05-100993 City of Federal Way Mechanical Permit #: 05 - 100993 - 00 - ME
Community Development Services
P 0 Box 9718
Federal Way,WA 98063-9718
Ph:(253)k35-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: DOOTSON
Project Address: 1207 SW 308TH 5j' Parcel Number: 072104 9206
Project Description: Replacing existing gas furnace with new furnace in hallway closet
Owner Applicant Contractor
Ronald E Dootson HERITAGE ENTERPRISES INC HERITAGE ENTERPRISES INC
1207 SW 308TH ST 9001 PACIFIC AVE 9001 PACIFIC AVE
FEDERAL WAY WA 98023 TACOMA WA 98444 TACOMA WA 98444
(253)539-8709
Mechanical Valuation 2860.40 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Furnaces 1
PERMIT EXPIRES August 29,2005.
Permit issued on March 2,2005
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.
See Application
Owner or agent: Date: 31 Z 10;
11.1111.
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100993-00-ME
Owner: RONALD E DOOTSON
Address: 1207 SW 308TH ST
FEDERAL WAY, WA 98023-8239
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.
❑ Mechanical Rough-in(4165) ❑ Gas Piping(4125) IA Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date Date 3 94 tY
� ,j`�►NGOHE gECEIV6D BY .R-
m*� �` RECEIVED BY RECEIVED
DEPART i T S l a 3
'i F@CI@P� (DEVELOPMENT DEPARTMENTn-
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'-JI. EB 2 b 2005 SF MF COmEL PL DE EN FP
CONAIUNAV DEVELOPMENT SERVICES Q „ O O�
331253TMAVENUETVA 9.73 G APPLICATION —TD
FEDERAL WAY,FAX
93435- / /
253335-2607•FAX 253-335-2609
unow.atuotfederalwau corn
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The foli a
- n ncomplete a.•lication will not be acce•ted. Please .rint legibly(in ink)or type.
■ PROPERTY INFORMATION/
SITE ADDRESS 107 0 tJ ". ?O 81 �+ ' _7Tp(L�s'/ ,it.xt. SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ p8° LOT SIZE(sf1
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(AUocJ aeporotepnye for lengthy legal desoiption)
i ■ PROJECT INFORMATION -
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed
d description of work_ included on this permit onlq)
Ref/Q C( t X,:i4 41.P CYQ , Ct 4/,•M nett/ I h Aoitt.iary &'ote+
PROJECT NAME(Name of Business or Owner Name) 1)0.-/...r.,.,
- • • U PEOPLE INFORMATION .
PROPERTY NAME j.% PRIMARY PHONE
OWNER X0 D OO7L,rd„, (2a 6 ) 227 - O p
3/y
MAILING ADDRESS CITY,STATE,ZIP
/207 J'w. ..?org J271. 7Cale#'1'/ l'Ot , 4.,q. 98023
' CONTRACTOR COMPANY NAME- �^ APPLICANT NAME OFFICE PHONE
er1:7? �q a 'pc!j �iC_.j11,1//IiOh '�/ (Zr.?) 9z -2 //
M LING ADDR S CITY,STATE,ZIP CELL PHONE
?00 O/ 4c ? At. S. d,.,4 AA. ?s Y .' er-3 ) 377 -9Y.o,�
j CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER J EXPIRATION DATE FAX NUMBER
12-32- 1 0 Z C 6 q- B L tzs3L 1? - g?cq
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
.54'"1c ( )
I MAILING ADDRESS CITY,STATE,ZIP CELL PHONE •
( )
RELATIONSHIP TO PROJECT • FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME .... PRIMARY PHONE E-MAIL ADDRF-CS
Voh, N,'// er3) 4717_-zui
LENDER '''•Per RCW 19.27.095: Lender information is NAME
• required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUII.DING INFORMATION .
EXISTING USE PROPOSED USE
• EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
' SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
' " WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE ❑ PRIVATE(SEPTIC)
•
PROJECT FLOOR• AREAS
AREA DESCRIPTION EXISTING SQ.ST. PROPOSED SQ.FT.
TOTAL T
BASEMENT
SillillIllIlIllillillIlll
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL EXISTING TOTAL PROPOSED TOTAL LASTING AND PROPOSED
HOW MANY FLOORS? LASTING
"NEW HOMES ONLY" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing factures to remain.
MECHANICAL p oD $ /t% SI)
Value of Mechanical Work $ �/ ° �� `
GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS EVAPORATIVE COOLERS W FRIG.SYSTEMS FANS HOODS Icommeruml MISC(Describe)
BBQS FIREPLACE INSERTS RANGES
BOILERS / GAS WATER HEATERS
COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
•
PLUMBING WATER CLOSETS(rode) MISC(Describe)
BATHTUBS(or Tub/Showers l SHOWERS
SINKS DRINKING FOUNTAINS
DISHWASHERS RAINWATER SYST
GAS PIPE OUTLETS SUMPS
URINALS HOSE BIBBS
WASHING MACHINES ELECTRIC WATER HEATERS
LAVS(Bathroom Sulks):) VACUUM BREAKERS
.. - _ -:.).--•-• : - -: - '_:DISCLAIMER/SIGNATUREBLOCK- - - ::•.,':-. --:-_-.--- _ _
•
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
applicationfees is
sthe investigation. urther agree and defenseo hold
f
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'JI
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.
y� DATE 2�I g—OC
NAME/TITLE ` (Tinel
(Stgnaturel
RELATIONSHIP TO P OJECT ❑ Owner 0 Agent Yeontractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
a NEW ❑ADDITION o ALTERATION o REPAIR 6 TENANT IMPROVEMENTn YES o NO
BUILDING SHELL ONLY? a YES ❑NO BASIC PLAN?
ZONING DESIGNATION
CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
I
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I
Pae 2 of 4 k\Handouts—Revised\Permit Application
Bulletin#100—March 30,2004 g 1
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