Loading...
05-103730 r City bf Federal Way Mechanical Permit #: 05 - 103730 - 00 - ME Comtnumt,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 • Project Name: PARKER `‘ Project Address: 31327 12TH!S Parcel Number: 787520 0150 Project Description: Replacing an existing oil furnace with a new oil furnace Owner Applicant Contractor Gaylord S Parker &Linda L Parker GLENDALE HEATING&A/C GLENDALE HEATING&A/C 31327 12TH PL S 12462 DES MOINES WAYS 12462 DES MOINES WAY S FEDERAL WAY WA SEATTLE WA 98168-2266 SEATTLE WA 98168-2266 98003-5311 (206)243-7700 Mechanical Valuation 3560.07 Over the Counter Permit. Yes Mechanical Fixtures Description Quantity Description Quantity` Description Quantity Furnaces 1 PERMIT EXPIRES January 24,2006. Permit issued on July 28,2005 I hereby certify that the .►$ - ' ormation is correct and r.t the construction on the above described property and the occupancy and the - ' ' ase in . •rdance with the aws, /s and regulations of the State of Washington and the City of Federal W. 7 Z¢ �-- Owner or agent: s��_��� ` `� Date: ., THIS CARD IS TO REMAIN ON-SITE �. CITYOF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-103730-00-ME Owner: GAYLORD S PARKER Address: 31327 12TH PL S FEDERAL WAY, WA 98003-5311 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 G. (03 Date g - a .. p • . .i. ARECEIVED )c"_ 103-?- 3 FeclerallM1 alIL2 8 2005 PERMIT — — CCNEWLPI � SF MF CO LPL DE EN FP MO - 3332S Si AVENUE SOUTH•PO BOX 9711 ER , 1063-977f / / 253FED-1AL35-2607WAY•PWA 9rp9FEDERAL W�PPLI CA I O ..WWWd"'0Hece '°°'gnLDING DEPT. The o . , . is ,• • ormation-an -, , . • ,.libation will not be awe. , . Please . t . • or 7Dpi PROPERTY INFORMATION SITE ADDRESS 3 1 % ) - 1, P i So SUITE/UNIT# Q ASSESSOR'S TAX/PARCEL# 1 D 1 r1 a- - l7 LOT SIZE(5f) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Paw&a+Pm�rPogo/a v Wei drsrydi4 a PRO,IL('I IN I ORM\TION TYPE OF PERMIT 0 BUILDING 0 PLUMBING UoillrECKANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM -- DESCRIPTION(Providedetailed des of work included on this permit oniii) 10 r� 1W .I 14 1911 T vlatj_ v,rl i A, IAA 0,1 114(-vlaC/ . PROJECT NAME(Name of Business or Owner Last Name) -196,1r 1. },,,. ),LIS INFORMATION PROPERTY NAME LL �.q{ n /� 11 L ( 1� PRIMARY/ PHONE OWNER Q 1 OWNER MAILING RSI3 '` id lit 6'�lI� STATE,ZIP (�,/ )s.^' 1 0Ay .3 (5� - I)- 191 .S0 Clft 'iv Way, Wa ci,f19O) CONTRACTORNPANYNAME APPLICANT NAME OFFICE PHONE MILpA �1?.h (>1 h1�.61�m t ().db) q 3-1)00:1 '1,14) R Mit 11/01 Vu"/ I�.�I/,,1',I',11 lY v)a.( bt/ CITY...ka.' 1./ 1/1111 N D l U Ib ATE F�6o NUMBERAX Oto U- Lb (5 f LCF FED(EERALL�WAY BUS(INESSSS LICENSE(NNUMrB^ER 1 LX '] \ �Q Uj 0L-_I -1 O. L L 1 1(L fil_ l�/ 3 t / 0S (x0 b EXPIRATION- f?L 4 CONTRACTOR'S REGISTRATION NUMBER loopy d awl repiril with wk ypibr�y (2Lv_ L1� �. � � . (1 � 11 / 1}- / os APPLICANTANY�� t !p' APPLICANT NAME O( (D)E PHONE�L R -MO\DO MAH, G D S '1 C ,STATS CELL PHONE l) hA4 wit crfik) RELATIONSHIP TO PRIOJEC1FAX NUMBER ❑Architect 0 Tenant 0 Agent 0 Other(Describe) L.,b h (rllt.I,U r (X019) dl -f o CONTACT NAME PR MARY PHO E E-MAIL ADDRESS c4.101,7A Li 019-nS ( ZD6) �1)- Z� � � LENDER No RCW 19.27.09* Learner____ tisw tir' '' NAME rogoinod i/1reifeet value ereswb$1,000 MAILING ADDRESS CITY,STATE,ZIP U DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKERAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAXEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC) Y / •� PROJECT FLOOR .\RI..\ AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT❑ MOMS PWW410 TOTAL TOM mrrnssw UM&Psweaow 7oTA6w NUMBER OF FLOORS "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIX1 U RES Indicate number of each type offixture to be installed or relocated part of this project Do not include existing factures to remain. Value MECHANICAL Mechanical Work $ 3S D-09"6eLatla-CL'200 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(Commensal) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES OAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(Q Mb/Mower cobq SHOWERS WATER CLOSETS rra.q MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS af.hrooaaok.) VACUUM BREAKERS Z ZCTRIC WATER HEATERS DISCLAIMER/SIGNATCR1. 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,enrpensea,and attorneys'fees incurred in the investigation and defrense 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 city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. � _� 7 NAPE/TITLE 1 JAMt ^U V w DATE © l(TRU°) 1. RELATIONSHIP TO PR o Owner ❑Agent 0 Contractor ❑Architect ❑ Other FOR QP . o NEN o ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o TES a 10 ZONING DESIGNATION CHANGE OF USE? o TES a NO NEW ADDRESS REQUIRED? o TES o 180 UIQ/BEPA/SU? a TES o NO PLATTED LOT? a TIS o EO DINO PERMIT REQUIRED? o YES a 180 Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application