04-104168 c `
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City ofFederal Way Mechanical Permit #: 04 - 104168 - 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: HAWKINS
Project Address: 4228 SW 314TH Pl Parcel Number: 873199 0540
Project Description: Replace gas furnace. (Thermostat to be on separate permit.)
Owner Applicant Contractor
William Hawkins &Stacie Hawkins ADVANCED FILTER&MECH INC ADVANCED FILTER&MECH INC
4228 SW 314TH PL 418 VALLEY AVE NW UNIT B115 418 VALLEY AVE NW UNIT BI 15
FEDERAL WAY WA PUYALLUP WA 98371 PUYALLUP WA 98371
98023-2150 (253)770-2440
Mechanical Valuation 3566 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Furnaces 1
PERMIT EXPIRES April 10,2005.
Permit issued on October 12,2004
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 ccordance with the laws,rules and regulations of the State of Washington and
the City of FederalW y.
Owner or agent: r Date: /t Z/69'
O cf
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THIS CARD IS TO REMAIN ON-SITE
CITY oF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104168-00-ME
Owner: WILLIAM HAWKINS
Address: 4228 SW 314TH PL
FEDERAL WAY, WA 98023-2150
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By '/ ''...."---Date/gA )?
• CITY OF` . RECEIVED -Q - -i- L
Federal Way
PERMIT PE Il SF MF CO0LPLDEENFP
COMMUNITY DEVELOPMENT SERVICES
3332E D AVENUE SOUTH.PO 63971 9718 OCT 12APPLI CATION FEDERAL WAY,WA 98063-9718 TD /
253-835-2607•FAX 253-835-2609
www.atuof/ederalwauaom CITY OF FEDERAL WAY
The following is require�'`irrQ) Qt Tan incomplete a..lication will not be acce•ted. Please •rint legibly(in ink)or type.
■ PROPERTY INFORMATION
I /� c_
7i1ITTEE ADDRESS -7 a a. .- s Cit., 3J 41 9)0 C e }"9�r'q I t(,2 G y SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# I 7 1 9 _9_ ii. A _a / LOT SIZE(sJ)
i
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach uparate page for lengthy legal description)
I ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 'MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlz)
r+ l v1, _� 4 M/ r• i ti
PROJECT NAME(Name of Business or Owner Lost Name) N Z W IL( IA S
" - - • - ■ PEOPLE INFORMATION
PROPERTY NAME `1 PRIMARY PHONE
OWNER 6., t\ r c tj \k,lam 5 ( ts 3) 34'7 2. -'S
MAILING ADDRESS CITY,STATE,ZIP
1-ie 1r- s 1 3 14 rh 1P L c=fie_,t4/ (LJC,y 24 .
CONTRACTOR COMPANY NAME APPLICANT NAME VeAM0 j A.I,ln AQti.OFFICE PHONE
Aaucanc erd c', (#e& 1- me c.11. 3cA" i o e-Sev.a t t{ (-z-• )'770 - z 940
MAILING ADDRESS �/ /a• ^'��`��jl 'J CITY,STATE,ZIP !4 - CELL PHONE QQ
�IOFEDERAL//YSUSINESeLICENSENUMBERC 1967�veEXP[RAATIIONDATk37j F NUMBER - / /�a
— — — — B L / / ( x53) I7d Z
CONTRACTOR'S REGISTRATION NUMBER�eopy of cud required with each applieatioa EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT • FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
-t, ct se_- LOSS ('zs3) 770 - Ay40
LENDER ;•Per RCW 19.12Z0951 xLender.infonnation is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
• .■ DETAILED BUILDING INFORMATION V
EXISTING USE PROPOSED USE
• EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
i
SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS .
AREA DESCRIPTION - EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
- FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) '
GARAGE/CARPORT
~
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROrose° TOTAL EXISTING AND PROPOSED
IN
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
•-1.:;-:-..,::!--1-::;_:-:::, _.t. - - - . =- :-, . -FIIi;TURES . _ - , -. -Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
• MECHANICALc9‹
Value of Mechanical Work $ 3`- ' �up
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
•
BBQS FANS HOODS(Commercial) W OODSTO V ES
• BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS ...arc- Z
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS for Tub/ShoaerCombo) SHOWERS WATER CLOSETS(rode() MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(s..o..omsinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
-.--_4;-,---a:::: :::.:.--:',-- 1=':' •`' : _- -: _ - ,-;DISCLAIMER/SIGNATURE BLOCK .. ' -'----:---_--.-_--q .-_-_ -- _ _
Icertify 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 th eliance of the city,inclu•ing its officers and employees, upon the accuracy of the information supplied to the city as a part of
this applicati•
r
NAME/TITL 1,,J ' .�11tAk. � IA DATE /0// /oy
i (Signature) (Title)
1 RELATIONSHIP 0 PROJECT ❑ Owner 0 Agent ❑ Contractor 0 Architect 0 Other
I
I ,FOR OFFICE USE ONLY .-
a NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
t BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
I ZONING DESIGNATION CHANGE OF USE? o YES a NO
t NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES o NO
f
Bulletin#100—March 30,2004 — Page 2 of 4 k\L{andouts—Revised\Permit Application
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