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04-103744 Communityty of Federal Way Development Services 0 / Mechanical Permit #:04 - 103744 - 00 - ME 33530 1st Way S Federal Way,WA 98003-6210 41 Ph.253.661.4000 Fax:253.661 4129 Inspection request line: 253.835.3050 bi Project Name: WILSON Project Address: 306 SW 368TH 51, Parcel Number: 302104 9074 Project Description: Replace gas furnace. Owner Applicant Contractor Keith G Wilson &Kathy R Wilson ADVANCED FILTER&MECH INC ADVANCED FILTER&MECH INC 418 VALLEY AVE NW UNIT B115 418 VALLEY AVE NW UNIT B115 PUYALLUP WA 98371 PUYALLUP WA 98371 (253)770-2440 Mechanical Valuation 3400 Over the Counter Permit Yes Mechanical Fixtures Description Quantity Description Quantity Description Quantity Furnaces 1 PERMIT EXPIRES March 15,2005. Permit issued on September 16,2004 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: Date: QI 1 ( (o 63 THIS CARD IS TO REMAIN ON-SITE „�of Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-103744-00-ME Owner: KEITH G WILSON • Address: 306 SW 368TH ST FEDERAL WAY, WA 98023-7356 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 /g Date /0/„S/5/ Feder Wa c e i v E 4- - a, 3.- 1Y •1- Way PERMITRE- MFCi,�1LPLDEENFP COMMUNITY DEVELOPMENT SERVICES ` 3332E dal AVENUE,WARN•PO BOX 9718 APPLICATION" 1 6 2C1 '° 0 `r FEDERAL WAY,WA 98063-9718 253-835-2607•FAX 253-835-2609 www.dtuofederalwau corn CITY OF FEDERAL • The following is required information-an incomplete ap•lication I iL.Q teQlated. Please •rint legibly(in ink)or type. • PROPERTY INFORMATION SITE ADDRESS 3oc, -J•(RD 3/p$y''` X54. cedee-a. (4.:)Gy VO 23 SUITE/UNIT# s ASSESSOR'S TAX/PARCEL# _3_ a ` ( ) A(- 9 Q LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 1Attadt separate page for lengthy legal desmptionl ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING I)-MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) C.\,..r.),r•c,e ID t 1 i Ke r \,;I e_ C'... i- _n t e. -3 -VCD ,.-N% ign,oc)v $TL s PROJECT NAME(Name of Business or Owner Last Name) w ,(S©•"1 ' - : - . - . ■ PEOPLE INFORMATION PROPERTY NAMEE,� PRIMARY PHONE OWNER 1 ct, �n LD1 1.6c) t_ (453 ) 95--a 533 V � MAILING ADDRESS 1 CITY,STATE,ZIP 30C -- 5t+tJ :3(m.$M"6k, r-ederu.t.(.�(t.i Luc, 'OZ3 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE eic;�ro ese A �t I,ieA rt +w,l (�s3 770 2/-"40 CITY,STATE,ZIP CELL PHONE 11a)),� anis IAA/0147 WA `AV/ ( ) - CI OF FEDERAL Y BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER Me Q" ,, n_ i r ai. E,-- —tL--.t3 L / / ( ) 770 4.54y3 CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS bu.•4.. k.DS (7-53 ) -770 - 2y4b LENDER •'Per RCW 19.27.095i'Lenderinformation is NAME required if project value exceeds$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 a LAKEHAVEN ❑HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE to PRIVATE(SEPTIC) • PROJECT FLOOR AREAS - ' • AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) 1 DECK(COVERED?) GARAGE/CARPORT _ TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AAD PROPOSED HOW MANY FLOORS? "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ __ _ _ • , -_. FIXTURES - - - - . _ _ _ - . - • Indicate'number of each type offacture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Q Value of Mechanical Work $ 34 3400 t c" AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS WOODSTOVES HOODS(Commercial( BFANS MISC(Describe) BOILERS FIREPLACE INSERTS RANGES COMPRESSORS f FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING WATER CLOSETS(focal MISC(Describe) BATHTUBS(ormb/show rCombo) SHOWERS DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS ,I;;:---rt.-7.-:.;1::: :- - _:-- '_-- . . : .--V DISCLAIMER/SIGNATURE BLOCK- _ __`: - .- ._=f::_:::,2;.:::::: -_- -, - 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(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. (I i /� t� DATE I bib / NAME/TITLE (Tit1c) (Signature) IRELATIONSHIP TO _ROJECT 0 Owner 0 Agent o Contractor o Architect ❑ Other f E ( 'FOR OFFICE USE ONLY I o NEW o ADDITION ❑ALTERATION o REPAIR 6 TENANT IMPROVEMENT N BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO { ZONING DESIGNATION CHANGE OF USE? o YES a NO t NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES ❑NO Bulletin#100—March 30,2004 — Page 2 of 4 k\handouts—Revised\Permit Application