05-106125 0
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• City of Federal Way Mechanical Permit #: 05-106125-00-ME
Community Development Services
PO.Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: HILMER
Project Address: 37032 20TH AVE S Parcel Number: 721265 1730
Project Description: Replace existing gas furnace with new gas furnace.
Owner Applicant Contractor ,
ROY DOUGLAS HILMER VALLEY FURNACE INC VALLEY FURNACE INC
CYNTHIA LOU HILMER P.O.BOX 507 VALLEFI161R6(12-26-05)
37032 20TH AVE S PUYALLUP WA 98371 P.O.BOX 507
FEDERAL WAY WA PUYALLUP WA 98371
98003-7732
Additional Permit Information
Mechanical Valuation 3078.00 Over the Counter Permit Yes
Mechanical Fixtures
Furnaces 1
CONDITIONS:
PERMIT EXPIRES Monday, May 29, 2006
Permit Issued on Wednesday, November 30, 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 e in accordance wit,the laws, rules and regulations of the State of Washington
and t = rof -deral Way.
Owner or agent: _-i? / 7 Date: / /-
3 05-
�.. THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record _
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-106125-00-ME
Owner: ROY DOUGLAS HILMER
Address: 37032 20TH AVE S
FEDERAL WAY, WA 98003-7732
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date Bye"...) Date/2-22- -
i
(.1A •
61,
. Federal Way PERMIT IT - S
160 CONMUnmYDEVELOPMEA SERVICES SF MF CO EL PL DE EN FP
33325 V+i AVENUE SOUTH•F0BOX,71t APPLICATION
FEDERAL WAY,WA 98063.9718
2534354607•FAR 253435.2609 I
saccsitudtc4theamta
The ollowi • is -• fired in orntation-an Inco •fete . • •iication will not be acce•ted. Please •rint le• •1 n in or p .
2
III PROPERTY INFORMATIONJ
SITE ADDRESS 37o 3 ?"' AL /I ve. S. f /ere;I G!4 y G"/1 B'e ...5
SUITE/UNIT# N/A-
ASSESSOR'S TAX/PARCEL
1 2 I I- _2 3 0 LOT SIZE(sfi Gv��
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach•ePa,arFro•h►X1+0 e••vtpe!•e1
—
iiiPROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING "'MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROT DESCRIPTION(Provide detailed description of work included on this permit onlq)
} IG CC CX15 1 i n9 . :
PROJECT NAME(Name of Business or Owner Last Name) 11 i l n-7 e f
• PEOPLE INFORMATION
•
PROPERTY NAME PRIMARY PHONE
OWNER Roy /`,,/v+r+er' (253) ?2-7 -8566
MAILING ADDRESS CITY,STATE,ZIP
37039 ao*" ,4 ve. 5. (- .1er4 I Lc4, wA 9,0 G 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Ver d e F�11�h 4 ce. ,4 a y A 0 eier ,r (253) 9/g - 35/7
MAILING ADDRESS C TY,STATE,ZIP CELL
P,o. I3ox ,,, --.%).?5Pu Ilti L<lf4 `1' ,371 (405 } E
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
240 -00 - 1 O L 2- 0-B ;, 17J 31 1c5 ( 253) Pig- 5'710
CONTRACTORS REGISTRATION NUMBER loopy of earl ralairai with sash application( EXPIRATION DATE
VA L L Et 1 1. 6116 12 / 26 /G5
APPLICANT COMPANY NAME .,_ APPLICANT NAME OFFICE PHONE
VQ/(cy Pxr y 4'CC l tid y A v,c/1crS,''n . ( 25-3) 5q1 - 35/ 7
MAILING ADdRESS CITY,STATE,ZIP - CELL PHONE
Po. 50n- 5C7 Pur4/1,1 £ui�- 7f37t ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant Z Agent 0 Other(Describe) ( 253) s", - 3c/7
CONTACT NAME,... PRIMARY2PHONE
/ E-MAIL ADDRESS
6-,or` 4H e re:-0-7 (2f3) ' - 35/? 5'leSQParrory4Ce_Ca,.
LENDER a_ ,. 1• -,' f ,. sr,,,,;,,,!,, !-�� 1
NAin
,•F.se, • 3::x.,1{-'.v p,- .�..�.t; 3'.},i!�,,
MAILING ADDRESS CITY,STATE,ZIP
/l/A N/
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF P
SPRINKLERED BUILDING? r* �, f0�TIkE SUPPRESSION SYSTEM P• • •• . • '• III' D? 0 YES 0 NO
WATER SE PROVIDER a LAKEHAVEN 0 HIGHLINE 0 TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEIIAVEN 0 HIGHLINE a PRIVATE(SEPTIC)
•
j
PROJECT FLOOR AREAS
AREA DESCRIPTION ,j/l// // EXISTING PROPOSED TOTAL
A/(" SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST - .
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS icarnse PROPOS=D TOTAL L =+•r_. ; � , ,,;: � , �_
L �_,_, ..fit;
••NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each t - • be tailed or relocated as part of this project Do not include existing factures to remain.
MECHANICAL
Value of Mechanical Wo. $ 3� e72 00
•
AIR HANDLING ° - EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(c mmerei.q WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS IFURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(. nib/ShowerC.mbe) SHOWERS WATER CLOSETS(rod) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
KAVS(Bathroom Oinks! VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
•I certify under penalty of perjury that the in/onnation 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.
1
NAME/TITLE DATE 1/
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner Agent O Contractor o Architect o Other
(I✓}4f r�OF)P,'(C)1i 'ti l�t: �d't11`Lt)\�
;e,ii,C):,;rt-, i:c t,r c};(tr;' if`:+ ..A-
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application