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05-105269 • • City of Federal Way Mechanical Permit #: 05 - 105269 - 00 - ME Community Development Services PO.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305(1 Project Name: BARBARA Project Address: 31715 2N CT 5 Parcel Number: 337530 0550 Project Description: Replace gas furnace&hot water tank. Owner Applicant Contractor Larry A Barbarossa ADVANCED FILTER&MECH INC ADVANCED FILTER&MECH INC 31715 2ND CT S 418 VALLEY AVE NW UNIT B115 418 VALLEY AVE NW UNIT B115 FEDERAL WAY WA PUYALLUP WA 98371 PUYALLUP WA 98371 98003-5230 (253)770-2440 Mechanical Valuation 2446 Over the Counter Permit Yes Mechanical Fixtures Description Quantity Description 'Quantity Description Quantity Furnaces 1 CONDITIONS: This parcel is located within a Wellhead Protection Area(Capture Zone 5)and must comply with FWCC,Chapter 22, Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable. PERMIT EXPIRES April 11,2006. Permit issued on October 13,2005 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 .y. Owner or agent: Date: /0/ j`(25-- CA) 1?1/4)..\( ." .cqrA/412L be THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-105269-00-ME Owner: LARRY A BARBAROSSA Address: 31715 2ND CT S FEDERAL WAY, WA 98003-5230 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 Date i A . 0 Federal way PERM�o - - -t 0 � COMMUNITY DEVELOPMENT SERVICES 0 SF MF CO 6)EL PL DE EN FP 31325 VI FEDERAL NUE WAY,SOUTH•/O BOX 9710 f A P P LI C AT L© % ,, FEDERAL WAY,WA 53435.60 / / 253435.2607.FAX zs,�as z� �►P ,atara.cityolfedeeGaau.eata O� • 0A�G DEpI. The onfowt • is 'aired in conflation—an Inco •fete a••Ii•c , • • ;� ;'snot be acce•ted. Please •rint le• •I in i or ■ PROPERTY INFORMATION SITE ADDRESS 31 -1 I`J Z h, 4, A t-C ..S 0,/'\-k SUITE/UNIT# +1 ASSESSOR'S TAX/PARCEL# 3 3 S a 0 - 0 �/ s- LOT SIZE(sJ LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) c2,\(.4.,,-.5 1---"%5 �,�v..4( e 1-60 3--R--(-t,," rx ",`< (Attach separatepgefar imildW;Nai defedPdaal ■ PROJECT INFORMATION � TYPE OF PERMIT 0 BUILDING 0 PLUMBING ati CHANICAL • 0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION V (Provide detailed description of work included on this permit only) C V_G�•n.{ LI i'•r\,C I P ccfL v ,- N.Ct<-e .1- ii o +""+"" )t! A.--c-t.--c-t.✓N 'Z }co in ( SSC( o v V 6 rci `S I PROJECT NAME(Name of Business or Owner Last Name) U PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER µ G4!rc (O c..„... b SS (2,63) 7.3 I .4 ‘7‘CITY,STATE,ZIP 31' 15-- ark se. c-'%-. Si -e c & / w A y w4 . 9 ��3 CONTRACTOR COMPANY NAME �} ii -- APPLICANT NAME 1062._r-rti iT OFFICE PHONE I�GGING E F (7'e ti en-e Gh r Jce„.-t- .57+• ;fin a'"u"e-+( ) MAILING ADDRESS STATE,ZIP Z"� 77V Z��f G � c 7 CELL PHONE IGF FEDERAL WAY B LICENSE` NUMB�((J 4,� serjam N DWA FAX NUMBER ' B L / / (2,0')7-V CONTRACTORS REGISTRATION NUMBER(copy et card required with each■ licatlo Z�7`' application( EXPIRATION DATE L- 0 V A A/ P ,(4 , & f ) / / APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER a Architect a Tenant a Agent a Other(Describe) ( CONTACT NAVE Q� PRIMARY PHONE E-MAIL ADDRESS tin- �2 CCAjjt1 (253) /31 - 696s LENDER :._, ;i. 1,1.-1 ,,.,a t,sr,,:.i",r,li:i,l, r NAME MAILING ADDRESS CITY,STATE,ZIP • ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL) SEWER SERVICE PROVIDER a LAKEBAVEN a HIGHLINE a 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 0 CARPORT 0 NUMBER OF FLOORS rxienir6 PROPOS= Toru. t ,; ( ' :r **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 $ , y 4 • 3 4 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(Comserclaq WOODSTOVES BOILERS • .. FIREPLACE INSERTS RANGES MISC(Describe) - • COMPRESSORS / FURNACES / GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/shower Comby SHOWERS WATER CLOSETS crone; MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS cetbrwomshky VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAAIIER/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 of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE r DATE /0 1 (Signature) (Title) RELATIONSHIP PROJECT ❑ Owner ❑Agent a Contractor ❑Architect a Other • , 000f.,*!;1 't!'0D) (e •t+D)4.,u;t1' 1„1.)C'cf'.01::_,4r,t' • .. ._-• 1 ( ,_ b:f(t) 4 l2 '%Cts 1 c: .F�r(c € - - -- - -- - - - --.- - -_- - �.r):‘',Me)s::ey: ��{c:� �5`'�-�� ;(o�,---.- (oi - ,lL. ii • • ca:t j '(G.) :::,CY,r;d�;ctrpi75iei; a ;�c Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts.Pennit Application