02-101354City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: PETERS t'
Project Address: 29636 8TH S
Mechanical Permit #:02 -101354 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 515160 0205
Project Description: HVAC - Converting to gas system in house, including gas line to new BBQ, dryer, fireplace and water
heater. Also, piping for future oven and stove
Owner
Applicant
Contractor
GILBERT PETERS
GILBERT PETERS
GIL 3ERT PETERS
29636 8TH AVE S
29636 8TH AVE S
29636 8TH AVE S
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
(253) 529-3433
Mechanical Valuation..........................................2550
Over the Counter Permit......................................Yes
Mechanical Fixtures
�' Description 2 Qtftfi
Z,a11tC
#Iqn Quant
d`e pl'cin
Fireplace Inserts 1
I BBQs 1
Hoods
Number of Gas Outlets 2
Gas Piping 100
PERMIT EXPIRES September 29, 2002, IF NO WORK IS STARTED.
Permit issued on April 2, 2002
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.
it 1 —1 r`
Owner or agent:pkh,]ALDate:
Mechanical rough -in:
—4%Gas pipe: %
FINAL MECHANICAL:
Date:
Date:41L5_1a--;F—
Date:
Q
�•� R CONSTRUCTION PERMIT APPLIC TION
RECEIVED
APPLICATION NUMBER:
APR U 2 2002 PPLICA-RON NUMBER:
wwYY PPLICA-HON NUMBER:
**Tt6Vb)1 virt � dAj&rmation — Please print (k ink) or type**
BUIL[DT1N
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS:�(� (> Ale ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
ROIECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING Y• PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
PROPERTYOWNER: Nal
CONTRACTOR:
S
APPLICANT:
MAILING ADDRESS (STREET ADORf5f; CITY, STATE,
STATE, ZIP):
r3a (o 3 (o`�`'�
DAYTIME PHONE:
M
NAME:
n
DAYTIME PHONE:
r
(
\ /
MAILING AD RESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE: I
l /
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
,,�
-DETAILED .INFORMATIONy Q 1
EXISTING USE: �W r TSV EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ l p I f
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? c ❑ YES NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
- ■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
SHOWER(S)
GAS PIPE OUTLET(S)
SINKS)
FIRST
SUMP(S)-
AIR HANDLING UNIT(S)
SECOND
REFRIG. SYSTEM(S)
BBQ(S)
THIRD
WOODSTOVE(S)
BOILER(S)
FOURTH
MISC. ( )
COMPRESSOR(S)
OTHER FLOORS (DESCRIBE)
DUCT(S)
DECK
❑ ELECTRIC ❑ GAS
GARAGE
HOW MANY FLOORS?
TOTAL -
BATHTUB(S)
LAVATORY(S)
Indicate number of each type of fixture
RAINWATER SYS.
DRINKING FOUNTAIN(S)
SHOWER(S)
GAS PIPE OUTLET(S)
SINKS)
MECHANICAL
SUMP(S)-
AIR HANDLING UNIT(S)
/
EVAPORATIVE COOLERS) " GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
FAN(S) HOOD(S)
WOODSTOVE(S)
BOILER(S)
FIREPLACE INSERTS) RANGE(S)
MISC. ( )
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S) HEAT SOURCE:
❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
DISHWASHERS)
RAINWATER SYS.
DRINKING FOUNTAIN(S)
SHOWER(S)
GAS PIPE OUTLET(S)
SINKS)
INTERCEPTORS)
SUMP(S)-
URINAL(S) WATER H TER(S)
VACUUM BREAKER(S) ❑ ELECTRIC GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC.'( )
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: Q OW4J DATE:
❑ PROPERTY OWNER A APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129
www, dtvoffederaiway.Com