05-104930 log
Citybf Federal Way Mechanical Permit #: 05 - 104930 - 00 - ME
CommunjtyDevelopment Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253)835-305€
•
Project Name: CINQUEPALMI
Project Address: 28808 13THeg Aveb Parcel Number: 516210 0610
Project Description: Remove/replace gas furnace
Owner Applicant Contractor
Connie J Burton ALL SEASONS,INC. ALL SEASONS,INC.
28808 13TH AVE S 5001 N 28TH ST 5001 N 28TH ST
FEDERAL WAY WA 98003 TACOMA WA 98407 TACOMA WA 98407
(253)278-9344
Mechanical Valuation . . . . ....1873.21 Over the Counter Permit . .Yes
Mechanical Fixtures
Description lQuantity Description ,.Quantity Description Quantity
Furnaces 1
PERMIT EXPIRES March 22,2006.
Permit issued on September 23,2005
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: 0! 1 ll/ 'y� Date: t "c 3-c6
IP
THIS CARD IS TO REMAIN ON-SITE —
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104930-00-ME •
Owner: CONNIE J BURTON
Address: 28808 13TH AVE S
FEDERAL WAY, WA 98003-3763
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) IZ1 Final-Mechanical(4065)
Approved Approved to release test Approved
r
By Date By Date By Date f(�
CITY RECEIVED o _ ( 0 (+ a 30
Federal way
PERMIT
COMMTUIIYDRVELOPMENTSERVICES SEP 2 3 2005 SF MF CO ME EL PL DE EN FP
33530 FIRST WAY SOUTH• BOX 9718 ,PLI CATI O N
FEDERAL WAY,WA 98066 3-9718 TD
253-661-4115•FAX 253-661-4129 Y CF rip
• www.dtuoffederalwau.com GITY DEPT.
BUILDING
The ollowi , is re•uired i ormation-an inco •lete • ••lication will not be acce•ted. Please •rent le•ibi in in or • -.
• PROPERTY INFORMATION
SITE ADDRESS 28808 13th AV S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _5 1 6 2 _1 _0 - _O_ _6_ _1 _0 LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descaphon)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING X MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
Remove existing and replace with new 110K BTU Gas Furnace (like for Like).
PROJECT NAME(Name of Business or Owner Last Name) CIN•UEPALMI
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER BRUNO CINOUEPALMI + Comu ( 206 ) 406-9099
MAILING ADDRESS CITY,STATE,ZIP
28808 13TH AV S Federal Way, WA 98003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
All Seasons Inc Bradshaw ( 253 ) 879-9144
MAILING ADDRESS r 7 I k) -as4,(n CITY,STATE,ZIP CELL PHONE
U Tacoma, WA 98407 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1 9 - 9 8 - 1 0 5 2 6 - 2 - 0 0 - B L 12/31/200$' ( 253 ) 879-9143
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
A L L S E I * 0 3 0 5 5 12/17/2005
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
All Seasons Inc ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Dave Bradshaw ( 253 ) 879-9144
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE Residential PROPOSED USE Residential
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 1873.21
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES ❑ NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEMAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
• AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
RZISTIRO PROPOS= TOTAL TOTAL=SST=Sr TOTAL PROPOSRD Sr TOTAL Sr
NUMBER OF FLOORS
**NEW HOMES 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 $ 1873.21
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS _ HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS 1 FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/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 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 oft ty,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. p
NAME/TITLE DATE 0 —a 3 "OS
ature) (Title)
RELATIONSHIP TO PROJECT 0 • er 0 Agent Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW a ADDITION o ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application