05-105944 t •
City of Federal Way ek Mechanical Permit #: 05 - 105944 - 00 - ME
Community Development Services r
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305€
Project Name: GA. BEL (A
Project Address: 31432 8TH/SW Parcel Number: 556050 0390
Project Description: Install gas furnace
Owner Applicant Contractor
Jonathan D Gamble &Chandra S Gamble GATEWAY HEATING&AIR CONDITION GATEWAY HEATING&AIR CONDITION
31432 8TH PL SW 3802 AUBURN WAY N 3802 AUBURN WAY N
FEDERAL WAY WA AUBURN WA 98002 AUBURN WA 98002
98023-4549
(253)931-0610
Mechanical Valuation 2000 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity j Description Quantity l Description Quantity
r Furnaces J_ 1
,, U PERMIT EXPIRES May 16,2006.
Permitt on-Wovember 17,
I hereby certify that the above information isorrect acrd thatlte constructionon the above described e
rty the occupancy and the use will be in accordance with thela s, ules. ; egur tions of the State of Wain ona d
the City of Federal Way. g
Owner or agent:— Date: // 7/' 1'
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IA P1/4VS
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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#: 05-105944-00-ME
Owner: JONATHAN D GAMBLE
Address: 31432 8TH PL SW
FEDERAL WAY, WA 98023-4549
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 MechanicAal Rough-in(4165) 0 Gas Piping(4125) ❑ Fi al-Mechanical(4065)
pproved Approved to release test Approved
By Date By Date
B � Date
.
Cf.V 6,
0,Tederal WanECEIVED PERMIT
. .
SF MF CO EL PL DE EN FP
3 3T2msfw AVEIL SOOfli•PO X 9718
0
1 7 2005 APPLICATI N TO
2PEDETt6W0';•VAVX4295.%6314M
8_
The ollowi • VI! ..,I.,:., -,' , •.2 Vi-an inco •fete • •'libation will not be acce•ted. Please •tint is. 4 in or j•
• PROPERTY INFORMATION
SITE ADDRESS '.--IS 1 L4 52- 'Et-A 1-k... 'c). 'T IA:
SUITE/UNIT.
ASSESSOR'S TAX/PARCEL. ') 5 (4--- C---` 5—(..-- - C --4 ci
L. LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separats page fir&MAY'Val desafptionl
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ti-MECHANICAL -
• 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
qt) ,7„ c-ifts . ::.
PROJECT NAME(Name of Busirzess or Owner Last Name) &t:ttAl.,be- ( -
a PEOPLE INFORMATION
PROPERTY NAME
I PRIMARY. PHONE.
OWNER T-( u ( 4 (4-7,5 ) ,(,k;', -e97z—
MAILING ADDRESS
CITY OATE,ZIP
:.) C-7/ '-)
1 Li-32. S)-} L.v. t i. I I--0. .gai L--- LS A (- .1-,-)A L'A(=,..23
CONTRACTOR COMPANY NAME
APiANT NAME. d
OFFICE,,PHON4.
.)9t>te,taki U-COLL -
ft.,Qv cr --.12.ini bov,siAlit.( 2,3_3) V3/-
? -
MAILING AD RESS L ( ,/ CITY, ATE,ZIP - _ CELL PHONE
i(d 2__ AAA UM\ \i'da,t1 kj <1‘.&Aillitl}t/titn_ ,GCL`f: (1%6 2- ( _, ) -
ern RF FED WAY BUSINESS LICORSE NUMBER . EXPIRATION DATE - FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER(copy et card required with each application)
EXPIRATION DATE
APPLICANT COMPANY NAME
' I APPLICANT NAME OFFICE PHONE
c'q::;4,t+IS•at( (44-‘ttld1R) (24-5 ) 1,,3 -e
1 -tV 1 C-
MAILING ADDRESS
CET,STATE,ZIP r i, e,, ...., CELL PHONE
-3S t'e-rAtAttitAt 1\-' -Ak. 1)1 1 tt-AjtUNV Lth- '61°1- ( ) -
RELATIONSHIP TO PROJECT
FAX NUMBER
0 Architect Cl Tenant a Agent o Other(Describe) e....6\36-(„tfiTh( (..(Z:3) Ll -6'4 '
CONTACT (AE \ \ PRIMdRY PHO •
E- I ADD• --= .
CUka, *.v 1 r ri. r - 3 3
IIMINInsimmEmminiMmioNsmomismigimwmffillia
LENDER
NAME
MAILING ADDRESS
an,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES a NO
WATER SERVICE PROVIDER a LAICEHAVEN Cl HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN r a HIGHLINE a PRIVATE(SEPTIC)
,41
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT SQ,FT. SQ.FT. SQ.FT.
FIRST
SECOND
THIRD
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) •
GARAGE 0 CARPORT 0
NUMBER OF FLOORS I magmarsorosra J f � �
�. oroesu it a; 1 •sr
"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 fres to remain.
MECFIANICAL )
Value of Mechanical Work $ :); •`
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS
BBQS FANS REFRIG.SYSTEMS
BOILERS HOODS(eemmereiq WOODSTOVES
FIREPLACE INSERTS
. COMPRESSORS RANGES MISC(Describe)
FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(er74b/Shower Combo' SHOWERS WATER CLOSETS
crake) MISC(Describe)
DISHWASHERS SINKS
GAS PIPE OUTLETS DRINKING FOUNTAINS
SUMPS RAINWATER SYST
WASHING MACHINES URINALS
HOSE BIBBS
IAVS(Batbcoemsinks VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMIER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best ofmyknowledge and
am authorized by the owner of the above premises to perform the work for which the permit further furrher,that I
ha mless the City of Federal Way as to any claim(including costsaapncuaedn es made t gionagreeddefenseo holdof
such claim),which may be made by any person,including the undersigned,expenses,nand attorneys'against
the fees incurred in theW investigation and m
arises out of the reliance of the city,including its officers and employee; pod filed accuracycfCityi fo oration u pp but to they city as
claim
this application. upon the of the tr{formatton supplied city as a part of
NAME/TITLE /� ---
(Signature) DATE /1 j G o
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 0 Contractor ❑ Architect ❑ Other
ib}^.F vne)(rtoJ4
.Z V.<e,a ,ozo,Act, i'i:);Ye} t�? t
,,: fl: ;e _rpt E e 41 F?
/cl�6t;te' s. C�Z�hf N4) f
� .- . �— i :rl _ ;Cep
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Bulletin#100—January 7,2005
Page 2 of 4 k\HandoutslPermit Application