05-105938 City of Federal Way Mechanical Permit #: 05 - 105938 - 00 - ME
Community Development Services
P.O.Box 9718 ,w 1111
Federal Way,WA 98063-9718
Ph.(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: SMITH
Project Address: 2611 SW 339TH 5i' Parcel Number: 010920 0410
Project Description: Install new A/C system
Owner Applicant Contractor
PENNY SMITH ALL SEASONS,INC. ALL SEASONS,INC.
2611 SW 339TH ST 5001 N 28TH ST 5001 N 28TH ST
FEDERAL WAY WA 98023 TACOMA WA 98407 TACOMA WA 98407
(253)278-9344
Mechanical Valuation 3301 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Air Handling Units 1
PERMIT EXPIRES May 16,2006.
Permit issued on November 17,2005
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: 407/,.., Date: �� / ��•—
C9 c zQ \1- 'a2-p S - Q. \A. ..a
ti
THIS CARD IS TO REMAIN ON-SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105938-00-ME
Owner: PENNY SMITH
Address: 2611 SW 339TH ST
FEDERAL WAY, WA 98023-7731
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) 0 Gas Piping(4125) Et Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By a_vihrv.3 Date
i
moo. ,` RECEIVED -
Federal Way JO - 4-0 .`
N0V17 " PRRMIT SF MF CO LPL DE EN FP
COMMUNITY DEVELOPMENT SERVICES i,
333251 W AVENUE SOUTH•PO BOX 9718
i FEDERAL WAY,WA 98063-9718 APPLICATION
253-835.2607•FAX 253-/35-260A'-�OF FEDERAL WAYim /
www.eityollederatway.00m V f
BUILDING DEPT,
11
The ollowi • is -.• fired in ormation-an Inco •fete • ••!!cation will not be acce•ted. Please •rint le• •I n I or
• PROPERTY INFORMATION I
SITE ADDRESS Z p /I 5(„i 3 31 rA zi- i d r I tic.J,t, /A ere T SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 0 I (' 2 0 - 0 L/ / (2 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate pegejar'mew legal deeaiption)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING XMECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
(1•x14 It .(/C Ty . ,, 4'0 e.)(. .4.11r-tet t«
PROJECT NAME(Name of Business or Owner Last Name) 3AA l rli
I♦ PEOPLE INFORMATION
PROPERTY NAME
OWNER ��JJ /^ PRIMARY PHONE /e/� ,pr
MAILING ADDRESS I ` CITY,STATE,ZIP � �) 45,P9- "'"`�
2611 5i.,/ 33/*/st fi��r4./ (111C CiFv23
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
19# JCe ' -, t, r, (z3-3) Z 7e--1 34/G/
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
sv0L L) 2 ` k 1-4. ,),%.< 4 geo7 (• ) -
• CITY OFF E WAY BUS ESS LICENSE NUMBER EXPIRATION DATE • FAX NUMBER
/ / ( ) -
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
1 is �Z k .0 Z a q-T- / /
APPLICANT COMPArNY NAME y APPLIICCANTNAME OFFICE PHONE
MAILING ADDRESS S 'I ^ ` CI�j Y,STATE,ZIP — CELL PHONE
c(x)i iV Zr74**4 071.4 ,,x 5so ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) - .
LENDER NAME
:7. gid: 'J• .... f 1i..V. 1.2I�I;.��Y:,:(.)�
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN a HIGBLINE a PRIVATE(SEPTIC)
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 0
NUMBER OF FLOORS s� SUMO PROPOSE) Toru. U t •ia
_ .
**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 $ 3 7/. '-/7
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS - FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(romet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Maio) 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 and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE 1////
/ O
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner o Agent 0 Contractor 0 Architect 0 Other
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application