05-105063 •
City of Federal W..y Mechanical Permit #: 05 - 105063.- O0 - 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) 835-305€
Project Name: MBIRE
Project Address: 3103 SW 339TH 51- Parcel Number: 873216 0060
Project Description: Replace gas furnace.
Owner Applicant Contractor
Nancy W Mbire ALL SEASONS,INC. ALL SEASONS,INC.
3103 SW 339TH ST 5001 N 28TH ST 5001 N 28TH ST
FEDERAL WAY WA TACOMA WA 98407 TACOMA WA 98407
98023-7795 (253)278-9344
Mechanical Valuation 1975.05 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity,j Description (Quantity
Furnaces 1
PERMIT EXPIRES March 29,2006.
Permit issued on September 30,2005
I hereby certify that the above information is correct and that the construction on the above describedprof
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: c173a —� Date: OC -30 — ds
6-79,2'0°6,7
• THIS CARD IS TO REMAIN ON-SITE •
CITY OF Community Development Inspection Record
Federal Way WR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105063-00-ME
Owner: NANCY W MBIRE
Address: 3103 SW 339TH ST
FEDERAL WAY, WA 98023-7795
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. •
❑ Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date
i'�Com - � aD .a3
QTY OF REC E'V.u.
Federal Way PERMIT MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33321AVENUE SOUTH•PO BOX 97]8 APPLICATION 3
FEDERAL WAY, 98063-260 o C U TD
253-835-2607•FAXX 253-835-2609
wunu.cituoffederalwau.com Crry OF F'
The ollowi • is re•aired in ormation-an inco •lete a••licatior 1; ,4 aete•ted. Please .rint le•ibl in ink or •e.
• PROPERTY INFORMATION
SITE ADDRESS 3103 SW 339TH ST SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _8_7 _3_ 2_ 1_ _6_ - _0_ _0 _6_ _0 LOT SIZE(sj)
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
REPLACE EXISTING WITH NEW 70K BTU GAS FURNACE
PROJECT NAME(Name of Business or Owner Last Name_MBIRE
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER NANCY MBIRE ( 253 ) 836-1378
MAILING ADDRESS CITY,STATE,ZIP
3103 SW 339TH ST FEDERALWAY, WA 98023
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ALL SEASONS INC BRADSHAW ( 253 ) 879-9144
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
5001 N 28Th ST TACOMA, WA ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1 9 -9 8- 1 0-5-2 6 2 0 - 0 g L 12/31/05 ( 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 12/17/05
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
ALL SEASONS INC ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect o Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
DAVE BRADSHAW ( 253 ) 879-9144
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
■ DETAILED BUILDING INFORMATION
EXISTING USE RESIDENTIAL PROPOSED USE RESIDENTIAL
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 1975.05
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ 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 ❑ CARPORT❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**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
Value of Mechanical Work $_1975.05
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commereial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS 1 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 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 to the city as a part of
this application. �'�"
NAME/TITLE VP DATE 0-1 '30-O
(Ana e) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent Ef Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application