05-105271 - •�,
City of Federal Way Mechanical Permit #: 05 - 105271 - 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: MUNTZ
Project Address: 32621 49TH SW Parcel Number: 873219 1010
Project Description: Replacing gas furnace
Owner Applicant Contractor
Thomas W Muntz &Linda B Muntz ADVANCED FILTER&MECH INC ADVANCED FILTER&MECH INC
418 VALLEY AVE NW UNIT BI 15 418 VALLEY AVE NW UNIT B115
PUYALLUP WA 98371 PUYALLUP WA 98371
(253)770-2440
Mechanical Valuation 2680 Over the Counter Permit Yes
Mechanical Fixtures
Description QuantityDescription QuantityDescription Quantity
P � P � P �
Furnaces 1
PERMIT EXPIRES April 11,2006.
Permit issued on October 13,2005
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: 11_ ,` _ _ ��J•& _ / Date: /0 113/05-
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. A THIS CARD IS TO REMAIN ON-SITE vinir
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105271-00-ME
Owner: THOMAS W MUNTZ
Address: 32621 49TH CT SW
FEDERAL WAY, WA 98023-1917
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) ElGas Piping(4125) .a Final-Mechanical(4065) ,
Approved Approved to release test Approved
By Date By Date B Date ' \-z ��
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CT 1 2005 - �� I
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COMMUNITY DEVELOPMENT SERVICES
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33325 Int AVENUE SOUTH•l0 BOX 9710 �'`�j�D�+
253 600EDERAL 7PAXf9534359718 C'IT BU1�i"" 1 I O N
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The ollowi • is -• fired in orntation-an Inco •tete a••licatien will not be aces•ted Please •rint le• bi n i or
Ni PROPERTY INFORMATION
SITE ADDRESS 3 a cc, a\— 4/ c1 4*, Pis S c,�� SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# % 7 , ,t: l - ` C? / 0 LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) V1 Q b I C e c ..L„C
(AMA mimeo ~for W Yid deftriPuW
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING -NIECRANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION11 (Provide detailed description of work included on this permit only)
IL-Q � F C,c C I."3 —P(t n, r d-f C 42 3 -- t G) e) N D C>a '61-(...i---.s ,
PROJECT NAME(Name of Business or Owner Last Name) )14 utA't,I C..
al PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER To r„ Mu,. \z-
MAILING ADDRESS CITY,STATE,ZIP (ZSR 5 as-5-7 3;
3atai... Li, Ime1, s LAJ c-e..1Qc . f a,c 7 c?c - .J3
CONTRACTOR COMPANY NAME APPLICANT NAME +
MAILING ADDRESS 4 ' e ZCr'F e . Sr-. II H-1 7/C) - Z G
CITY,STATE,ZIP CELL PHONE
gig's IJ( J(e� e Al ti /1, 11'j,4 Vt rS�3)/ (., l
CITY OI+FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- L. / / )0 - aSeeze
CONTRACTORS REGISTRATION NUMBER loopy of cart tatnirsd witk sack appllcatioa( EXPIRATION DATE
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APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect a Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
To`^^ YY\u el '-Z (2.S-A -j`Z.S 57 3- - •
LENDER
--,e.;t,_-; .,-•,c .,, ,-f,i- ,e.ri{.t i.01,,
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRINKLERFtD BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER p LAKEHAVEN O HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 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
R70STWO PROPOSRD TOTAL - `s.at!._-r-'J':�: •_ ,�•�Yr:l „1:,• -�a,' _ T,:t.4+r f'
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type off x ure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ a(nif •
O ' 1
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(c mo.nd.q WOODSTOVES
BOILERS •_. FIREPLACE INSERTS RANGES ' MISC(Describe)
• COMPRESSORS / FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(.rTub/Shower Combo) SHOWERS WATER CLOSETS craws MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Mobil 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 mg 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.
/ J
NAME/TITLE DATE 1° ( ) 3 / c33—
( rc( (Title)
HI
RELATIONSP TO PRO ❑ Owner ❑Agent ❑ Contractor a Architect ❑ Other
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alrlt c)C$fr., OPDILF C I,f: =r
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Bulletin#100–January 7,2005 Page 2 of 4 kU-landouts\Permit Application