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05-105089 - v City of Federal Way Mechanical Permit#: 05 - 105089 - 00 - ME Community Development Services P 0 Box 9718 Federal Way,WA 98063-9718 Ph•(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050 Project Name: ADKINS p\ Project Address: 32215 11TH SW Parcel Number: 926493 0730 Project Description: Installation of new Trane XL90 Gas Furnace. Owner Applicant Contractor Larry H Adkins &Janet R Adkins GATEWAY HEATING&AIR CONDITION GATEWAY HEATING&AIR CONDITION 32215 11TH PL SW 3802 AUBURN WAY N 3802 AUBURN WAY N FEDERAL WAY WA AUBURN WA 98002 AUBURN WA 98002 98023-5558 (253)931-0610 Mechanical Valuation. 3000 Over the Counter Permit Yes Mechanical Fixtures Description Quantity Description quant ty L _ 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 1,2006. Permit issued on October 3,2005 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: /D7-3 D 1 • THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-105089-00-ME Owner: LARRY H ADKINS Address: 32215 11TH PL SW FEDERAL WAY, WA 98023-5558 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 Date/0 1 1 I A . Federal Way PL( R1\ IVSD Q5- O sQg3 COMMUNITYDEVELOPMENTSERVICES SF MF tit;MDL PL DE EN FP J3325BOX Int •PO FEDERAL WAY,WA 980639718 A P P L I C AT IO - „ 253435-2607.FAX253-835-2609 ......w IR91red nthuau ca: � The o flood • is re•uired in ormation-an{rico •EetQ•*.• e) •_. 9^'t. .tVIACYacce,ted Please •rint le•ibi n or /�j�.� III PROPER-a 1 ili1 OR LATION SITE ADDRESS e.2i�is /AA /96 e !ti I'-:iOid , SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 4? 2 ��- ,2 J7 s _ LOT SIZE(s) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach aet awhP fir len"Wal dorwriPdwq • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING yilECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit o y) .S• li ''A A :► ._AIL/ PROJECT NAME(Name of Business or Owner Last Name) A b1C 1 4S II PEOPLE INFORMATION PROPERTY NAME n • PRIMARY PHON ,. OWNER .ITUei f 5 � 3) �/ t7y /Q MAIWNO•ADDRESS CI ,ST TE,ZIP 1•�� 0(!iJ 322 tc IU& P1 Q.J � . a- 90413 CONTRACTOR PANY NAME { APPLICANT NAME OFFICE PHONE &R !' �l A G miry/gOVC el_‘7?‘ 3) 93/ -a/o MAILING ADItS#M CLE,ZLP CELL PHONE �i,30/ dcGrh p02_ (, ) c77'Y O WA 4i2SINESS CENSE NUMBER EXPIRATION DA FAX NUMBER - 4-.9 E-1Qr 7 -Y-B- L /a/3i l.ls (Z,St) - G0 CTORS REGISTRATION NUMBER(copy of card required with each applieationi EXPIRATION DATE ‘e-i—C.Id4/ ©25- c ff G0 / 07 APPLICANT CO PANT NAME APPLICANT NAME OFFIcA PHONE I ; LOG A, .3 ) 93/ -ozoo ,STATE,ZIP CELL PHONE jfiG2 /U130/ CITY, sr`, Gr/ 9 9Jt' ( ) - RELATIONSHIP TO PROJ FAX N�UMBER�,,q, �,//�,, a Architect ❑Tenant ❑Agent 'Other(Describe)( ft? P 3) d l/Y - l A160 CONTACT PRIMARY PHONE II���- +►LD5`�a �q kill Mita014.41.111L[, !1 (a53) G}E [ �/O(b IG�fi x'_�r_',�diri, . LENDER :.., r.: .. , ., , ., r;,;,,,r I,oc „gr,::rrT NAME / ^r•,..t.'.J' 0-.1( .i• .{„7 ...!.rte-L•t; '4..er, N ft • MAILING ADDRESS CITY,STATE,ZIP ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 3cc,O SPRINKLERED BUILDING? ❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? 0 YES ❑ NO WATER SERVICE PROVIDER ❑LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) • - PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOT ✓ SQ.FT. SQ.FT. S S. BASEMENT N FIRST - SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT ■ NUMBER • ' *ORS =STING PROPOSro TOTAL. s,,;uti°.....i3o.L.i+;,j. ' ,,,,.i IC' :- .' ,'-'- ••. - s'.2- Ir = _'.'- `• - ' 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 $ -lb • AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(Commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES - MISC(Describe) - COMPRESSORS f FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or7ub/show rCambo SHOWERS WATER CLOSETS Roues MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS IAVS(Bathroom Sink.) 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. 71 NAME/TITLE DATE ` v/ 3ro, ignnturc Ride RELATIONSHIP TO PR SECT a Owner a Agent 0 Contractor 0 Architect a Other 'Ric):• Ey2,r;-,D ,;rw (-,u.-. ' '.@✓S':f - - --- ,§t)0J•01.e)4 ',bl,'�ti�}(.4',\i t1(t'�,�.». .. T4:',AD)f;'.VI_� .,t} 1f,.V�t'I 'I11vz1',C�t,+ Yl:,4tIt .. . . ' a±}it,ilt�(c.yI',F5ii,6 0,4-!..„-,./,-,) y 4._..T: ' we' '/.) ! f al�y(t)4.t'I'(c ". � , ,rS:i.Vtc :;: e'I y : +G * (Q - • - - r.. --W, .'(•,� ) ; � f l5oai4 ,,x0= ,..e,--:•i . ;(0-1) _ - _ • Bulletin#100—January 7,2005 Page 2 of 4 IfflHandouts\Permit Application