00-106049City of Federal'Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name:
Project Address:
BLACKNER
32022 2ND SW
Mechanical Permit #: 00 -106049 - 00 - ME
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Project Description: MEC - Replace existing gas furnace with 100,000 btu gas furnace.
Parcel Number: 926490 0
Owner
Applicant
ntra
fr
Donald L_marcelle Blackner
ALL SEASONS INC
A S
. ,
32022 2ND AVE SW
ALL SEASONS INC
FEDERAL WAY WA
PO BOX 1935
S A S INC
98023-5601
YELM WA 98597
O 1935
Mechanical Valuation..........................................1000
Description Quirt#i
Furnaces 1
I hereby certify that the above infi
the occupancy and the use will be
the City of Federal Way.
Owner or agent:
*,,*,,*,A,*,,*,,*****,* ........ Yes
Mechanical
/ ,
/s!
t issued on
that the cons tion on the above described property and
laws, rules and lations of the State of Washington and
R
Date: 12- % — G U
CITY OF
BUILDING DIVISION
fqrj000r 33530 1 ST WAY SOUTH
FEDERAL WAY, WA 98003 66 1 -4000
CORRECTION NOTICE
ADDRESS: 3'? o`� PERMIT #:
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW:
PIQiJ��OL= �1�/l��llcc.FsQC><v/zG—�`S
��JS
1�4/���ionr aoS-
lq i T-1 L f> r ��IISf'� [`L��o �✓
YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661 —41 40 FOR
RE—INSPECTION.
DATE INSP413TOk FOR BUILDI G DEPARTMENT
DO NOT REMOVE THIS NOTICE
IVED CONSTRUCTION PERMIT APPLICATION
PPLICATION NUMBER: 1 � ®
DEC 18 2000 APPLICATION NUMBER: � --
QITY OF FEDERAL WAY APPLICATION NUMBER: _ _ - _ _ _ _ _ _ -
ING
**The following�is reegwireJ'information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
/�
PROPERTY•. •
SITE ADDRESS: o'2C>`aa- ahs AUe SU-) ASSESSOR'S TAX/PARCEL #: _ _ _ _ _ _
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING E MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): I&OLAce OLO eU94VACe 1(X5 )L B7u
CaAS ( e-jVacL
PROJECT NAME: I�LACIt, N �t-
PEOPLE•• •
PROPERTY OWNER:
CONTRACTOR:
NAME: DAYTIME PHONE:
DO XJ 3 LAcKiy�,c (2�3) X38 - OSI`1
MAILING ADDRESS (STREET ADDRESS; QTY, STATE, ZIP):
3 D 6 Z� ay18 Aoc-- sly F-� u -)4y , wYA cl8
NAME:
DAYTIME PHONE:
UAT i LMt MUM:
A -LL �-Asc,ij s i N L
ALL Sc� sa v s /xl c�
(25 �) 9* 9( -
MAILING ADDRESS (STREET ADDRESS; QTY, STATE, ZIP):
EVENING PHONE:
EVENING PHONE:
cJ' 1 1 6 0. +1-(t—A L.P 7J 1cN Tf�c— "AB407:1-
( )
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
FAX NUMBER:
(2-53)S49
I C, -2-
(253) C1'
91y 3
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
L L SE� 1 W 0 S O 5-
1 1 Z/ 1-4
/01
APPLICANT:
NAME:
UAT i LMt MUM:
ALL Sc� sa v s /xl c�
(25 �) 9* 9( -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
RELATIONSHIP TO PROJECT: ,-,
E] ARCHITECT ❑ / TENANT C OTHER ( DESCRIBE): C�,y� A c -Tor
FAX NUMBER:
(2-53)S49
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 11PROPERTY OWNER ® APPLICANT ®160NTRACTOR
DETAILED BUILDING• •
EXISTING USE:� I De) -J Cre EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: 1Qc-5 (D C-0 ('E PROPOSED VALUATION FOR IMPROVEMENTS: $
1 dam' 00
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 11 HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS :.
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
ASEMENT
[FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
.DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
_ AIR HANDLING UNrT(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 04 -CAS
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. ( ]
INTERCEPTOR(S) SUMP(S)
a _IN 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: /i4.2 &'ko yA DATE:
❑ PROPERTY OWNER P�APPLICANT CONTRACTOR
ID -I$-cx--)
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX: 253-661-4129