05-105404 City of Federal Way Mechanical Permit #: 05 - 105404 - 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: YORK el
Project Address: 33215 39TH SW Parcel Number: 109961 0190
Project Description: Installation of new Gas Furnace.
Owner Applicant Contractor
Bruce F York GATEWAY HEATING&AIR CONDITION GATEWAY HEATING&AIR CONDITION
33215 39TH AVE SW 3802 AUBURN WAY N 3802 AUBURN WAY N
FEDERAL WAY WA AUBURN WA 98002 AUBURN WA 98002
98023-2910 (253)931-0610
Mechanical Valuation 1500. Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description ,Quantity Description Quantity
Furnaces N 1
PERMIT EXPIRES April 18,2006.
Permit issued on October 20,2005
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: �/t Date: C'' "--7--U ` 0 5
• THIS CARD IS TO REMAIN ON-SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105404-00-ME
Owner: BRUCE F YORK •
Address: 33215 39TH AVE SW
FEDERAL WAY, WA 98023-2910
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 Date(of
RECEIVED
Federal Wa
A .
PERMIT OCT 20 2005 —0--G- J o g g 0 v
y
• COMMUNITY DEVELOPMENT SERVICES SF MF COOEL PL DE EN FP
J33151ERALWY.WA9ENUE 501.1771•FOBOX 9718 9718 . PLICAT TY� FERAL .WA
FEDERAL WAY,WA 91063-9714 •' DEPT.
153-135-1607•FAX 153135-1609
t www.dIyolrederalwau.coa{
The oilowi • is • fired in ormation-an Inco .late . ••lication will not be acce•ted. Please •rint le• .1 in or l' .
■ PROPERTY INFORMATION
SITE ADDRESS 332.t S 391-I--k 41,q., it t3 <''h4di & SUITE/UNIT#
(�
ASSESSOR'S TAX/PARCEL# I 0 1 9cl - () J S Q LOT SIZE(sf)
' LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
WW1**walePage lb'kroW9 lefFd deavipdoN
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING , IECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCCRRIPTION(Provide detailed des` tion of work included on this permit only)
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY N j,�n PRIMARY PHONE /_
OWNER �� r�-- (253)?riLI -2/41
MAILING ADDRESS CITY STATE,ZIP
332AS �L0 c:x4tbid bgetti LOA. gW02-3 .
CONTRACTOR PANT NAME /L,(�� p APP CANT, OPFFICCEi�PHONE
((A(UNG�� 1 Td[ PAM "' ' k (Z-31 q31 - 0(010
1 CITY,STATE,ZIP CEL.PHONE
31iOZ U �E� 4301 aubwrr t9A 9002 (, } -
CITY OF FEDERAL WA BUSINESS UCS NUMBER EXPIRATION DATE FAX NUMBER
_19.-9 $.-Aos- Lam$-BL 12/ 3t /Os- ( 2(3) Pf- c / o
CONTRACTOR'S REGISTRATION NUMBER(copy et card required with each application) EXPIRATION DATE
2 .1) -s�-3 • -•6-/10 / p7-
APPLICANT cMPANY
NAME t APPLICANT NAME OFFICE PHONE
� (255) 931 -01,01/0
MAILING DR CELL PHONE
CITY,STATE,ZIP
3R-02_ 41-1.. .Airy. U.442-1 U 4,1r 3v ‘ �u -k. Z ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
I o Architect o Tenant o Agent (3Other(Describe) 3)
F.011- 8-q too
CONTACT ,NSM N om_ PRI
ppo E
�, itscusviiAis (26 53 ) 31 -Olo 4D E-MAIL ADDRESS /��),t
LENDER ;r. ,,,•.•- • ,1•- err z r:r" NAME /j �t
--•h.:a... a. .).,IK-..(; .{,<, ter.(,E.=1.}..11ti 14
•
1
MAILING ADDRESS an,STATE,ZIP
IM DETAILA)1311111)N)Ill'ORIVIA.1)01%1
EXISTING USE - PROPOSED US
EXISTING ASSESSED/APPRAISED VALUE $ OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES 0 SUPPRESSION SYSTEM PRO D? a YES o NO
WATER SERVICE PROVIDE VEN a HIGHLINE 0 TACOMA o PRIVATE(WELL)
1 SEWER SER ER 0 LAKERAVEN o HIGBLINE Ci PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED •• AL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
t
SECOND
THIRD
•
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOC):: EXISTING PROPOSED TOTAL s, a4....=t3.,. .z7 , ,,,4{.(4,1 .J- •nira.-. , _ iv_S.s
**NEW HO •NLy 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 11 c O
Value of Mechanical Work $ ,1500 St)o
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS ,,HOODS ic...eass WOODSTOVES
BOILERS • .. FIREPLACE INSERTRANGES ' • M1SC(Describe)
• COMPRESSORS I FURNACES iJT GAS WATER HEATERS
DUCTS GAS PIPE Olt
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(mai MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinha) 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 authorised 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 iI lir e 1, , DATE /V24.783—
Igna urc r (Title)
RELATIONSHIP TO PR. ECT ❑ Owner ❑Agent Contractor 0 Architect 0 Other
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