05-105315 City of Federal Way Mechanical Permit#: 05 - 105315 - 00 - 1 ISE
Community Development Services
P.O.Box 9718
FederalWay,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253)835-305C
Project Name: SAKIMOTO
Project Address: 1115 S 296TH P1 Parcel Number: 516200 0160
Project Description: Replace gas furnace.
Owner Applicant Contractor
Gary Y Sakimoto GATEWAY HEATING&AIR CONDITION GATEWAY HEATING&AIR CONDITION
31217 PACIFIC HWY S 3802 AUBURN WAY N 3802 AUBURN WAY N
FEDERAL WAY WA AUBURN WA 98002 AUBURN WA 98002
98003-5401 (253)931-0610
Mechanical Valuation 2500 Over the Counter Permit Yes
Mechanical Fixtures
[ Description Quantity Description Quantity Description Quantity
Furnaces 1
PERMIT EXPIRES April 12,2006.
Permit issued on October 14,2005
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: 1 ' Date: /0 -o5
THIS CARD IS TO REMAIN ON-SITE
CITY OFA Community Development Inspection Record .
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105315-00-ME
Owner: GARY Y SAKIMOTO
Address: 1115 S 296TH PL
FEDERAL WAY, WA 98003-3718
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) Cl Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Coj Date ld .l4-a
amt«..A - V
Federal Way RECEIVED - �� — �
COMMUNITY DEVSWPMENTSERVICES P R R M IT SF M C ME LPL DE EN FP
C JJ325fERALW Y,WA l•POBOX,.uCT 14 2 PPLICATION
FEDERA2 WAV,FAX
93461-6 0 U 1. im
/753-d,75-Y607•fAXT53-f35-2609 !J\
www
.dtuoJPederalway.3oq�
81TY OF FEDERAL WAY
The ollowi • is -• 7 t '•Grielfia-an ince) •fete • ••lication will not be aces•ted. Please •rint 1e• •I in or
■ PROPERTY INFORMATION
1 SITE ADDRESS 1\‘C s• 49•-qi IA.. P l
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 5 LL Cp a 0 / _ O ( 67 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
M aepamtep fix knpthil kyai de•nlptlonl
N PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ,$MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
$4-1i .QvAr'S Cl lr t`a_c-e.._
PROJECT NAME(Name of Business or Owner Last Name)
N PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE ��jj�^
OWNER CO N S �1 t"�•Cl T-Q (2 3) JZ� -J93O
MAILING ADDRESS 1\ c 5- CITY,STATE,ZIP
� 'D.-CI �. c:eZei2 k.la.•/ WA- C
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
�� - -► 2)N cSA�l6r� (253) 93( - � c0
CITY,STATE,ZIP CELL PHONE
3rD2- 1A-00; 1A-rAh3 W30\ A bole- g1 2 (.,• )
CITY OF FEDERAL WAY BUSINESS LICE E NUMBER EXPIRATION DATE FAX NUMBER
1 q.-Pit-1 4 S .3 st -B L IZ/ 31 /p5 (2.s5) tioq - 89410
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT •• PANT NAME APPLICANT NAME OFFICE PHO
/ . A1C✓ 3) 3\ - CC,(o
MAILING •t RESS STATE ZIP - CELL PHONE
201 i n1(41 t 4.30 C , usot.q, Ot►Z ( ) -
RELATIONSHIP TO PROJ FAX NUMBER
a Architect a Tenant a Agent X Other(Describe)CAS r (9-53)' -014 CcZ
CONTACT A E _
Int6 118/11,44)4(
LENDER
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER a LAKEKAVEN a HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE 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 EXISTING PROPOSED TOTAL1111111111111911110 ico if -
te
"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 $ Lv
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(c•mmercia) 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 croilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
IAVS(BachcwmahJco) 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
ant 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. i
NAME/TITLE )., 1,. 417 DATE I 0 13 -05
-(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent to Contractor ❑Architect ❑ Other
01
0 ,0)r (r; ;',fit.+R�}LY,tir,'(o) t.... fr.lE; eh,U i+�' Er4Ek;YcF�F �1 Vii. .. .
i (cl : Ie)
•
Bulletin#100—January 7,2005 Page 2 of 4 kU iandouts\Permit Application