02-103726City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: BYRNE
Plumbing
Permit #: 02- 103726 -00 -PL
Inspection Request Line: (253) 835 -3050
Project Address: 5344 SW 316TH PL Parcel Number: 321020 0340
Project Description: Add additional line to gas service for hot tub furnace
Owner
Applicant
Contractor
BRADLEY S & KIMBERLEE J BYRNE
BRADLEY S & KIMBERLEE J BYRNE
5344 SW 316TH PL
5344 SW 316TH PL
FEDERAL WAY WA
FEDERAL WAY WA
98023 -2039
98023 -2039
z.
Gas Pipe Outlets ............................. 1
3 /d�%
ssa-7' WYY
i
+ RECEIVED PC
, , 1 � 2002 CONSTRUCTION PERMIT APPLICATION
� �
PPLICKHON NUMBER: - Q
j OfTy OF FEDERALWR PPLICATION NUMBER:
(3UIL.DING DEPT. APPLICATION NUMBER:
* *The following is required information — Please print (in ink) or type **
i Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY
{ SITE ADDRESS: JrJ �' ✓ "( �� ASSESSOR'S TAX /PARCEL
LEGAL DESCRIPTION OF SUBJECT PROPERTY (Al AC SEPARATE DESCRIPTION IF LENGTHY):
• . •
TYPE OF PROJECT (This application): ING L'7 PLUMBING El MECHANICAL El DEMOLITION
4MRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
U1005 i�
rWW
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
(copy of card required)
EXPIRATION DATE:
APPLICANT: NAME: (DAYTIME PHONE:
MAIUNGaD&RESS (STREET ADDRESS; CITY, STATE, ZIP): (EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( -
E- MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECTXPROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED /APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
M
SPRINKLERED BUILDING? ❑ YES )<NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ATACOMA ❑ PRIVATE (WELL)
SEWER SERVICERROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE APRIVATE (SEPTIC)
NEW RESIDENTIAL CONSTRUCTION ONLY'
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
f ■:. PROJECT FLOOR'AREAS
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
..._ ..�- ..6.«w�+.... ,w z= ,u.s- ��.ay:x.�..a.r ... �. �f: F�VRE$-` i4�i' i�w+. b74i.. n.... q-+• a�:; eawvraa:! i�B�sAeai�+ �tra ;..:vss,�:av�Te�ta.�rktai!..
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)
BOILERS) FIREPLACEINSERT(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)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTeET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTER .CEPTOR(S) SUMP(S)
�iSC�biMER %SiGNSTl1RE BBC
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 attomeys' 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 plie the of this applica
i
NAME /TITLE• DATE:
PROPE CANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTTi • PO BOX 9718 - FEDERAL WAY, WA 98063 -9718 • 253- 661 -4000 - FAX: 253 -661 -4129
www.ckwffederalway.com