05-105245 City of Federal Way Mechanical Permit #: 05 - 105245 - 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: MCFARLAND
Project Address: 4035 SW 328TH rjr Parcel Number: 873203 0460
Project Description: Add 5 gas pipe outlets with associated gas piping
Owner Applicant Contractor
Robert W McFarland Robert W McFarland Robert W McFarland
4035 SW 328TH ST 4035 SW 328TH ST 4035 SW 328TH ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-2657 98023-2657
Mechanical Valuation 300 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description iQuantity Description Quantityl
Gas Piping 5 Number of Gas Outlets I 5
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 Way.
Owner or agent: r� f may{! 794, /r4..„,4 Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105245-00-ME
Owner: ROBERT W MCFARLAND
Address: 4035 SW 328TH ST
FEDERAL WAY, WA 98023-2657
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.
❑ Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test /0 ix I Approved
By Date By Date nl f/dj By Date fI/P/ar
RECEIVED
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Federal Way — --�
oCTrr2005 PERMIT SF MF C LPL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
JJJ?5 PED RLWAVENUE.WA 9•63 B9 97if '�,LI C AT I O N
5383-2 07. WA 53.135g/��pfyj�r OF FEDER r
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YSJdJS-2607•fAX T5J-fJ5-? I
immeiwoRcderalwou.corn BUILDING DEPT.
The ollowl • is •aired in ormation-an oA,.fete . • •Iication will not be acce•ted. Please .rint le.ibl n or p .
PROPERjTY INFORMATIONSITE ADDRESS 4v 3 5 Slnl 3 Z 8::4
S f rtR.z SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ig -] 2 Q - Q Q LOT SIZE(sf) V, 3 20
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 114%r1 L t&k e s 41 Loi- 4 6
(Attach sammee Pogo for knethli I.desaVNien)
IK PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING (CMECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
3/ II
id e lh i ; I ... t ,,ti rr %, tr e. r -✓ . Ir tee,
WI h /lig'' wherin Ina and ruin Ii iec and adrl sb bbed aa1/eis , r
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a ppYOXIP l !E 1 gel'. rem. t
PROJECT NAME(Name of Business or Owner Last Name) pt!f([l
17, PEOPLE INFORMATION
PROPERTY NAME 7 PRIMARY PHONE
k
OWNER o6ert W. and aI1ZQ,iTv1 A. McFarland (253)66( -3ig2
MAILING ADDRESS CITY,STATE,ZIP
4035 510.i 32844' Streef Fede raI tAJtk (,VA 48623
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
0U'har ( )
MAILING ADDRESS CITY,STATE,ZIP (CELL PHONE
(
) r
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-B L / / ( )
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANYNAME APPLICANT NAME OFFICE PHONE
ri' 1A), MC( r lana4 ( ) _
MAILING ADDRESS CITY,STATE,ZIP — CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME , PRIMARY PHONE MAIL ADD
BoMc Far l and (2.53)3) 661 - 3192 CbtnccRESSrland 2 I carnes ,*
LENDER .. c1. e,::,, •_,,,;c,- 1,.r.,,.147.,,,, .' NAME
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO 1
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE ❑TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
- PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL r
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST - - »
SECOND
THIRD
FOURTH •
i
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
Mauro neorossn TOTAL - ei(
NUMBER OF FLOORS ' .
""NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of-f ture to be installed .r relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ M)
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
- • COMPRESSORS FURNACES OAS WATER HEATERS
DUCTS , 5 GAS PIPE OUTLETS {
PLUMBING
BATHTUBS(arTub/Shower combol SHOWERS WATER CLOSETS Gales MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVE pas.sink4 VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK 1
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. / L
NAME/TITLE 4f/1re 1 . (% 4..I DATE Ocf. 12, 2Oi.5
�)( (Signature) (MeiRELATIONSHIP TO PROJECT X Owner 0 Agent 0 Contractor ❑ Architect 0 Other
�FDi;'r' . .0 t)e)t•t`(r);I ',Wt�AJi:.',ti t� a -.. ':a �v.t,l i - �� '.:< < - - ._-- . .
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Pennit Application