02-101649e
City 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: RUDOLPH adv
Project Address: 29007 18TH�S
Mechanical Permit #:02 -101(49 - 00 - ME
Project Description: MECH - Changeout gas furnace in existing residence.
Inspection request line: 253.835.3050
Parcel Number: 546280 0081
Owner
Applicant
Contractor
Larry Rudolph
ALL STAR HEATING & APPLIANCES
ALL STAR HEATING & APPLIANCES
29007 18TH AVE S
PO BOX 1923
PO BOX 1923
FEDERAL WAY WA 98003
GIG HARBOR WA 98335
GIG HARBOR WA 98335
(253) 853-2088
Mechanical Valuation..........................................700 Over the Counter Permit ...................................... Yes
1
Mechanical Fixtures
Desri�_I¢lrM�xm Eiaritl
Furnaces 1
PERMIT EXPIRES October 16, 2002, IF NO WORK IS STARTED.
Permit issued on April 19, 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 Fe;K7:�:'�
Owner or Date: - f 9 — d Z --
_FeerFee r dA,1S.
dNS
•°� �_ CONSTRUCTION PERMIT APPLICATION
VV F{Y RECEIVED APPLICATION NUMBER:
APPLICATION NUMBER:
APR 19 2002 APPLICATION NUMBER:
**W tgsnpr� wlvj&formatiod — Please print (hi ink) or type** -
Please note: Electrical, Flf ��1W tt-CCMu iiQ9?T9tems and Engineering permits may require a separate application.
SITE ADDRESS: l/ / O O 7 ,Q SO . ASSESSOR'S TAX/PARCEL
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING 4!T_f4ECHANI ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): E x- C 1 C1 » 9 f -,,4-- a rr—>7 a (✓i
PROJECT NAME:
PROPERTY OWNER: NAME
CONTRACTOR:
APPLICANT:
CONTACT PERSON
vt �G L
MAILING ADDRESS (STREET ADDRESS' CITY, STATE, ZIP):
Go 7 / ;' T' fie,, So .
NAME:
DAYTIME PHONE:
MAI GESS%Ec" ADDRESS; CITY, '7-- ZIP):
STAT
1
EVENING
`�'S3P)00 c� � -7,0
O U
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
P -O
- GR-
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
(COPY 0(cafd required) Al
L S t R G 1 J k
EXPIRATION DATE:
G / v"1 (/ZOo
3
DAYTIME PHONE:
MAILING ADORES REEF -r ADDRESS; CITY, ST�rATE, ZIP :
EVENING PHONE:
y
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT ElOTHER( DESCRIBE): �Y
FAX NUMBER:
O_A_l r22_
E-MAIL ADDRESS:
OR THIS PROJECT: ❑ PROPERTY OWNER
❑ APPLICANT ❑ CONTRACTOR
ji_1 ' DETAILED BUILDING INFORMATION
EXISTING USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: 7d D , 00
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW "DEN IAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PR07Ea FLOOR AREAS
FLOOR
EXISTING SQ. Fr.
PROPOSED SQ. FT.
TOTAL
BASEMENT'
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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) FIREPLACE INSERTS) RANGE(S) MISC. )
COMPRESSOR(S) FURNACE(S)
DUCTS) 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 OUTLET(S) SINKS) WATER CLOSET(S) MISC. (
INTERCEPTORS) SUMP(S)
]iSCLATMFR/STGNATURE SLC
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 daim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such daim), which may be made by any person, including the undersigned, and fried 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 p , of th, application.
NAME/ �-�^' !'��"" DATE: I '
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253661-4129
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