05-102845 r
City of Federal Way Mechanical Permit #: 05 - 102845 - 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) 835-3050
Project Name: WEAR
Project Address: 33227 MILITARY S e d 5 Parcel Number: 152104 9111
Project Description: Remove and replace heat pump and air handler.
Owner Applicant Contractor
Sterling G Smith &Wear Jemmi Smith GATEWAY HEATING&AIR CONDITIO GATEWAY HEATING&AIR CONDITIO
3802 AUBURN WAY N 3802 AUBURN WAY N
AUBURN WA 98002 AUBURN WA 98002
(253)931-0610
Mechanical Valuation ...........5200 Over the Counter Permit Yes
Mechanical Fixtures
Description IQuantity Description Quantity Description Quantity
Air Handling Units 1 Furnaces 1
PERMIT EXPIRES December 13,2005.
Permit issued on June 16,2005
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: g Date: /k_(
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102845-00-ME
Owner: STERLING G SMITH
Address: 33227 MILITARY RD S
AUBURN, WA 98001-9600
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) 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By 140v) Date 6p,'Z 4•
I
A -Oztpk,e54.6vbs,
FederalWay RECEIVED PERMITio_ - a a 2. / B_ _c
COMMUNiYDEVELOPMENT SERVICES
SF MF C�CEL PL DE EN FP
3332E AVENUE WY,SOUTH 63 BOX 9713 APPLICATION P L I C AT I O N
FEDERAL 07Y,FAX
533 ,�U N 1 6 TD / /
253-335-2607•FAX 253-835-2609
juww dtttofYederalway.eom
•F EDERAL WAY
The (Aloud • is re• )t -...L. .►„„•v i •4 an inco .lete • ••lication will not be acce•ted. Please •rint le.ibl in in or .
I. PROPERTY INFORMATION M
SITE ADDRESS 3341/7 I �Vt. � WW t SUITE/UNIT•
ASSESSOR'S TAX/PARCEL f I �-t 0 (4 - ? f ( LOT SIZE(sJ7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Mach separate page for lengthy legal desaipaon)
' ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING • PLUMBING MECHANICAL
0 DEMOLITIO'P/�! TRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT D CRIPTION(Provide detailed des tion of work in luded on this ermit onl
PROJECT NAME(Name of Business or Owner Last Name) Gileftly6r1 1 4-1LACIA,
II
• PEOPLE INFORMATION
PROPERTY N - , PRIMARY PHONE
OWNER V vrNA.
MAILING ADDRESS STATE,ZIP
�� ��
374-iri Nk a )n 1- CiliD31
CONTRACTOR ?ANY NAME APPLICANT OFFICE PHONE
MAILING ADDRESS 1 STATE,ZIP CELL PHONE
3W2_ AWekkAA
CITY OF F RAL WAY BUSINESS LICE E NUMBER EXPIRATION DATE FAX NUMBER
i Cl Z-i 0 5 --15 --LA L ( Z1 3 \ / a- t'3)apt( O4CD D
C `RACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
Sp T‹ up O ' ._.S CZ < 1 2D /a.
APPLICANT MPANY NAME A PWCANT NAME OFFICE PHONE
0.-L\ - 10 t ce.A.L. bt (aS3) q3 l -Q01 0
MAILING ADDRESS CITY,STATE,ZIP — CELL PHONE
3b7,- Pc.t6144.r�Sr�-� .W O\ Cor Li)a CIY002_ ( )
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect 0 Tenant 0 Agent 0 Other(Describe)CA-41.1k-e'+1Y- (-s3)SlY
`,1 I -atttai D
CONTACT A E PRIMARY PHONE E- L ADDR
LENDER •N • -*71 r.,e ,- nder`3nforritatt1 ..:-1 NAME
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE , PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ r)t r../)
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
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
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
=sumo PROPOSED TOTAL "TOTALRXISTENO SF- TOTAL PROPOSED SF 'TOTAL SF
NUMBER OF FLOORS •--
**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.
VaMECHANICAL echanical Work $ Z ,V1J
AIR HANDLING UNITS \ EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commefcul) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/ShoaerCombo) SHOWERS WATER CLOSETS(mile) MISC(Describe)
DISHWASHERS - SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) 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. a
NA /TITLE )--C--- DATE 6 !moi fo
(Sign m) (Title)
RELATIONSHIP TO PRO ECT a Owner 0 Agent Contractor 0 Architect ❑ Other
1)-: DITION :t: ii TION ci REPAIR' - TENANT•IMPROVEMENT
':f~ °_ ., ;z 17 ALTERA
;SINLY? *
• `e GT, 4 �? ESS�+"�TO, ?::: BASIC"PLAN? j� 4 �, ==o YES ,: n NO_' _r.
.;7:).• 3 �ESIGNATION�: 'CHANGEOF:USE? =° =; _ - a YES
'►•DRESS;REQUIRED? I ` r __ Cl
N0�:,- UP/SEPA/SU?�;-�`I�'=:�c' :�;�=.,
_'DEM0;PERMIT0 IIIRED2
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application