04-105145 • • ,
City of Federal Way Mechanical Permit #: 04 - 105145 - 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: HERRON pie'
Project Address: 30414 3RD/S Parcel Number: 232970 0460
Project Description: Replace Existing gas furnace and gas hot water tank.
Owner Applicant Contractor
James M Herron BRENNAN HEATING&A/C LLC BRENNAN HEATING&A/C LLC
30414 3RD S 4601 S 134TH PL 4601 S 134TH PL
FEDERAL WAY WA TUKWILA WA 98168 TUKWILA WA 98168
98003 (206)248-7900
Mechanical Valuation 2465 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Furnaces 1
PERMIT EXPIRES June 19,2005.
Permit issued on December 21,2004
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 , . .
Owner or agent: L,
0 Date: t 1r- 1 ('
�' THIS CARD IS TO REMAIN ON-SITE •
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-105145-00-ME
Owner: JAMES M HERRON
Address: 30414 3RD AVE S
FEDERAL WAY, WA
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
By Date By Date By /�`'' Date /2/3/70y4//
RECEIVED
�• `O� 4% .„, COMMUNITY DRVELOPMEAT SERVICES
CITY Of 44........_.
� !1 L f 1 2004
D.--.^ -,CJ•,� 33530 FIRST WA
Federal Way PERMIT APPLICATION 3 FEDERAL
RAY WA 98067-9718
(pU �� rfrrr>ax 253 661-4129
UV v,my yf,•,L•ralu9-Irf mm
CITY OF FEDERAL WAY
For Office II.,Oid,
FW File Number: _ — - _
`I ' .— — I II/
l
The ollowin. is re•uired in ormation-an incom fete a tication will not be acce ted. Please .rint le.ibl (in ink)or t e.
' -:-:--:,:--;,1-a--PROPERTY-INFORMATION •
SITE ADDRESS: 3 O 1 / // ASSESSOR'S TAX/PARCEL N:Ot 3 c '-70- 0 4 0
ez-r7
LEGAL DESCRIPTION (eg Acme Estutes, Lot 1) �r&
(Attach separate page for lengthy legal rlescnphon)
SQUARE FOOTAGE OF LOT:
-' - - . . ' ■ .PROJECT INFORMATION
TYPE OF PERMIT(This application): o BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION
0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only):
PROJECT NAME(Name Of Business/Owner Last Name):
•'. ■ PEOPLE INFORMATION
•
PROPERTY NAME ( PRIMARY 1'IIONL'
OWNER: JAK+EQ 1LJMk oD l t lZRL f, (6153) S59 -Grid
MAILING ADDRESS(STREET ADDRESS,) CITY,STATE,ZIP
CONTRACTOR: NAME COMPANY - of VICE PHONE-
.-E5REQr<a-Li 1- -r(nc.4-, v 4/e, taco ► �8 -'19OO
MAILING ADDRESS(STREP ADDRESS,( CITY,STATE,ZIP CELL PIIONE
44:30( 3 134-1-4,---FL, -Tib KLAN LA ( "MO ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER. EXPIRATION DATE' FAX NUMI3ER.
- - / / ( U(o) ,z4.4-?' -'1(-..105
CONTRACTORS REGISTRATION NUMI3ER A 1 i' A EXPIRATION DATE
(copy of cud required with each application)
�R c" �\` t� 9 17 ( le 9 l a / a♦,�i /O�
LENDER: NAME:
(If Proposed Value>$5,000( DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;( CITY,STATE,ZIP •
APPLICANT: NAME: COMPANY OFFICE PHONE
�2Er1 M, {-kc,A 11/1 v P/c (74) - ---le-IM
MATING LA
AD ESS)- CITY,STATE,ZIP '�A EVENING PHONE
180 1 (�, 1 , TO
3 -mT tZtJr 1 " q$lbc� ( ) -
RELATIONS(III'TO PROJECT. \� VAX NUMBER
Architect 0 Tenant I Other(Descnl�e): w, )i 2• -r79-D ---
CONTACT
rI9-D--
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner C6 Contractor 0 Applicant E-MAIL ADDRESS:
• - - '■ DETAILED BUILDING INFORMATION • - - • • -
EXISTING USE: PROPOSED USE: rr��
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $,..Q...4 - • O
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: n LAKEHAVEN 0 HIGHLINE 0 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
TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS?
"NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS FLOODS(Comm,rtidl WOODSTOVES
BBQS FANS RANGES MISC(Describe)
BOILERS It FIREPLACE INSERTS GAS WATER HEATERS
COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
PLUMBING
SHOWERS WATER CLOSETS(ro<kI) MISC(Describe)
SINKS BATHTUBS(er-nib/show.,comoo( DRINKING FOUNTAINS
DISHWASHERS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sink 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 employees, upon accuracy of the information supplied to the city as a part of this�
DATE: •I�7<of
ication.
C � -
NAME/TITLE: (Title(
(Sig ature)
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant Contractor ❑ Architect 0
FOR OFFICE USE ONLY:
a NEW o ADDITION ❑ALTERATION a REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? a 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? o YES a NO DEMO PERMIT REQUIRED? a YES a NO
•
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