05-104991 City of Federal Way Me.chanical Permit #: 05- 104991 - 00 - ME
Community Development Services
P 0 Box 9718 a
federal Way,WA 98063-9718
Phr(253)835-709-Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: MCBAY
Project Address: 434 S 309TH 9r Parcel Number: 241330 0190
Project Description: Replace existing gas furnace
Owner Applicant Contractor
James D McBay &Diana L McBay Diana L McBay Diana L McBay
434 S 309TH ST 434 S 309TH ST 434 S 309TH ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-4026 98003-4026
Mechanical Valuation 1600 Over the Counter Permit Yes
Mechanical Fixtures
_ Description Quantity Description Quantity Description Quantity
Furnaces 1
PERMIT EXPIRES March 27,2006.
Permit issued on September 28,2005
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: b--,1.4.-1,A4C__ / ' , Date: 9 — 0p
THIS CARD IS TO REMAIN ON-SITE
CITY OF VP-mora Community Development Inspection Record .
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104991-00-ME
Owner: JAMES D MCBAY
Address: 434 S 309TH ST
FEDERAL WAY, WA 98003-4026
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 C Date (0- .
R
arroA '1 I'�cEivE • J L
Federal Way { - --- . —.
• S -'ERIVIIT
COMMON IDEVS/OP Sir SERVICES EP 2 8 . SF MF CO 1V LPL DE EN FP
33325 FEDERAL
NUE WAY,WA f•PO 9718 ,'1'p LI CATION
5343 .2 WAY,FAX
53435-609 JT0 / /
ass 60�• ass s3s Y OF FF p
mIllwAltuNo v BUILDING pEPWAY
The oflowi • is • ired in ormation Lan inco •fete a••lication will not be acce•ted. Please •tint le• •I in or
7(`
IN PROPERTY INFORMATION
SITE ADDRESS 1/J 7 5 . 3e 9 Sr Feder / Idly �'(dd3 SUITE/UNIT it
ASSESSOR'S TAX/PARCEL/ # - _ _ _ _ LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach Warut.Pcg.for lengthy legal da.a pdmy
- ■ 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)
re-pI ce ew/.s4-e•y gar ii,ad, e
PROJECT NAME(Name of Business or Owner Last Name) He /3a
• PEOPLE INFORMATION
PROPERTY NAM C PRIMARY PHONE
OWNER /a,, / G./6-3) ge.9?-35n
9(O
MAILING ADDRESS CITY,STATE,ZIP
1/-3y s . 3o 9 Err / dera_r t )4 4ftp3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
00/0 ( )
MAILING ADDRESS CITY,STATE,ZIP CEL,PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-s L / / ( )
CONTRACTORS REGISTRATION NUMBER loopy of card rsquirod with sack application) EXPIRATION DATE
I /
APPLICANT COM NAME APPLICANT NAME _
l/.`'/1 � OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent ❑ Other(Describe) ( ) _
CONTACT SMF�'�( ' m e A/ PRIMARY PHONE E-MAIL ADDRESS
///!�/r�-t� ( �3) x.39 _3�96 Qrtu lucl a�/e Coo•C
-41
LENDER J
a.; ;�;. �t�;., ,,..., r --+. NAME
-_.i„�. ;:.1-4( ef.,_ _,s.r•-t.t- .-„ ir•;•,•
MAILING A • ; ` CITY,STATE,ZIP
h.
■ DETAILED BUILDING INFORMATION
EXISTING I- PROPOSED USE
EXISTING ASSESSED/APPRAISED V I, lim- • • I - . . . . .. - • .
SPRINKLERED : I I G? ❑YES a NO FIRE SUPPRESSIO = •ROPOSED/REQUIRED? a YES 0 NO
W 01• SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE ” D, )
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHIdNE 0 PRIVATE(SEPTIC)
- PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT '
BASEMENT
FIRST - • 1
S• ECOND
THIRD
'FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS MITOfo PROPwss TOTALainleal—NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ [beg)
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(cmmerd4 WOODSTOVES
BOILERS ' . FIREPLACE INSERTS RANGES ' MISC(Describe)
- • COMPRESSORS )4, FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(.r Tub/Shower Combo) SHOWERS WATER C • ,. MISC(Describe)
DIS ' AS SINKS DRI • FOUNTAINS
G•- PIPE 0 ETS =• PS r • ' ATER SYST
' ASHING MAC ES URINALS HOSE BIBBS
_" LAVS(e.ehn.wasbueat 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. .I �n Qj
NAME/TITLE IV( / i" ) eR( DATE / — g— o
---
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner a Agent ❑ Contractor 0 Architect ❑ Other
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application