05-105253 City of Federal n Mechanical Permit #: 05- 105253.00 - Mit
Community Development Sen ices
P.O.Box 9718
Federal Way,WA 98063-9718
Ph•(253)835-7000 Fax.(253)835-2609 Inspection request line: (253) 83.7-30::]
Project Name: HEABERLIN we/
Project Address: 32826 3RD SW Parcel Number: 926491 1420
Project Description: Install gas furnace
•
Owner Applicant Contractor
Andee D Heaberlin GATEWAY HEATING&AIR CONDITION GATEWAY HEATING&AIR CONDITION
32826 3RD AVE SW 3802 AUBURN WAY N 3802 AUBURN WAY N
FEDERAL WAY WA AUBURN WA 98002 AUBURN WA 98002
98023-5611 (253)931-0610
Mechanical Valuation 2500 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description J(Quantity Description 1Quantity
Furnaces 1
PERMIT EXPIRES April 10,2006.
Permit issued on October 12,2005
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 Wa .
Owner or agent: Date: /0//4-(e7
THIS CARD
■IS TO REMAIN ON-SITE
,,,,,„_411S,Sh, r r , - •,4,1►1:1-N7 yrri 7,t n. ,. . , •.,,4- T, r,R� - P 4-S!S.1 - . -1, ,.rel
F; R,rMIT #: 05-105253-03-M
Owner: ANDEE D HEABERLIN
Address: 32826 3RD AVE SW
FEDERAL WAY, WA 91023-53 : I
This cari is r--+ ,_r , r. , u;cii ins;-,_c:,(•, .! rnrn+- q.:11,:,-1,0-:-,' . _ '„-' ,' -' „4 i . , , r . , , _ ' 1;r lc: n
r\+te
Inspect:oils arc listL.i ,t;close to sequcnU.,l wdci p ;c;JL(,,,.,_; rL i. ) , , . .. , . , \,, ' -
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.
❑ Mechanical Rough-in(4165) 1 ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date2,zit,. Qf.t.
1
7_,,A .
Federal Way 1 .0z
CITY DEVELOPMENT SERVICES PERMIT
SF MF CO M�
® PL DE EN FP
DMMUN
333458ERALWAVENUE,WA98063-9718
•rOBOX 971 "" APPLICATION
FEDERAL WAY,FAX
93-63 ITD
/ /
453-f3S4607•FAX 253-835-2609
.- IEVERdEle&dmatioymp
The ollowi • is • ired in ormation-an Inco •fete . ••lication will not be acce•ted. Please •rint le• •I n or
IIIPROPERTY INFORMATION; �%y,/
SITE ADDRESS 3 'a , 3►r4/� �C .C.G3 �' SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 9 a c g_. 9/ - [ A (� LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach aPwateMefor San"legal deaafpuonl
• • PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
PROJECT NAME(Name of Business or Owner Last Name) flea- T l 1 Y I
• PEOPLE INFORMATION
PROPERTY
70)4cuuLe___ I,�,,. PRIMARY PH/ON�E �yOWNER �-�{�,lS.(CJl �A/w ( ) loV i 4(b 44
MARINO ADDRESS CITY,STATE,ZIP -
32flL 3ret.4Wv e.St,J "l, .e.(et iAltiii WA 95/023
CONTRACTOR MPANY NAME APPCANT NAME OFFICE PHONE
44tipkiS*441)4d Y R'rJ- Cu.$ua•l l4 v-k ( 53) q 3( -4p(0
MAILINGD STATE,ZIP CELL PHONE
3gOZ (.l. ,l tJ .*4301 * wr,\ (,)Pc 82002- (: ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER _ EXPIRATION DATE FAX NUMBER
1 .9.-31-4 Q V :3 5- (_--B L 12../ 31 /OS (;'(5 ) TN d'4io0
CO CTORS REGISTRATION NUMBER(copy of card required with each application)
6EXPIRATION DATE
IAD AA -{ Z G / zo / cn
APPLICANT ,PANY NAME APPLICANT NAME OFFICE PHONE
ES — • (253 ) Ci3( -040'0
MAILING ADDR
CITY,STATE,ZIPCELL PHONE
302— w*t Ilam 47300 �
►Aire IAA Gp wZ ( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent,ther(Describe)C ( ( — (a5-3) -aii&d
CONTACT AM +1c t.,�rt�6 !-t PRIMA�Y PH 3( �3) i - 90 l 0 vETADDRESS
.4 101
LENDER
MILANO 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? a YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKERAVEN 0 HIGHLINE 0 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 mama rteoroas° TOTAL * atit
--
"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 ^,� 00
Value of Mechanical Work $ �4.�00
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(c.mme.ei,q WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS 1 FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(.rTub/Sh werCombs) SHOWERS WATER CLOSETS craws MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(9.rh..om ffiwlg 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 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 l e DATE
(lam (o
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 0 Contractor CI Architect ❑ Other
ti. ,);s •
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application