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04-104343 . 1 V v lCity u Federal Waynity Development Services / ' CotllmMechanical Permit #: 04 - 104343 - 00 - ME i 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: MCNUTT Project Address: 4721 SW 325TH Pt Parcel Number: 873219 0510 Project Description: Install new gas furnace and ducting. **11/8/04-Includes gas piping for furnace.** Owner Applicant Contractor Douglas A McNutt &Beverly A McNutt FIRESIDE HEARTH&HOME FIRESIDE HEARTH&HOME 4721 SW 325TH PL 7818 S 212TH ST SUITE 109 7818 S 212TH ST SUITE 109 FEDERAL WAY WA KENT WA 98032 KENT WA 98032 98023-1919 (425)251-3921 Mechanical Valuation 7600 Over the Counter Permit. Yes Mechanical Fixtures Description IQuantity Description Quantity Description Quantity Ducts 1 I Furnaces 1 Gas Piping 1 PERMIT EXPIRES April 20,2005. Permit issued on October 22,2004 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 acco ce with the laws,rules and regulations of the State of Washington and the City of Federal Wat d20/91/Owner or agent: � �it �' Date: I 1 V! l w. o r % 9, , City of Federal Way Mechanical Permit #: 04 - 104343 - 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: MCNUTT Project Address: 4721 SW 325TH Parcel Number: 873219 0510 Project Description: Install new gas furnace and ducting Owner Applicant Contractor Douglas A McNutt &Beverly A McNutt FIRESIDE HEARTH&HOME FIRESIDE HEARTH&HOME 4721 SW 325TH PL 7818 S 212TH ST SUITE 109 7818 S 212TH ST SUITE 109 FEDERAL WAY WA KENT WA 98032 KENT WA 98032 98023-1919 - (425)251-3921 Mechanical Valuation 7600 Over the Counter Permit Yes Mechanical Fixtures Description Quantity Description Quantity Description Quantity Ducts f 1 Furnaces 1 PERMIT EXPIRES April 20,2005. Permit issued on October 22,2004 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 y. Owner or agent: Date: 1 /1 122 I CY-1 f . • • THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record, Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-104343-00-ME Owner: DOUGLAS A MCNUTT Address: 4721 SW 325TH PL FEDERAL WAY, WA 98023-1919 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) 0 Final-Mechanical(4065) Approved Approved to release test Approved By11( 1 FE F Date ByDate By10U Date „�+ RECEIVED 0.... . _ 1t© s Federal Way PERMIT SF MFC LPL DE EN FP C0MMUMJYDEVELOPMEN SERVICIJ C T 2 1 , r'4 • 3334 R FEDERAL WAY, A17f 9E063-9718 B971d APP LI CAT I 0 N 253-83ssa7•FAX OF FEDERAL WAY `� / / ! ;ow w.atwlrederdwau.com BUILDING DEPT The ollowing is required information-an incomplete a.•lication will not be accepted. Please •rint legibly(in ink)or type. MI PROPERTY INFORMATION SITE ADDRESS 44-12,1 d# *' '• v . .I SUITE/UNIT# ASSESSOR'S TAX/PARCEL# S 1 _ _ _a t 0._ 5 _La LOT SIZE(sJ) I LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal description) IN PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING XMECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM •ROJECT DESCRIPTION(Provide detailed description .f .rk included on this.•ermit onl } ' VIA k ‘ f 4 Alf -'6. di * • g• git A c A..-IA ' 00 1 , eCk. tteltio r) ti VV SI e• PROJECT NAME(Name of Business or Owner Last Name) Lk 1 U e - - - - NI PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER MAILING ADDRESS �t 1 //�� /,fir/_)` n nMO JJ�A )10--aSZ 721 SA) tii CONTRACTOR COMPANY NA E APPLICANT NAME OF ICE PHONE Rtes 2 ti i HZS 1 -12-J MAI INS ADDRESS j12 tl C 1 CITY 1P i:040;zd CELL ONE ts CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER - s L / / (14(1314Lp-g"7.�-� CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE c1L Sp ?) is0Li> 1 APPLICANT COMPANY NAME APPLICANT NAOFFICE PHONE gra IR tP11U ('-2S)2S( �UM S' 2 \c7,14-9-'11/5R1 Cl STATE,`�` it LL 1 M C�O)N' 15 -06(03 RELATIONSHIP TO PROJE FAX((��NUMBS r7� 0 Architect 0 Tenant 0 Agent Other(Describ (L Z5) -'2U i CONTACT - ie'rnI 1,^ e42.411417YHONf`/ (�,(s -O^' 5 E-MAIL ADDRESS LENDER PerRW C19.2ZO95i'Lender'information is NAME �(� (/{/G' required if project value exceeds$5,000 .' MAILING ADDRESS CITY,STATE,ZIP ■ DETAILED BUILDING INFORMATION - EXISTING USE PROPOSED USE • EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ • SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO i WATER SERVICE PROVIDER 0 LAKEHAVEN ❑HIGHLINE 0 TACOMA 0 PRIVATE(WELL) • SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) . •r: - • • ' . . PROJECT FLOOR AREAS • AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND ( THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT TOTALEXISTING TOTAL,PROPOSED TOTAL EXISTING AND PROPOSED HOW MANY FLOORS? "NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ 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 J Value of Mechanical Work $ EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS AIR HANDLING UNITS HOODS(comm<rci.4 WOODSTOVES BOOS FANS RANGES mISC�IS- ��(Describe) BOILERS FIREPLACE INSERTS (�(1.U•N, COMPRESSORS 1 FURNACES GAS WATER HEATERS ��r,.eQ DUCTS GAS PIPE OUTLETS I.9--- � PLUMBING WATER CLOSETS Qoa<q MIST(Describe) BATHTUBS or T.+b/shovercombo) SHOWERS 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 1 -1".'-:::::- �. .. 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 Jeliance of the ty,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. 1 'ry�IC jl/D' • th±eit ( Jrw1cYATE D /iD / (SNSn.ture) ! (Title) ! RELATIONSHIP TO PROJECT 0 Owner 0 Agent Contractor o Architect o Other S � � FOR OFFICE USE ONLY 1 a NEW o ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO - ZONING DESIGNATION CHANGE OF USE? o YES a NO NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO i Bulletin#100-March 30,2004 - Page 2 of 4 k\Handouts-Revised\Permit Application