05-105622 s •
s
City of Federal Way Mechanical Permit #: 05 - 105622 - 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: WILLIAMS
Project Address: 2748 SW 343RD 171 Parcel Number: 294450 0610
Project Description: Replace gas furnace&hot water tank. **11/7/05-CORRECTED to include addition of air
conditioner.**
Owner Applicant Contractor
Robert J Williams &Ok Sim Williams GLENDALE HEATING&A/C GLENDALE HEATING&A/C
2748 SW 343RD PL 12462 DES MOINES WAY S 12462 DES MOINES WAY S
FEDERAL WAY WA SEATTLE WA 98168-2266 SEATTLE WA 98168-2266
98023-7627 (206)243-7700
Mechanical Valuation . . . .8847 Over the Counter Permit ..Yes
Mechanical Fixtures
Description ;Quantity Description "Quantity; Description Quantity
Air Handling Units o 1 1 Furnaces 1
PERMIT EXPIRES April 30,2006.
Permit issued on November 1,2005
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: /1— 7- 05
City of Federal Way ,Mechanical Permit #: 05 - 105622 - 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) 835-305C
Project Name: WILLIAMS
Project Address: 2748 SW 343RD Parcel Number: 294450 0610
Project Description: Replace gas furnace&hot water tank
Owner Applicant Contractor
Robert J Williams &Ok Sim Williams GLENDALE HEATING&A/C GLENDALE HEATING&A/C
2748 SW 343RD PL 12462 DES MOINES WAY S 12462 DES MOINES WAY S
FEDERAL WAY WA SEATTLE WA 98168-2266 SEATTLE WA 98168-2266
98023-7627 (206)243-7700
Mechanical Valuation 8847 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Furnaces [- 1
PERMIT EXPIRES April 30,2006.
Permit issued on November 1,2005
I hereby certify that th- ,b,ve information is correct and that the construction on the above described property and
the occupancy and u/ 1 be in -ccordance the la les and regulations of the State of Washington and
the City of Federal ay
Owner or agent: -� Date: / 7r ��
THIS CARD IS TO REMAIN ON-SITE -
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105622-00-ME
Owner: ROBERT J WILLIAMS
Address: 2748 SW 343RD PL
FEDERAL WAY, WA 98023-7627
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 Date By Date By Datp'2*30_d.3
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Federal Way PERMIT
CO Muvm DEVELON�PTS VICES SF MF CO L PL DE EN FP
3332FEIERA AVENUE 30A177•PO-9715 Jt APPLICATION '�
' FEDERAL WAY,WA 9t06J-9711
imim
253435-2607•PAX 253435.2609
www cituoffederatwau win
Teo is ormation-'an 7 I Hoation will not be wee Please t or
l
SITE ADDRESS 2/ q f S ✓V 7q P1 - / !, /� SUITE/UNIT 0
ASSESSOR'S TAX/PARCEL I k q LI 4r70 - l/ (_o_ 1 I Q _' LOT SIZE Of)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Q l COO 1,1 St Q i
F .th .�txwfr bnw j kd
U PROJL('T I NI OUMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ELLIIIANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PR91TECT DESCRIPTION(Provide'4etatled description of work btc on is . on!
t- NWT
--ibrrigti. f 105 Ru t. Opl4.Alcr./AU
s - 4
PROJECT NAME(Name of Business or• 'Last Name) 14/ 1), .k/
`� nr I
I. L
PEOPE INF ORMA1ION
PROPERTY
OWNER ifma-V710 b A V V , t 'tfNVY, �7 (F! /) (o(p l D Li f
MAILING\/ `,�/ f.�` Pl.
,p/+� ,/�� Vin}
a i ADDRESS ` I V / ` r 1 l. CITY,STATE. !1 Lk lJ wal 1 Y I� � 1.00
CONTRACTOR I�'1 I h d r 1\A )h MVV 1 l NAin J OFFICE
4(D) all 3- 71 oa
I Va IF �lD {A 1\i,0114,1 �' Ikr 0 r RTOS CITY/ST'T .4),___U'�[ 4 / CELL PHONE
)NE!/ 0 -ad'
CITY FEDERAL WAY BUSINESS LICENSE NUMBER �(•(•�, ' PIRATION DATE FAX NUMBER
- -a- / / )
CONTRACTOR'S REGISTRATION NUMBER(tow d wit rK.iwl with wit aptbrlMw) EXPIRATION DATE
/
I /
APPLICANT fp�ANYNAME, ' 1 °A�A ro / OFFICE HONE -7 Th)
�h � ,1if)
1)11'ifMAII,INGD 1�; Ilii j /1v V I l ' r C STAT ,I W FU W N. BLL PHONE IY 1 t7 U (1
REId TIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant ❑ gent 0 Other(Describe) ( af9 j) )i.13 -i341)
CONTACT NAME PRIMARY PHON E-MAIL ADDRESS
'(�e�V,A �D� S ( AjIQ) �IQ0- Z0 f 1
LENDER Per NCW 19.27.001k laretor-to NAME
requirml V?+dmt•s!w exam $1,000
MAILING ADDRESS CITY,STATE,ZIP
■ DI,T.AILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORE $
SPRINKLERED BUILDING? ❑YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
IN
AREA DESCRIPTION EXISTING PROPOSED TOTAL
• SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
MOUTON nao.owo TOTAL TOTALmew t TOTAL merONe w WM III
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS_ _ ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type
/of]fiutr re to be installed or relocated as part of this project Do not include existing fixtures to remain.
MECHILCAL
V Mechanical Work $ b)`b ill 10
/ // AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
�/ BBQS FANS HOODS(com.era.q WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS I FURNACES , CIAll WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(o,Tub/Mower conbo SHOWERS WATER CLOSETS(roach) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS p3ah,000swim VACUUM BREAKERS IL&CTRIC WATER HEATERS
IISULAII\IIi12/SIGN.\I IMI I, UI(1(1;
I cert(fy under penalty of perjury that the information furnished by me is trust and correct to the best of my knowledge,and further,that I
am authorised by the owner of the aborts 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,arpewses,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 oat of the reliance of the city,including its cabers and employees,upon the accuracy of the lnJbrmation supplied to the city as a part of
this application. /� '� �jU
NAME/TITLE ` u�/ l�fl C,O Pi V J^) tDATE I D) 11.1 I V
(S. tare) /� (ns)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent G�ontractor ❑Architect ❑ Other
FOR orinci 'r:R"
a NEW o ADDICTION o ALTERATION o REPAIR o TENANT ne'ROVIS1BJT
BUILDING SHELL OILY? o YES o NO RAMC PLAN? o TES a NO
ZONING DESIOEATION CRAM OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/$U? a TES a NO
PLATTED LOT? a YES o JO DEMO PERMIT REQUIRED? o TES a 11O
Bulletin#100-January 7,2005 Page 2 of 4 IdHandouts\Permit Application
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