05-100210 City
4 1 Way
Mechanical Permit #: 05 - 10021(- 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: JOHNSON
Project Address: 1310 SW 328TH C44 Parcel Number: 926494 0620
Project Description: Replace existing gas furnace w/new gas furnace
Owner Applicant Contractor
Gregory L Johnson &Deibre L Johnson GLENDALE HEATING&A/C GLENDALE HEATING&A/C
1310 SW 328TH CT 12462 DES MOINES WAY S 12462 DES MOINES WAY S
FEDERAL WAY WA SEATTLE WA 98168-2266 SEATTLE WA 98168-2266
98023-5209 (206)243-7700
Mechanical Valuation ...2574 Over the Counter Permit Yes
Mechanical Fixtures
Description [Quantity Description Quantity Description Quantity
Furnaces I` I
PERMIT EXPIRES July 18,2005.
Permit issued on January 19,2005
I hereby certify that the = • e nformation is correct . " that n construction on the above described property and
the occupancy and the .• ' 1 be in cordan • with e la les and regulations of the State of Washington and
the City of Federal W. /
Owner or agent: AAIFII Date: I l r-
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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#: 05-100210-00-ME
Owner: GREGORY L JOHNSON
Address: 1310 SW 328TH CT
FEDERAL WAY, WA 98023-5209
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.
❑ Mechanical Rough-in (4165) ❑ Gas Piping(4125) L_ Final-Mechanical(4065)
Approved Approved to release test Approved
tib
By Date By Date By Date 2 2.1 6
RECEIVERERMIT
.Rvxs 9 SF MF CoEL PL DE EN FP
9353 BOX 9714 2005
53-661-4 4X253.4129 JAN �°�e LI CATI r°
watt�.aiwlreaett. _ CITY OF FEDERAL WAY I
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The chow' • is -• fired ih„� �E RRII II IIi't�❑ � nn
tt.:iC • ::1. •tete • •,iicattdlh`ttl(IIlno't 6eEaPCce•ted. Please • nt or j, .
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/ PROPERTY INFORMATION
SITE ADDRESS (1 1 - }' v A.Y l SUITE/UNIT#
L X
ASSESSOR'S TAX/PARCEL# L a - AL LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (P2.. UU Cif-. Coli ili,1 y i V .
(Attach separate pogo far lengthy lead description)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBINGHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION,(Provide detailed de tion of work indu ed on this permit or jy)
—1 , U fi IS j VIol i WY1ntitD. `'`/V1.u^) 444 ;it vier_a-
PROJECT NAME(Name of Business or Owner Last Name) ..,3ip
j',%I{'1
PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE (�
OWNER 1 r��r/ Oi Id rt
JokA4z7/0JO ( J ) o/d i1 2
MAILING ADDRESS 1TY FATE,7�IP
y5 I I) - � 1� ''3, f Cr - tty� Wa.y 'i 'I r o
CONTRACTOR COMPANY NAME 11 t` .. �}}-- APP CANT NAMEn OFFICE PHONE
Lt4f\t4tiJL
1`t,�-CU I ° } �,l�o ti t, t Flo ) Q 1)4-Zile
UNG ADD
—1FSTA4ii1Vi..i
fP CELL PHONE iM )' rN / hv oi8I 2 (a,g0) R,n
Wi - az/0
CITY CaE rEJ1l N DATE FAX NUMBE
1 -a -1 a. B L / /
(MO) c4 g;(1,L)
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each appliatioc) EXPIRATION DATE
.b. . . 11Ctita53A It / u)._ / o5
APPLICANT COMPANY NAMES rr J J. r APPU.. ME OF}FIICrE PHONE i I, f
MAI G ADD iii 4Lit 414 01 CITY. 0 ” ,1 la op (oh ) a 7'3 - 7�Ut
\ CELL PHONE
b - ti Nit 1 11,6bi rub U� t,' v dit Uiv Crfib f ( b ) big-gib l
RELA ONSHIP TO PROJECT ti �� FAX NUMBER ,
0 Architect 0 Tenant ❑Agent Deer(Describe) l ,f ii) i afi r ('a TAA, ) 1 L o - -gZ 4 LI
CONTACT NAME Q
�� PRIMARY PHONE NA o�
[p ? E-MAIL ADDRESS
19 C0011, QP.4) il_
LENDER i' RCW 19.27.095:•,Lender NAME.
;nsr dVProject oatiidexceeds 000`
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES ❑ NO
WATER SERVICE PROVIDER ❑ 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. _
BASEMENT
FIRST : !)
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL Exi$T1O TOTAL PROPOSED TOTAL EX1STmO AND PROPOSE
**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 $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercul) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS t FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSES(Iwo 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 o 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 �. fJ/,O — DATE D 1 ) I I I/�
r( ure) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent \❑contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
o NEW ❑ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Pcrmit Application
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