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05-102035 1 a J f City of Federal Way Mechanical Permit #: 05 - 102035 - 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: REYNOLDS Project Address: 2020 S 280TH P) Parcel Number: 422231 0440 Project Description: Changeout gas furnace;REVISED to add removal and replacement of gas waterheater Owner Applicant Contractor Nancy A Reynolds GENESEE FUEL&HTNG CO INC GENESEE FUEL&HTNG CO INC 2020 S 280TH PL PO BOX 18206 PO BOX 18206 FEDERAL WAY WA SEATTLE WA 98118 SEATTLE WA 98118 98003-3202 (206)722-1545 Mechanical Valuation 3845 Over the Counter Permit Yes Mechanical Fixtures Description Quantity Description Quantity Description Quantity Furnaces 1 PERMIT EXPIRES November 27,2005. Permitissued on May 5,211 ' I herebycertifythat the above�info information is rrectiand that construction°n. the above described property the occupancy and the use will be in accordance' ` 'th the laws,rules ani regulatons oft the State of Wash�hiington an'd the City of Federal Way. 111 Owner or agent: , - Date: 5-t //OS--- . c,_/t21 :.0 I 1?-0-17:D 6fp/og City of Federal Way * - Mechanical Permit #: 05 - 102035 - 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) 835-305a 1 Project Name: REYNOLDS Project Address: 2020 S 280TH Parcel Number: 422231 0440 Project Description: Changeout gas furnace Owner Ap,licant Contractor Nancy A Reynolds GENESEE FUEL&HTNG CO INC GENESEE FUEL&HTNG CO INC 2020 S 280TH PL PO BOX 18206 PO BOX 18206 FEDERAL WAY WA SEATTLE WA 98118 SEATTLE WA 98118 98003-3202 (206)722-1545 Mechanical Valuation 3245 Over the Counter Permit Yes Mechanical Fixtures Description Quantity Description Quantity Description Quantity Furnaces 1 PERMIT EXPIRES November 1,2005. Permit issued on May 5,2005 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 z Date: ( S---( 4 i--- ij..,.,, .E© FkNl` t / L.,_7,4 41146, THIS CARD IS TO REMAIN ON-SITE CITY OF Community development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-102035-00-ME i Owner: NANCY A REYNOLDS Address: 2020 S 280TH PL FEDERAL WAY, WA 98003-3202 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 mi "'E Date( )..c—e(----- } 05/02/2005 09:28 2063653182 JESSICA DORRIS PAGE 02 jEtaRL. CONSTRUCTION PERMIT APPLICATION APPLICATION NUMBER: 0 s-- J Q 2-_Off 0E, i APPLICATION NUMBER: - -- APPLICATION APPLICATION NUMBER: _ W - , _ _ _ - _ _ **The following Is required inform•Hon-Mesa print(In Ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require•e•p•rats•ppilcatiOn. ■ PROPERTY INFORMAI ION SITE ADDRESS 2020 South 280th Place ASSESSOR'S TAI(/PARCEL#:4222310440 - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INT ORMAI ION TYPE OF PROJECT(This application): O BUILDING ❑PLUMBING ;, MECHANICAL ❑ DEMOUTION a ELECTRICAL a ENGINEERING o FIRE PREVENTION SYSTEM / �/ /1 PROJECT DESCRIPTION(Provide detailed description): .: i.,d . .- - ..: .- W . - Lr"'• PROJECT NAME: A ' I M NI-OPI I- INFORMATION PROPERTY OWNER: NA"E: DAYTIME PHONE: Nancy Reynolds (253 ) 941 1961 MAILING ADDRESS(STREET ADDRESS;CITY STATE,ELP): 2020 South 280th Place NAME: DAYE PHONE: CONTRACTOR: ITMGENESEE (206 ) 722 - 1545 MAILING ADDRESS(STREI:T ADORESS:CITY,STATE,ZIP): EVENING PHONE: 3616 S GENESEE ST, SEATTLE WA 98188 ( ) - GM OP FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: – – ( ) CONTRACTORS REGISTRATION NUMBER: — EXPIRATION DATE: (c .r card required) ENESFH 3 7 0 0 6 02 / 16 /06 APPLICANT: NAME: DAYTIME PHONE; Nancy Reynolds (253 ) 941 1961 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 2020 South 280th Place ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: D ARCHITECT a TENANT 0 OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER b APPLICANT ❑CONTRACTOR M DI_IAil FU Bo1LO1NG INFORMAIION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ i PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 3245.00 SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES 0 NO WATER SERVICE PROVIDER: a LAKEIIAVEN a HIGHLINE 0 TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC) 05/02/2005 09:28 2063653182 JESSICA DORRIS PAGE 03 R . **NEW RESIDENTIAL CONSTRUCTION ONLY** ! NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: 5 _ ■ PROJI C I rs OOR ARL AS - FLOOR EXISTING SQ.FT. PROPOSED SQ FT. TOTAL BASEMENT FIRST - - - SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) - DECK GARAGE HOW MANY FLOORS? TOTAL: II I1XIUkrS Indicate number of wick type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) 1100D(s) - wo0DSTOVF(5) BOILER(S) FIREPLACE FAN(S) R(S) _L FIREPLACE INSERT(S) RANGE(S) _ MISC.( ) COMPRESSOR(S) T IFURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE:p ELECTRIC a GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC a GAS DRINKING FOUNTAIN(S) SHOWER(S) WATERWASH GAPIPEOUTLET SINK(S) LLOSET(S) -.- MISC.( ) INTERCEPTORS) SUMP(S) • DJISCI.AIMER/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 It Made. I further agree to hold harmless the City of - Way as to any claim(including costs,expenses,and attorneys'fees Incurred In the investigation and defence of such tial ;Which y be made by any person,including the undersigned,and filed against the City of Federal Way,but only where'tic c arises • of the reliance of the city,including Its officers and employees,upon the accuracy of the Information supplied •, L es s • - 4 application. l NAME/TITLE: / DATE; bi o o ....._ :ir PROPERTY OWNER ❑APP 0 0 1,e6ONTRACTOR FOR OFFICE USE ONLY! 1 _ o NEW ❑ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT CENSUS CODE: _ LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? a YES ci NO _ COMP PLAN DESIGNATION BASIC PLAN? a YES a NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? a YES a NO PLAITED LOT? a YES 0 NO CHANGE OF USE? a YES 0 NO s COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253.661-4000•FAX:253-661.4129 www.ritdotfederaJ y.mn1