01-103068 City of Federal Way
Community Development Services Mechanical Permit #:01 - 103068 - 00 - ME
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: SMITH
Project Address: 32120 26THiSW Parcel Number: 873180 0520
Project Description: MEC-Install 3-ton A/C unit and replace gas furnace with 100 btu gas furnace.
Owner Applicant Contractor
Ronald James Smith ALL SEASONS INC-ELECTRICAL ALL SEASONS INC-ELECTRICAL
32120 26TH AVE SW ALL SEASONS INC ALL SEASONS INC
FEDERAL WAY WA PO BOX 1935 PO BOX 1935
98023-2510 YELM WA 98597 (253)879-9144
7*--/w fi*55 A/31a/ 55
Mechanical Valuation 3000 Over the Counter Permit Yes
Mechanical Fixtures
Description IQuantityl Description "'Quantity Description . (Quantity
rAir Handling Units 1 Fumaces
PERMIT EXPIRES February 2,2002,IF NO WORK IS STARTED.
Permit issued on August 6,2001
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. ,A ,
Owner or agent: ,, Cc‘a- "�`^ Date: 03'06—6 if
RECEIVED CONSTRUCTION PERMIT APPLICATIC
:a G
mom— APPLICATION NUMBER: Q L - L 0 3 i E -
uV F[Y AUB 0 C 2001 APPLICATION NUMBER: cl L -. f. Q J;Q I l'-:-
GITY OF I EDERAL WAY APPLICATION NUMBER: — _ - _ _ _...,
utLDING 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: 3 2 I 2.0 2. 2+41 AU 6 ::,w ASSESSOR'S TAX/PARCEL#: 9•�"3 \ a QC5 S ? Q
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROTECT INFORMATION
,/
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING L(!MECHANICAL 0 DEMOLITION
• [ "ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 1 r)S T14 Lk_ 3 -toil i'2. 56 L2. Ai e_ co Ao i i n 6il)E
feplaLE, c7IA_ %as -Rlrno.c.e.. W 1 I CiO k. gill QRS P-u erJ A-c�, _ -
PROJECT NAME: ROk)4L e, SA I TI-1
■ PEOPLE INFORMATION , -"
PROPERTY OWNER: NAME: DAYTIME PHONE:
POJJALi) SAkIThf (253) 92'} -ID15+
MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP):
_ 3 a 1 ID-(.) -Lo}" AUS 6W Feb w4 ( tl f50 3
- CONTRACTOR: NAME: DAYTIME PHONE:
Au -AsoNs /N C. (263 )84.9 -91.44
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
v(18 ,J P-1(N L,A)13 ST -TPC, I w 4 q 8469- ( ) -
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
- - (263)8 .9 -9143
'CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
i al_ Ls � L * Q � Q 5S_ IZ / 1-3- /0i
APPLICANT: NAME: 4YTIME PHONE:
pt-u_ SEAS mos /A)L (25?v) S q -9 mit.
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE
511 Cb N i b 4- (4-I, A)0 ST - 1F-C. c 4 Q12464- ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER'
0 ARCHITECT 0 TENANT U'OTHER(DESCRIBE): C;OAJgeta-(-TO( (253 ) 84-9 -q/43
E-MAIL ADDRESS:
I CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT grCONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: )26 S EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ <' nQ• CO
PROPOSED USE: 1e�S PROPOSED VALUATION FOR IMPROVEMENTS: $ •
SPRINKLERS)BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
r Xt.Z .
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SWING PRICE: $
■ PROJECT FLOOR AREAS
•
•
FLOOR • • PROPOSED SQ.FT. • TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
�.`FIXTURES
Indicate number of eadi type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGES) MISC.
I COMPRESSOR(S)f I FURNACE(S) iook. c)oo Era-
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: L ELECTRIC L7 GAS
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER(:
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.
INTERCEPTOR(S) 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,a
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 aty of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in t
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the aty
Federal Way,but only where such daim arises out of the reliance of the city,induding Its officers and employees,upon the accura
of the information supp'•. to thecity
as a part of this application.
(hd
NAME/TITLE: P , • A'� -- S / DATE: COZ�1
❑ PROPERTY OWNER 0 •PLICANT LB'C//ONTRACTOR
R1OFEIdEE SE ONLY
EW DDITiON 1L ERA ION R ..` L ? TVI PROVEM
NVSUS COD #,a Or 4e
3 � �s3
P0141ION1r ASI 4
ECI1ON �� ' „OWNSHIP f ANGE rE1 DOtE TIRED; '040_, —REM 'i0
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718.253661 4000•FAX:253661-4129