04-104086 City of Federal Way Mechanical Permit #: 04 - 1,04086 - 00 - ME
Community Developmentlervices
P.O.Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-7000 Fax:(253)835-2609 Inspection request dine: (253) 835-305C
Project Name: SWANSON
Project Address: 3628 SW 331ST PI Parcel Number: 873213 0500
Project Description: Remove and replace furnace
Owner Applicant Contractor
Alfred E Swanson Alfred E Swanson &GENESEE FUEL&HTNG GENESEE FUEL&HTNG CO INC
3628 SW 331ST PL 3628 SW 331ST PL PO BOX 18206
FEDERAL WAY WA FEDERAL WAY WA SEATTLE WA 98118
98023-2642 98023-2642 (206)722-1545
Mechanical Valuation 3245 Over the Counter Permit Yes
Mechanical Fixtures
L_ Description 1Quantity Description Quantity Description rrluantityf
Furnaces 1
PERMIT EXPIRES April 4,2005.
Permit issued on October 6,2004
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 Way.
Owner or agent: �,4 Date: /O • • 0 y
A . , THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE #(253) 835-3050
PERMIT#: 04-104086-00-ME
Owner: ALFRED E SWANSON
Address: 3628 SW 331ST PL
FEDERAL WAY, WA 98023-2642
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
By Date By Date By i jG�ate !/,'43/
RECEIVED CONSTRUCTION PERMIT APPLICATION
VV PTV" OCT 0 6 2004 Y�
APPLICATION NUMBER: 0 - I Q 0$(j-
APPLICATION NUMBER: -CITY OF FEDERAL WAY APPLICATION NUMBER: -
BUILDING DEPT.
**The following is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: 3628 SW 331st PI. Federal Way ASSESSOR'S TAX/PARCEL#: 8732130500
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING o MECHANICAL o DEMOLITION
o ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): RFPLACF I FNNOX RO RTIJ filrnaca
PROJECT NAME: W
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Alfred Swanson (253 ) 952294-7
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
3628 SW 331st PI. Federal Way
CONTRACTOR: NAME: DAYTIME PHONE:
GENESEE (206 ) 722 - 1545
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
3616 S GENESEE ST, SEATTLE WA 98188 ( )CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) G ENESFH 3 7 0 0 6 02 / 16 /05
APPLICANT: NAME: DAYTIME PHONE:
Alfred Swanson (253 ) 9522947
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
3628 SW 331st PI. Federal Way ( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT o TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 3245.00
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
**NEW RISIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
• FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) �- FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTORS) SUMP(S)
• 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 . • -city as a art of thhi-p g ication.
NAME/TITLE: i / DATE: 14".314 /a/6 /05/
❑ PROPERTY OWNER o APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
o NEW o ADDITION o ALTERATION ❑ REPAIR o TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES o NO
COMP PLAN DESIGNATION BASIC PLAN? ❑YES o NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? o YES o NO
PLATTED LOT? o YES o NO CHANGE OF USE? ❑YES o NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
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