02-102184City of Federal Way
Community Development Services Mechanical Permit #:02 —102184 — 00 — ME
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: JOHANNSEN
Project Address: 30203 8TH,S J�/ Parcel Number: 515200 0300
Project Description: MECH - Install new gas furnace, approx. 5' of gas piping and associated ductwork for existing residence.
Owner
Applicant
Contractor
Robert C Johannsen
AIRE PRO INC
AIRE PRO INC
30203 8TH AVE S
1112 S 344TH ST SUITE 303
1112 S 344TH ST SUITE 303
FEDERAL WAY WA 98003-3725
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
(253)942-7028
Mechanical Valuation..........................................4871
Over the Counter Permit......................................Yes
PERMIT EXPIRES November 20, 2002, IF NO WORK IS STARTED.
Permit issued on May 24, 2002
I hereby certify that the above Oo*ls correct and that the construction on the above described property and
the occupancy and the use willance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: SA �k
1*\ le C.-1 . �'t&a.` CD -Z— do-�- J
C11;0f G RECEIVED CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: �z - �c� 2 _( ��- pp
MAY 2 4 2002 APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICKRON NUMBER:
RR�� Il�gDJNG DEPT:
**— — — — — — — —
The folly Is required Information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
•i-&:KT1 1AFORshATIO�
SITE ADDRESS: _ 'Z`' ��!nit ASSESSOR'S TAX/PARCEL #: 57
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT• •
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING AMECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION ( rovide detailed description): Acr.:-qL,
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PROJECT NAME: � Y) �', -,,«.� �C S
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME:(--6
PHONE:
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MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
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NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
2 3 ,
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
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(ZS -3)
CONTRACTOR'S REGISTRATION NUMBER:
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EXPIRATION DATE
(copy Of Wf'G rCgUlfEd) to i
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ray.
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NAME: btY2DAYTIME PHONE:
MAILING ADDRESS (STRE ADDRESS; CITY, STATE, ZIP): EVENING PHONE -
-
RELATIONSHIP TO PROJECT' FAX NUMBER:
❑ ARCHITECT ❑ TENANT ER ( DESCRIBE):
�, f E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 11 PROPERTY OWNER 11 APPLICANT `tiQ CONTRACTOR
• • • • • /<
CONTRACTOR
USE:
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
PROPOSED VALUATION FOR IMPROVEMENTS:
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
11 LAKEHAVEN 11 HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PR03ECT FLOOR AREAS I
FLOOR
EXISTING SQ. FT.
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 ®U F
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)
DUCT(S) -5-1 GA 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) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTOR(S) SUMP(S)
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 harm) City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of u a' ), which may be made by any person, including the undersigned, and filed against the City of
Federal Way, but only wher s m arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information supplied a as a part of this application. /
NAME/TITLE: Cko'gQ� DATE:
❑ PROPERTY OWNER ❑ APPLICANT /CONTRACTOR
COMMUNITY DEVELomuf r SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718. 253-661-4000 • FAX: 2534661-4129
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