05-103322 r r
City of Federal Way Mechanical Permit #: 05 - 103322 - 00 - ME
Community Development Services
P 0 Box 9718
Federal Way,WA 98063-9718 p
Ph:(253)835-7000 Fax:(253)835-2609 • - Inspection request line: (253) 835-3050
Project Name: MATHEWS •.
Project Address: 34429 9TH'SW Parcel Number: 132171 0420
Project Description: Remove and replace gas furnace; install AC
Owner Applicant Contractor
Scott J Matthew &Megan Matthew GATEWAY HEATING&AIR CONDITIO GATEWAY HEATING&AIR CONDITIO
34429 9TH AVE SW 3802 AUBURN WAY N 3802 AUBURN WAY N
FEDERAL WAY WA AUBURN WA 98002 AUBURN WA 98002
98023-8412 (253)931-0610
Mechanical Valuation 4200 Over the Counter Permit Yes
Mechanical Fixtures
L Description Quantity Description (Quantity Description Quantity
Evaporative Coolers 1 Furnaces - 1
ft
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 10)and must comply with FWCC,Chapter 22,
Article XIV"Critical Areas"and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES January 7,2006.
Permit issued on July 11,2005
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:
F
IN ABED
qD
6 , 3/
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103322-00-ME
Owner: SCOTT J MATTHEW
Address: 34429 9TH AVE SW
FEDERAL WAY, WA 98023-8412
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 B 5 Date 2,--3'e...›-
RECEIVED
ederal Way 2005 PERMIT
JUL z �-�'�- �`
COMMUNITYDEVEWPMEM SERVICES SF MF CO EL PL DE EN FP
3132PED AVENUE.WA g•PO BOX 97I1< FEDERA� 'PLICATION TD
253-135-2607.F X2 43 _ OF / /
y+wwatuorrederdway.mm UILDING DEPT.
The oilowl • is • fired in ormation-an Inco .tete • ••licatlon will not be acce•ted PLease •rint le• •1 in or
■ PROPERTY INFORMATION
SITE ADDRESS 3421 l'k -Not_ S1,-3 -, 4.44 a Ly G✓if SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 1 T 2- \ 1 , - 0 y LOT SIZE(s,7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
/Attach separate page for lengthy legal description)
' ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING XfMECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
SH'A'W. IV 1,% J' CArrVSLt_f-r IIIA 41 f
aff L AL
PTS ift_ ►\P Le_
PROJECT NAME(Name of Business or Owner Last Name) ![iek!•t4A5.1 4,-m t
4
PEOPLE INFORMATION
PROPERTY NA
PRIMARY PHONE
OWNER ,'MC-0\k- ((� AAAAAS (2S3) 38'3 - q^l(p 1 _
MAITY,STATE,ZIP
�'1LING g 1 tkiakkt_DR ,`17 .
Wag UtW: 111- 'h /‘. 611:%07-'))
CONTRACT
VL-
CONTRACTOR COMPANY NAME , APPLICANT NAME OFFICE PHONE
aM cu,, eta_ k_ 4.a, vt; uog+r (a63) X31 -0(.010
MAILING�y RESS STATE,ZIP CELL PHONE
All
-
•
CITY OF MORAL.WAY BUSINESS U ENSE NUMBER EXPIRATION DATE FAX NUMBER
l a-`1 7. -A Q =1 -B L IZ3/ 31 / OC (253) 204 -O1I(n0
NTRACTORS REGISTRATION NUMBER(copy of card ratnired with each application) EXPIRATION DATE
APPLICANT PANY NAMEAPPLICANT NAME OFFICE PHONE
(�. iti us i 4 (252i 431 -alioMAILING App��RE�SS CITY,STATE,ZIP - CELL PHONE
3 DZ ( bwnn 1, ,4,1 0 X301 1 1h L ( ) -
RELATIONSHIP TO PROJECT • A , FAX NUMBER
0 Architect 0 Tenant ❑Agent g''Other(Describe) �VYCfiYA-t 'r (2-5
Fa(- 821L,0
CONTACTA EIciut P RY PHONE E-MAIL ADDRESS
U
LENDER v.- ;l.1•,, •, v• t„" 4,,.t4; r,ecr,ii,:•a,,, ,- NAME
MAIUNO ADDRESS CITY.STATE,ZIP
• DETAILED BUILDING INFORMATION •
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
r ,
•
ti 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 0 CARPORT 0
NUMBER OF FLOORS ��aO PROPOSED TOTAL ' o sor°eeDo,> a AN
lillid
11111 .6 m
11NEW 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 r'
01,
Value of Mechanical Work $`TZ 10
•
AIR HANDLING UNITS I EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS((•inner l) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS i FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orThb/shower Combo) SHOWERS WATER CLOSETS owes MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(euhnonMaki VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,Inc/• ng its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE '�
DATE l//�
(S' nat$re) i (Mel
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent contractor 0 Architect o Other
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lsl:'f uOLP r Ott)( :',Wr,,tiDi
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Pcrmit Application