05-104636 City of Federal Way Mechanical Permit #: 05 - 104636 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
` Fir(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: SMITH We,
Project Address: 29845 8TH/SW Parcel Number: 195460 0162
Project Description: Replace gas furnace.
Owner Applicant Contractor
Allen L Smith GATEWAY HEATING&AIR CONDITION GATEWAY HEATING&AIR CONDITION
29845 8TH AVE SW 3802 AUBURN WAY N 3802 AUBURN WAY N
FEDERAL WAY WA AUBURN WA 98002 AUBURN WA 98002
98023-8201 (253)931-0610
Mechanical Valuation 2500 Over the Counter Permit Yes
Mechanical Fixtures
Description iQuantity Description (Quantity j Description !Quantity
Furnaces — I1
PERMIT EXPIRES March 11,2006.
Permit issued on September 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: a' Date: ' //�� el-[ /l
THIS CARD IS TO REMAIN ON-SITE
CITY OF4.„,.. .
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104636-00-ME
Owner: ALLEN L SMITH
Address: 29845 8TH AVE SW
FEDERAL WAY, WA 98023-8201
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date B Date • &Q os"
! RECEIVED
1 f' . - 0 . --_ (v ,5"... ..,
Federal Way SEP 1 2 2005 � X
COMMUM7YDEVELOPMENT SERVX�S PERMIT SF MF CO L PL DE EN FP
33325dTMAVENUE,WA9•roOM497 OFFEDER l
nifam
( 253-835-2607. AX 25343 2}t6099 BUILDING
D ''p LI C AT I O N
Jpww.ciluefederalway.oom
` The ollowi • is -• fired in ormation-an Inco •fete • ••lication will not be acce•ted. Please •rint le,ibi or
f�, G
IN PROPERTY INFORMATION
2Q
SITE ADDRESS 7 d S- O p, J`�L� �(i(J / SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# / J �O 0- 0 / 6. z- LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(AttachseParateP for len"Segal deserVioai
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING iiKIECHANICAL
• 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)ac.iled I.
W\__,
NI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Pe lZJ � NnA3-YI� (2,i) Z(/( - P937
MAILING ADDRESS CITY,STATE,ZIP
2984$ Nit, ) Ve.d.r4a1) OA 4407.3
CONTRACTOR COMPANY NAME APPLICANT N
OFFICE PHONE
/ 4-- A-(e.- �►i (9-s5) q3� - ocolo
UN(}yt CITY STATE,ZIP CELL PHONE
3 UAJ 494/ ° 4f-301Avikikreli):11,02- (, ) -
CITY OFFED WAY BUSINESS UC NSE NUMBER TION DATE FAX NUMBER
1t.- '- t ° 7s8'-B L /z / 3i / o.S - (Tc5i') 4 - flea
CO CTORS REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
.1---r b 1d d-Q z.� _c___2 l 20 /D?
APPLICANT if.ANY NAME OFFIC,PHONE
2a- -i- L -f ,( u.S(r (Zs 3 ) 931 - 06/0
MAILING ADDRESS STATE,ZIP CELL PHONE
-3/P01- rn Altiod `1 0 201 Liftq,3-0(2 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER �
0 Architect 0 Tenant a Agent 0 Other(Describe)�� 'C (2i 3) -De/
CONTACT `rrU J rilt0U4 1 PRIMARY PH E
(2.53) 3 I - 0(0 6 O IB riiiSo,letortil
An.'5LENDER :?, d: � E�:� :,i,r.rj7�tYirn�. a,�,. . NAME
, MAIUNO ADDRESS CITY,STATE,ZIP
i
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
, EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINK ,ERED BUILDING? a YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑HIGBLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAIfERAVEN a 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
=SUM PROPOS= TOTA1
NUMBER OF FLOORS - r
**NEW HOMES ONLY** 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 $ D-S1:70
•
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(c.mmercl.e WOODSTOVES
BOILERS • FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS / FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo$ SHOWERS WATER CLOSETS crake MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
OAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(siehr omstnle4 VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I cart*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 city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE ✓ ` 4,7‘? �J
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent 0 Contractor ❑ Architect 0 Other
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application