05-105458 City of Federal Way Mechanical Permit#: 05 - 105458 - 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) 835-305C
Project Name: GEORGE
Project Address: 33713 38TH,`SW Parcel Number: 921151 0230
Project Description: Replace gas furnace
Owner Applicant Contractor
JOHNNY GEORGE BOB'S HEATING AND AIR CONDITIONING BOB'S HEATING AND AIR CONDITIONING
33713 38TH PL SW 13615 NE 126TH PL#400 13615 NE 126TH PL#400
FEDERAL WAY WA 98023 KIRKLAND WA 98034 KIRKLAND WA 98034
(800)840-3343
Mechanical Valuation 2400 Over the Counter Permit Yes
Mechanical Fixtures
DcOption- (Quantity . Description jQuantit 4Quantity
Furnaces 1
PERMIT EXPIRES April 22,2006.
Permit issued on October 24,2005
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: See- f./�11`p(i Cps F i!?t/l Date: '0(1 Z Y
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE# (253) 835-3050
PERMIT#: 05-105458-00-ME
Owner: JOHNNY GEORGE
Address: 33713 38TH PL SW
FEDERAL WAY, WA 98023-2980
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date Datet---(��
D
COMMUNITYDEVELOPME TDEPARTMENT
C C j 2 4 2005 RECEIVED BY I
ctrrof�w " COMMUNITY IaEVELOPMEPdT DEPART T� 5 SS
Federal Way PERMITr 1 7 2005 SF MF C iga L PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
` 33325AVENUE 5011171•P0 BOX
9718
FEDERAL WAY,WA 98063-9718
APPLICATION =LW/ WM
253-835-2607.FAX 253-835-2609
www cituofederalwau.com
The ollow , is ,uired • ormation-an incom•lete a••lication will not be acce,ted. Please ,rint le!ibl. (in ink)or .
• PROPERTY INFORMATION
SITE ADDRESS 33-713 ,32 p L 1 SS t,k) SUITE/UNIT*
ASSESSOR'S TAX/PARCEL# Cr 2. I r S. 1 - �- Z L} LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING a MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
(C D 7a P 0631% 1ile'na
PROJECT NAME(Name of Business or Owner Last Name) (-1e or-5,k,_
IN PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER J�iln0y f A!1'(-el a- 6e-4r-C)...2... eJ 3)&41/ D__4481
MAILING ADDRESS ✓ CITY.STATE,ZIP
3371 3 3 Y py_ c 1_,3 i=e +er.z-e w 4,.4• t E )2-3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
b.s f- n f,
rf j -hA-(f (t4Zi-) -)q-i - /we,
MAILING ADDRESS CITY.STATE.ZIP CELL PHONE
IV c'LI n.) E 12(t p(#L17c 1'1r"K-inti(VtU �1 ) - ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
ar_-c 4-_t c._(4._ eL '. .-B L /z / 3/ /Os" 42.f ) )ZS -Wig
PI CONTRACTOR'S EGISTRATION NUMBER(copy of card required with each application) AlMIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
( ) -
P i:9 I RELATIONSHIP TO PROJECT FAX NUMBER
. ❑Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
.514 Sort (i-12S ) )c/7 - 1 I/,36 S}GYIya)Jo h ng74--on eiVi#J,5•ccrv>L
LENDER Per RCW 19.27.095: Lender information is NAME
required(f prvject mins exceeds$5,000
MAILING ADDRESS COY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
bPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
§ ER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
Wit
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT❑
-s' r
NUMBER OF FLOORS COSTING PRO}OS= TOTAL TOTAL lTOTAL 170111TING.r Term.morons IF TOTAL IF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ ,2 cite'C •D7
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS((omm.r.i.1) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS I FURNACES GAS WATER HEATERS
DUClb GAS PIPE OUTLETS
PLUMBING
BATHTUBS(ormb/shower Combo) SHOWERS WATER CLOSETS(toilet) MISC(Describe)
T t . DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
t.r.C' WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
N)
DISCLAIMER/SIGNATURE BLOCK
sf""(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 and employees,upon the accuracy of the information supplied to the city as a part of
this application. n f f
NAME/TITLE C/irc.�f�Pi S s�tikFY Itis DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑Agent Con actor 0 Architect ❑ Other
FOR OFFICE USE ONLY
tin NEW a ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
k.IBiiILLDING SHELL ONLY? a YES o NO BASIC PLAN? o YES a NO
ti-BONING DESIGNATION CHANGE OF USE? a YES a NO
' W ADDRESS REQUIRED? a YES a NO UP/SWAMI'? a YES a NO
LOT? a YES a NO DEMO PERMIT REQUIRED? ❑YES a NO
xis.... .*
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