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City of Federal Way Mechanical Permit #: 05 - 101123 -.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: HOFFMAN
Project Address: 5212 SW 318TH 4-T Parcel Number: 102103 9041
Project Description: Replace existing gas furnace and.hot water tank; add A/C unit.
Owner Applicant Contractor
Marvin J Hoffman &Jeannie M Hoffman J P'S HEATING*JOHN WATERS* J P'S HEATING*JOHN WATERS*
5212 SW 318TH CT 10016 137TH ST NW 10016 137TH ST NW
FEDERAL WAY WA GIG HARBOR WA 98329 GIG HARBOR WA 98329
98023-2092 (253)857-8829
Mechanical Valuation 4500 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Air Handling Units 1 • Furnaces 1
•
PERMIT EXPIRES September 6,2005.
Permit issued on March 10,2005
I hereby certify that the above information• correct and that the construction on the above described property and
the occupancy and the use i 11 be in acco i T•nce with the laws,rules and regulations of the State of Washington and
the City of Federal Way. 4011,
Owner or agent: Date: 4
/061/015---1
31,4\0.5 02
THIS CARD IS TO REMAIN ON-SITE •
arr OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101123-00-ME
Owner: MARVIN J HOFFMAN
Address: 5212 SW 318TH CT
FEDERAL WAY, WA 98023-2092
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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By raC' Date ZS-70S—
, . .
Federal RECEIVES 5 - / 0 ( i a 3
Way PERMIT 0 SF MFCOdii, LPL DE EN FP
COMMUNITY DEVELOPMENT SERVICES MAR 1 2 O 05
33325 dTM AVENUE,WA 98 PO BOX 9718 A P P L I C AT
' FEDERAL WAY,WA 98063-9778 TO
253-835.2607•FAX 253-835-2609 / /
www.atuo/kderalwaycom F FEDERAL JVAY
BUILDING DEPT
The ollowi • is re•aired in ormation-an Inco •lete • ••lication will not be acce•led. Please •rint le•ibl (in or
IN PROPERTY INFORMATION
SITE ADDRESS S11 Z 9(J 3/$)4.1 aT
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desrnptton)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING D'FIECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) l
('Airiv7r� o 4e7 43 tin.) �' €.0,.9c.. < / t'i eo.ta C ,1/R Ck9�t , f #1,47-G✓,aTeg 7.i,t
eiclekai ca v v 4-ii-.1 t Mens►d l Csoc. 1 4- Mt uLa►di 44 0,1L -
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY NAME //� PRIMARY PHONE
OWNER !'1 g efriko-1 ( ) -
II MAILING ADDRESS CITY,STATE,ZIP
c21 Z, Sr•r, 3/9 cT / ,lea 44, 1L) 9f&9
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
�Y &AA;1.71 \"'- WA-c-ta% ( z5 ) :, - g$y7
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
/PO/G 131 Sfi tiw (2,t c /`4415. 4 98 ..-Ir ) X23 - ez'2
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE AX NUMBER
B L / / ( )
—CONTRACT 'S EGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE _
y/ / - / / 6 ,
APPLICANT COMPANY NAME ri _ APPLICANT N , OFFICE PH ONE -
MAILING ADDRESS ``i,Vl`Y/ CITY,STATE,ZIP - CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Ten ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY HONE - E-MAIL ADDRESS
LENDER �y '« ;" �-"rr�j. NAME
ipf lnfeortnattort`T
riq r :' f ro ect •lue coeds 5 000
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? 0 YES a NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
_ r
FOURTH ••
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
Martino PROPOSED TOTAL 'TOTAL LQSTuO Sr TOTAL PROPOSED SF r 'TOTAL SF
NUMBER OF FLOORS :;i•"�;:- . • .•
**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 $ 6-f/C671)
l� KI4 4I I I6.Llt1ITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commeraap WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS f RNACES !./GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS Irog,t MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(BatlDoomsinks) 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(inclu•' g costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,includi•• the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance oft city,including its o cers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE ! DATE U
/1'1 ature) (Title)
RELATIONSHIP TO PR'.JECT 0 Owner 0 Agent 0 Contractor a Architect 0 Other
Wo. '' pITION ? -ALTERATION • ti REPAIR '. a` p EN iT I I OVEMENT
Mt\K'T.tN ;:. t'4 .. .. ._. . 'i"R' "3�wS "l1r �- .. .Ml•- :;
7:4P :.;5• BA-SW PJANt:9_`.
4;.bt!a.- _a_-���R3:...;=__'=•;o YEs:-.:�Nq._....M4
. :�.
I* IGiNATION CHANGE OFrUSE? Y"`-`
'PRESS tEQUIRED? TW NO;- ;... ._ UP SEPAJS,II?< '~ a YES xc NO -
.i
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application