05-105112 AimCity of Federal Way Mechanical Permit #: 05 - 105112 - 00 - ME
Community Development Services
, P.O.Box 9718
Federal Way,WA 98063-9718
,Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
I
Project Name: WHITMIRE
Project Address: 4825 SW 310TH 5i- Parcel Number: 184080 0095
Project Description: Replace gas furnace.
Owner Applicant Contractor
David E Whitmire AAA HTG REFRIGERATION INC AAA HTG REFRIGERATION INC
4825 SW 310TH ST 11921 SE 212TH PL 11921 SE 212TH PL
FEDERAL WAY WA KENT WA 98031 KENT WA 98031
98023-2017 (253)630-9224
Mechanical Valuation 2853 Over the Counter Permit ... Yes
Mechanical Fixtures
Description __,!Quantity Description Quantity _ Description _!Quantity
Furnaces 1
PERMIT EXPIRES April 2,2006.
Permit issued on October 4,2005
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.
Owner or agent: a*/"..,e‘--41.---601.../delo Date: VI/4r
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105112-00-ME -
Owner: DAVID E WHITMIRE
Address: 4825 SW 310TH ST
FEDERAL WAY, WA 98023-2017
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By r� Date l/J/��0-1
r RECEIVED
• t
A
CITY o�
(1[T f) 4. :� Q — JO 5 / /
1 Federal way APERMIT
CITY OF FEDERAL W SF MF COO EL PL DE EN FP
• COMMUNITY DEVELOPMENT SERVICES BUILDI NIG DEPT
33325 PO APPLICATION
FEDERAL WAY WA 98063-9718 To
FC
201 435 2607•FAT 253 835 2609
tutru_�tlye�leru7trnu caul
The folowin• is re•uired i ormation-an incomplete application will not be acce.ted. Please •rint le•ibl (in ink)or t pe.
L�Q ■ PROPERTY INFORMATION
SITE ADDRESS 1" Zi, 5 ; " swi SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 1 8 4 0 8 0 - 0 0 gS— LOT SIZE(s,1
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate pageJor Ierig9Fuj legal description)
IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING IECHANICAL
❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCj2IPTION (Provide dggt,ailed description of work included on this permit ortlu)
Pup , tic I� aas r No --
PROJECT NAME(Name of Business or Owner Last Name) tO'At 4 y% re
• PEOPLE INFORMATION
PROPERTY NAME (er , q (.yntgR�PHgre 7) 7O
OWNER �l 1 M.t� I �V t D lCS2J�1 �y�l7r
M43 5— iESS‘.1 3AILI ' ,,`// CITY,STATE. IPtarf
A L3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
AAA HEATING & A/C ( 253) 630-9224
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
11921 SE 212th PL KENT WA 98031 ( 1)
CITY OF FEDERAL WAY RIISINESS LICENSE NUMBER EXPIRATION DATE. FAX NUMBER
/ ( )
-206514)3-12 4-0 a�TT- - L-- B A7T
CONTRACTOR'SAAAR'�B I REGISTRATION
91 N MBER(cpy of card required with each application) 2 5 6//19/061
IR > .S 4
-
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
SAME AS ABOVE ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP 10 PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( )
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE.ZIP
IN DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE .15*;
C2
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ RI(J✓ l
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
ifor
PROJECT FLOOR AREAS
• AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
6• BA' MENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture ixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS APORATIVE COOLERS GAS LOGS REFRIG SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS I FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or'Rib/Shower Combo SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
- 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 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,i luding its officers and employees,upon the accuracy of the information supplied to the city as a part of
:::::c
UP> ae DATE 1p
(Signalure) ('nlle)
RELATIONSHIP T ECT 0 Owner ❑Agent Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
u NEW u ADDITION u ALTERATION u REPAIR u TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? D YES o NO
ZONING DESIGNATION CHANGE OF USE? u YES L NO
NEW ADDRESS REQUIRED? r YES o NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Perrnit Application