z ( 0 4- - q I S 3 LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desarplon)
PROJECT INFORMATION //
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING t/MECHANICAL
❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
REPLOLDS CL)) IJ Gt.0 E.Lec.T(Zlc.. ACQ
PROJECT NAME(Name of Business or Owner Last Name) L-)
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER M A Itt\ ,1�1 La (253 ) $38 -q R-s3
MAILING ADDRESS CITY,STATE,ZIP
310 SCO V-- AV SU-) FDG Z Pa— w.Aki U) C802-3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Au_ SeAsoms IQO&y/U ,�l'Zr4Q /-/►fir J (253) .i39 - 9/44-
MAILING ADDRESS - CITY,STATE,ZIP CELL PHONE
555jAi / LI� NSC
CITY OF FEDERAL WAY ESS ENUMBER 14`C444 / 9940-
EXPIRATION DATE
FAX NUMBER
1-3 8-1 0 5 2- ?- s L l2-/ 31 /2 • (263 ) 87-9
CONTRACTORS REGISTRATION NUMBER(copy of card required with each applications EXPIRATION DATE
x055
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
eAsoM S / (253) 879- 9/44
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( -3) 8 -91454
CONTACT NAME Dg V e AbSPRIMARY PHONE
( .53) 879 - 9144 E-MAIL ADDRESS
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 SGS PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 13070•QC)
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
- AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. _ TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
-HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**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 $ I 00
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commeraal) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS I FURNACES GAS WATER HEATERS
DUCTS . GAS PIPE OUTLETS
PLUMBING
BATHTUBS)orTub/ShovxrCombo) SHOWERS WATER CLOSETS(Tolle) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Strata) _ 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. n A
NAME/TITLE • II UP/<6C-, DATE CR-01* Z 00 4-
Sign.re) � (Title)
RELATIONSHIP TO PROJEC 0 Owner 0 Agent M'Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
a NEW o ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Revised\Permit Application