05-104163 r--
City of Federal Way Mechanical Permit #: 05 - 104163 - 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) 835-305C
Project Name: ALLEN 0
Project Address: 33412 28TH/SW Parcel Number: 010060 0520
Project Description:
Owner Applicant Contractor
WILLIAM ALLEN DICK'S HEATING AND A/C INC. DICK'S HEATING AND A/C INC.
33412 28TH PL SW 1516 45TH ST E SUITE 200 1516 45TH ST E SUITE 200
FEDERAL WAY WA 98023 SUMNER WA 98390 SUMNER WA 98390
(253)531-9579
Mechanical Valuation 3575 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description _ Quantity Description Quantity
Furnaces 1 1
PERMIT EXPIRES February 13,2006.
Permit issued on August 17,2005
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: Date: 7 `(/
7-e
,A
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#;. 05-104163-00-ME .
Owner: WILLIAM ALLEN
Address: 33412 28TH PL SW
FEDERAL WAY, WA 98023-2744
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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test , Approved
By Date By Date By G(..J Date % '" 40 ' 6S—'
AI"
.., A RECEIVED / f�
6 3
Federal Way G 1 7 2005 PERMIT SF MF�+j1i3 EL PL DE EN FP
COMMUMJYDEVELOPMENT SERVJ
AV 993253-8 AYENUESOWNFAX25•
069.9 PO ,LI CATI O N
FEDERAL WAY.WA 98069.9718 7D
253-8352607•FAX 253.83
to.WaaiJedera4aa,,. OF FEDER
/ /
BUILDING DEPT.
The o , ' , is -, it ed' ormation-an incom,fete a,,lication will not be ,. -,ted. Please ,rint ,ib. (in ink)or .
IN PROPERTY INFORMATION
Ff
SITE ADDRESS 3'3 • S, i), SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _ _ — _ LOT SIZE isj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I)
(Adad,aeparae page far lengthy legal dea ,WnJ
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING DiMECHANICAL
0 DEMOLITION D ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
7,N5 -A C.6 a N-tau Cos "armae4 cit.ff l,✓ al4- t1a>tie
11 til,itC)IJI,p Sys/- 414
PROJECT NAME(Name of Business or Owner Last Name) A il 411
• PEOPLE INFORMATION
PROPERTY
PRIMARY
HONE
)OWNER N // 4L1.'4-) ? s 9. - )99s
�lS!/3.31110) ar1 crtYSEtwu1!/ay
tin, 9;)001- 3
CONTRACTOR COMPANY NAME/ APPLICANT NAME OFFICE PHONE
PRIN .0
¢cADD s y.t joO� CITY,STATE. C(5?)Pi - 9.,9
iOF FEDERAL WAY BUSINESS G 1 a •u I'I "EXPIRATION 14 li 'fa' 37,- No)
�J�NUMBER
B L / / (
CONTRACTORS LS1RA NUMBER(copy ut with each.ppno.acn) DATE
D izkJYz7D # / VS /02
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CI1Y,STATE.ZIP - CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
• 0 Architect ❑Tenant 0 Agent ❑Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS D� �•
59-a,v4 ravr'f (a$ '?) 377- 7/dot uttfr9'��',S ,
LENDER Per RCW 19.27.095: Lender irjbrnation Is NAME t-/��,w�in i
Teguired(fprgjectvalue exceeds$5,000
MAILING ADDRESS CITY.STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE ❑PRIVATE(SEPTIC) •
110
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT SQ.FT. SQ.FT. SQ.FT.
FIRST —
SECOND
THIRD —
FOURTH -
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) -
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =WM PROPOS= TOTAL TOTALMUTING ss TOTAL PROPOowST Tomer
"*NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Incl irnte number of each type of fixture to be installed or relocated as port of this project Do not include>existing fixtures to remain.
MECHANICAL
luPofMech 3,5 7 S. PI
Vahro of Mechanical Work $ y y
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(comme,tla) WOODSTOVES
BOILERS FIREPLACE INSERT'S RANGES MISC(Describe)
COMPRESSORS I FURNACES f GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or7ub/Shower Combo) SHOWERS WATER CLOSETS(roue) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS Mg,m,00m 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,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. �i�_I_ /
NAME/TITLE ` 4 / I _ •i r 1 V/ /i? DATE 7 [ 7` 0
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application