05-103175 4: r
•City of Federal Way Mechanical Permit #: 05 - 103175 - 00 MF
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: CARPENTER
Project Address: 37515 21ST$ ANG$ P. Nu ber: 265 123
Project Description: Install A/C Unite
Owner Applicant Con for
Marlon A Carpenter &Barbara F Carpenter ALL SEASONS,INC. AL► S a C.
37515 21ST AVE S 5001 N 28TH ST 5
/r, I
FEDERAL WAY WA TACOMA WA 98 COM
98003-7586 (253)27 -93 4
Mechanical Valuation 3474 e er Pe Yes
ticil)
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Description Quantity L D= ption a 't Description Quantity)
Compressors
PERMIT EXPIRES December 28,2005• AR
Permit issued.on July 1,2005
I h- ertify the above' rmation is correct an at the construction on the above described property and
the o _• • the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City . I eral Way. /� ! e
Owner or age CIJLC Date: O-4 —01--ZOOS
.. ,
THIS CARD IS TO REMAIN CN-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103175-00-ME
Owner: MARLON A CARPENTER
Address: 37515 21ST AVE S
FEDERAL WAY, WA 98003-7586
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) ❑ Final-Mechanical(4065)
Approved Approved to release test kv A1M�a Approved
By Date By Date By iS-5 Date -7—/_D S
cam .: RPCEIVED C_ia
Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVICES,) L 0 1 Z005 SF MF C L PL DE EN FP
33530 FIRST WAY SOUTH•PO BOX 9718 ,PLICATION
,P L I G A T I O N
FEDERAL WAY,WA 98063-9718 _ TD
253-661-4115•FAX 253-661-0 Y OF "E D E Y1
www.atuoffederalwau.com p ) DING DEPT.
The ollowi • is re•uired in ormation-an inco •fete • ••lication will not be acce•ted. Please •rint le•ibi in in or • .
• PROPERTY INFORMATION
SITE ADDRESS _37551 55 21ST AVE S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _7 2_ _1_ 2 6 5 - _1_ _2_ 3_ _0_ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for Iengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING XMECHANICAL
0 DEMOLITION X ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
INSTALL 2 1/2 TON AIR CONDITIONER
PROJECT NAME(Name of Business or Owner Last Name) CARPENTER
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER MARLON CARPENTER ( 253 ) 835-9202
MAILING ADDRESS CITY,STATE,ZIP
37515 21ST AVE S FEDERAL WAY, WA 98003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ALL SEASONS INC ROBYN BRADSHAW ( 253 ) 278-9344
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
5001 N 28TH ST TACOMA, WA 98407 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1 9 9 8 1 0 5 2 6 2 0 0 B L 12/31 /2005 (253 ) 879-9143
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
A L L S E I * 0 3 0 5 5 12/17 /2005
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
ALL SEASONS INC ROBYN BRADSHAW ( 253 ) 278-9344
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
5001 N 28TH ST TACOMA, WA 98407 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent ❑ Other(Describe) ( 253 ) 879-9143
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
DAVE BRADSHAW ( 253 ) 278-9344
LENDERPerRCW 19.27 095.. Lender Information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE RESIDENTIAL PROPOSED USE RESIDENTIAL
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ 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
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING ST TOTAL PROPOSED SP TOTAL SP
**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.
MECHANICAL 4 ACOA- WA,O i..,T £UF
-t.1 ?CMC
,__
Value of Mechanical Work $ 41164.00-INCUMING-ELBeTRIeMr
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
1 COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower combo) SHOWERS WATER CLOSETS(Toilet) 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 b made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the relian the city,includirg its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE .� 1 .;IC\ \) P DATE NOU -os
( ture) (Title)
RELATIONSHIP TO PRO D ❑ Owner ❑ Agent x Contractor ❑ Architect o Other
FORxOPPICE USE ONLY
o NEW a ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application