05-106300 v , ,
City of Federal Way Mechanical Permit #: 05-106300-00-ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: ROBINSON
Project Address: 1834 SW 353RD PL Parcel Number: 926975 0650
Project Description: Installation of air conditioning and replace gas furnace.
Owner Applicant Contractor
DIANNE G ROBINSON NARROWS HEATING/AIR CNDTNG,INC NARROWS HEATING/AIR CNDTNG,INC
1834 SW 353RD PL 5121 S BURLINGTON WAY NARROI*216J3 4/5/06
FEDERAL WAY WA 98023-3117 TACOMA WA 98409 5121 S BURLINGTON WAY
TACOMA WA 98409
Additional Permit Information
Mechanical Valuation 2745 Over the Counter Permit9 Yes
Mechanical Fixtures
Compressors 1 Furnaces. 1
CONDITIONS:
PERMIT EXPIRES Wednesday, June 7, 2006
Permit Issued on Friday, December 9, 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.
i/� /o
Owner or agent: /�iG��.- ��'— Date: / l l S
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-106300-00-ME
Owner: DIANNE G ROBINSON
Address: 1834 SW 353RD PL
FEDERAL WAY, WA 98023-3117
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
It
By Date By Date By 4$'-'1) Date '2 ZQ ofo
0
A
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RECEIVED 5 -
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�Feaeraiway PERMIT D - � 9 ZOO
J SF MF Cu� EL PL DE EN FP
COMMUNITY SERVICES
33325d^R An • 9711
FEDERAL WAY,WA 98063-9711APPLICAT FEDERAL 253435.2607.FAX 253835-2609
www.ntuolfede ahueycomi BUILDING DEP
The oilowi • is re• ired in ormatlon—an Inco •fete • ••lication will not be acce•ted Please •rint le• •1 in i or j• .
IN PROPERTY INFORMATION
SITE ADDRESS 10 J l � / a W 3S3I-4-CE SUITE/UNIT i
ASSESSOR'S TAX/PARCEL$ `7 2 O ±T 5- 0 I 50 LOT SIZE(s,77363
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Lor 65 WEST M C NE 25 L 13
(Attach.tea proefw►rw hu>igai d sorruo,)
' ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING X MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PRO DESC ION(Provide detailed description of work included on this hermit 2111
�Je l ACC- 64s . , LP►$T4 4.- j COMINITIaMn16r.
PROJECT NAME(Name of Business or Owner Last Name) it)(300S014
• PEOPLE INFORMATION
PROPERTY NAME � PRIMARY PHONE
OWNER1RNNE 3t5v ( ) -
MAILING ADDRESS CITY STATE,ZIP
/B3' $w 35'3 RD Pt. FLbE24L 1NAy, O. 16023
CONTRACTOR COMPANY NAME APPLICANT NAM OFFICE PHONE
(4110-424W5 Hf-ru- MIKE (J1ufow ) (2S3) 12"? - 1543
MAILING ADDRESS CITY STATE,ZIP CELL PHONE
5121 s. /3UI( n• 144Y T , &z . (36109 ) -
ClTY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMBER
1 9 - 9 9 - t o 1 ( b 1 -B L ti / 31 / &a5 (253) 512-- HA
CONTRACTORS REGISTRATION NUMBER(copy of card required with each applleatiea) EXPIRATION DATE
NttaR-01ilZ1- 63. 3. O9 / 05 /Ob
APPLICANT COMPAN ,NAME c APPLICANT NAME -
`5/_,(I� OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect 0 Tenant a Agent a Other(Describe) ( ) -
CONTACT NAME ` I JAPRIMARY PHONE_,..g
? --79-13 MGM ��w #nel-f
LENDER :?_- ;i•I, }•, -, , ,;,:r I,3r•i,.‘••:: .,: NAME
MAILING ADDRESS CITY,STATE,ZIP
•
■ DETAILED BUILDING INFORMATION
•
EXISTING USE j PROPOSED USE ---- --S
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ pP 71-/G" cx% .
I
SPRINKLERED BUILDING? ❑YES 4O FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES >410
WATER SERVICE PROVIDERLABZEIIAVEN 0 HIGHLINE ❑TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER i.AKERAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED •TAL
S•.FT. S•.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
RRISTO10 PROPOS= TOTAL U�{'' - ✓ -
NUMBER OF F .e RS "'
**NEW- • 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 •/21145'
AIR HANDLING k - EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS — FIREPLACE INSERTS _ RANGES MISC(Describe)
I • COMPRESSORS 77._
// FURNACES OAS WATER HEATERS
DUCTS `/ GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/sbowerCombo) SHOWERS WATER CLOSETS maw) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sorry VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMIER/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 /�- 55 ! /I/4-- _DATE /2/1/0-5–
(Signature)
2/l/0-5–(Signature) (Title)
RELATIONSHIP TO PROJECT o Owner 0 Agent f'l Contractor 0 Architect 0 Other
+P ,,aeon+O(e)0' tt,' r):�',t1r,'(e,#{(... ,ja)'sr.tl $ (+n':ISI:k;Yet, ,',( ,.rt`
Efrolt [)5k`fre)
.#:Yi�il,F .€�.. ��':; ,i4,) ----- - -- f.r:1(r _ t�;t� t - - ¢�yi 401
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'%et Pit(c4
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application