05-104572 City of Federal Way Mechanical Permit #: 05 - 104572 - 00 - ME
Community Development Services d►
PO.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax.(253)835-2609 Inspection request line: (253) 835-3050
Project Name: NESBITT
Project Address: 31625 9THRW _ Parcel Number: 555731 0330
Project Description: Gas furnace changeout
Owner Applicant Contractor
Donn J Nesbitt &Debra K Nesbitt GENESEE FUEL&HTNG CO INC GENESEE FUEL&HTNG CO INC
31625 9TH PL SW PO BOX 18206 PO BOX 18206
FEDERAL WAY WA SEATTLE WA 98118 SEATTLE WA 98118
98023-4703 (206)722-1545
Mechanical Valuation. ... 3245 Over the Counter Permit. .. Yes
Mechanical Fixtures
Description [Quantity Description Quantity Description Quantity
Furnaces 1
PERMIT EXPIRES March 7,2006.
Permit issued on September 8,2005
I hereby certify that the above inform. '.n is .rrect and that the construction on the above described property and
the occupancy and ti .ccord, ce with the laws,rules and regulations of the State of Washington and
the City of Feder. KiVOt---Date:Owner or agent:
THIS CARD IS TO REMAIN ON-SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECTR)N REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104572-00-ME
Owner: DONN J NESBITT
Address: 31625 9TH PL SW
FEDERAL WAY, WA 98023-4703
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By C.. Date 3-2 -D(—
CITY OF c CONSTRUCTION PERMIT APPLICATION
Fry RECEIVED APPLICATION NUMBER: ,05:- Jp /5j2..- ( j
APPLICATION NUMBER: -
SEP 0 7 2005 APPLICATION NUMBER: -**The following F required i r ation—Please print(in ink)or type**
CITY QF FEDERAL
Please note: Electrical,Fire Prmla@ibk5iiitis and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: 31625 9th pi sw ASSESSOR'S TAX/PARCEL#: 5557310330
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING 4ECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): change out gas furnace
PROJECT NAME: Mss bl
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Don Nesbitt (253 ) 941389-2
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
31625 9th pi sw
CONTRACTOR: NAME: DAYTIME PHONE:
GENESEE (206 ) 722 - 1545
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
3616 S GENESEE ST, SEATTLE WA 98188 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) G ENESFH 3 7 00 6 02 / 16 /07
APPLICANT: NAME: DAYTIME PHONE:
Don Nesbitt (253 ) 9413892
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
31625 9th pi sw ( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
o ARCHITECT o TENANT o OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT CONTRACTOR
c�,p • DETAILED BUILDING INFORMATION
EXISTING USE: O r 1�- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 3245.00
SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
j!°EW 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:
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) 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 b,GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) 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 th- • .•ve premises to perform the work for which the permit application is made. I
further agree to hold harml- . e C" •f Fed- al ay as to any claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense • such claim), ich ay be made by any person,including the undersigned,and filed against the City of
Federal Way,but only wh re such claim - of the reliance of the city,including its officers and employees,upon the accuracy
of the information suppl"-. to the city a •a of thi application. /614
NAME/TITLE: DATE: /
o PROPERTY OWNER ❑APPLI NZONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW o ADDITION ❑ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? o YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? o YES o NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? o YES o NO CHANGE OF USE? ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cl offederaiway_cam