04-103262 ' t • * - •
City of Federal Way
Community Development Services Mechanical Permit #:04 - 103262 - 00 - ME
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax•253.661 4129 Inspection request line: 253.835.3050
Project Name: HATFIELD
Project Address: 2900 SW 323RD 5t' Parcel Number: 873190 0440
Project Description: Installing new 3-ton A/C unit
Owner Applicant Contractor
James M Hatfield &Polina A Hatfield ALL WAYS AIR CONTROL INC ALL WAYS AIR CONTROL INC
1515 S CENTER ST 1515 S CENTER ST
TACOMA WA 98409 TACOMA WA 98409
(253)383-7718
Mechanical Valuation 3940 Over the Counter Permit Yes
Mechanical Fixtures
Description _Quantity Description IQuantity Description _'Quantity
Air Handling Units 1
PERMIT EXPIRES February 13,2005.
Permit issued on August 17,2004
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: -40 / �/ 2 v v
614
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4
THIS CARD IS TO REMAIN ON-SITE
CITY 0Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103262-00-ME
Owner: JAMES M HATFIELD
Address: 2900 SW 323RD ST
FEDERAL WAY, WA 98023-2523
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) •,4 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By DateBy t�11�,\ Date
/► •
CONSTRUCTION P ;4 IT APPLI TI•N
OfttJErFfl-
f"77
atO' L .77 �.,1� ; s 5 �bt
RECEIVED
i4FPLCG1`CIQN::Nlt=t ,
nI'(; 1 7 2.004 ' =:`
**The follkiclirg is required information—Please print(in ink)or type**
+
Please note: Electrical,Fa frtrrepgke {QLd Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: .)9 CO S W 3.-J�A S T ASSESSOR'S TAX/PARCEL it:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑BUILDING ❑PLUMBING ❑MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Low Voltage Thermostat Wire
PROJECT NAME: Lot #
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
tm liatCel101 (�S3 )C7q
MAILING ADDRESS(STREET ADDRESS;CITY,STATE, P):
26100 Sw 3 a 3"-.7- s7 c h2( J`7 w/). °t8oa 3
CONTRACTOR: NAME: DAYTIME PHONE:
ALL-WAYS AIR CONTROL INC. (253 ) 383 - 7718
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
1515 S. center St. Tacoma, WA. 98409
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
1 9 - 9 2 1 0 2 8 0 6 -O O BL (253 ) 383 - 7736
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copyof card required) AI�►AC004JQ 4 / 18 / 04
APPLICANT: NAME:
DAYTIME PHONE:
Bernie Chapman
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
Same
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ARCHITECT ❑TENANT ❑OTHER(DESCRIBE):
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER a APPLICANT Tc CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑NO
WATER SERVICE PROVIDER: ❑LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• 1
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD -
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Jr /CL
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) I REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ELECTRIC jl'GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ELECTRIC
DRINKING FOUNTAIN(S) SHOWERS) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ 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 daim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: ./Ar..a__A—nnzx1p l ( DATE: sg— (7-0 �f
❑ PROPERTY OWNER ❑APPLICANT %CONTRACTOR
FOR OFFICE-USE ONLY;:.:
o NEW::.:.• a ADDiTION a ALTERATION = :.- -- ❑:REPAIIf :':
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COMP PIWtDESIGTrATION:;;:.:::::..:::.::.::.:
SECTION_: : -:TOWNSHIP ::-::::.RANGE ;`':. ;NEW:ADDRESS REQUIRED? c3:YES :i LINO''-
:PLATTED=LOT?-.:: o YES=' '-El::NO:=:;: : ::::.;:; -:CH/1NGtflF?aISE?a-: ::'=:E:'>:z::>C1::1(f.S '::: b PIO.r.:.:..`..
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cityoffederalway.com