04-103226 7
Coy afFederal
vel Way a Mechanical Permit #:04 - 103226 - 00 - ME
Community Development Services
33530 1st Way S
Federal Way.WA 98003-6210
Ph 253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: CARTER
Project Address: 30235 26TH S.el 5 Parcel Number: 365500 0340
Project Description: Remove and replace gas furnace.
Owner Applicant Contractor
A Carter ALL SEASONS,INC. ALL SEASONS,INC.
30235 26TH PL S 5118 N HIGHLAND ST 5118 N HIGHLAND ST
FEDERAL WAY WA TACOMA WA 98407 TACOMA WA 98407
98003-4210 (253)879-9144
Mechanical Valuation 2100 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description ;Quantity Description IQuantity�
Furnaces 1 1
i�-
Permit issued on
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: c/3il(') (1
/o 7
F( g
•
ghTHIS CARD IS TO REMAIN ON-SITE
CITY o Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #:
Owner:
Address:
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 coveted 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.
4.
NOTE: Prior to scheduling a Framing(4120) ❑ //vfri .101 +e-
inspection;Electrical,Plumbing&Mechanical
• Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date R-27-o
prY
4� $IWay PERMIT
cOMMUNITYDEVELOPMEMS E�VEl) SF MF CO GIL
PL DE EN FP
33530 FIRST WAY SOUTH• 6 APPLICATION
FEDERAL WAY,WA 9dOG7-9 1 TD /
253-6614115•FAX 253-6614129 /
www atuotfederalwauDom 2004
The ollowin• is -• t4din orrnation-an inco •tete a•.Iication win not be acce•ted. Please •rint le•ibi (in ink)or •-.
PROPERTY INFORMATION
SITE ADDRESS BUILDIP P 5 2_10441 PL. S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 3 Co S G 0 O - C) 3 4 t LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desoipaon)
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING t7'/MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
2eNIOUi=. P.XIST7 x.X. aAs cUJ.A1AC.&
l IJ STI-t_ 3-S v._ 3m (A5 Fu e 'ick- CI 'ace- —kr ti ksL)
PROJECT NAME(Name of Business or Owner Last Name) CA lT --
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER AL:BEe.T CA E-TER- (2S3) 94 -3811 _
MAILING ADDRESS CITY,STATE,ZIP
302-35 2co+'' Pt- S Feb w W A 1B('0a2)
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
At- SIASO Js /NC_ ) Nye BantsitA-ty (253) 83-9 -9114
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
SUS 1,) 4-IC4µLekIJD sr TAcoMA Lt.34 G84-6te- ( 1
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - - B L / / (2S3) 81-9 -9143
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
A L i. S E2 C> 3Q s I? / I} /O5
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
AU seAsc.Ns /AJc_ kogylJ R32.Avsf1-r-ai (?s3 197-q -q1441- _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT ' FAX NUMBER
0 Architect 0 Tenant wite‘nt t5Y6ther (Describe) 1Dd17RtC.17)r- (Z-55 ) .81-q - 9/4.3
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
DAve 6 2A-05iM4J (2s3) B moi'- 9/44-
LENDER Per RCA).19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
n DETAILED BUILDING INFORMATION
K
EXISTING USE .6S PROPOSED USE le&-S
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 2.100 • 00 -
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 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 s,asumo TOTAL PROPOSED TOTAL.vasrao 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 $ 2-100'CO
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commermal) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or Tub/Shower cora.) SHOWERS WATER CLOSETS(roue) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(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 he city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. p
NAME/TITLE
or a � UP/S- DATE p'13-2 c 4
(Sign re) (Title)
RELATIONSHIP TO PROJEC 0 Owner 0 Agent ilitractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW a ADDITION ❑ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES ❑NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES o NO
•
Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Revised\Pernlit Application