02-102475City 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: BELMOR MOBILE HOME PARK
Mechanical Permit #:02 - 102475 - 00 - ME
Inspection request line: 253.835.3050
Project Address: 2101 S 324TH 5r Parcel Number: 162104 9037
Project Description: MEC - Add gas piping for existing boilers. Change out furnace and hot water heater.
Owner
Applicant
Contractor
STEPHEN HYNES
SEATTLE SHEET MTUHTNG INC
SEATTLE SHEET MTUHTNG INC
1571 BELLEVUE AVE #210
10032 - 16TH AVE SW
10032 - 16TH AVE SW
W. VANCOUVER BC V7V IA6
SEATTLE WA 98146
SEATTLE WA 98146
(206) 464-9517
Mechanical Valuation..........................................5000 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
E
Furnaces Gas Piping 50
PERMIT EXPIRES December 10, 2002, IF NO WORK IS STARTED.
Permit issued on June 13, 2002
1 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. 2
Owner or agent: Cpp S >nnUration Date: ,/ D
G_ CONSTRUCTION PERMIT APPLICATION
VV FfYLRECEIVED APPLICATION NUMBER: ( - Q -
APPLICATION NUMBER: - -
j U N 1 3 2002 APPLICATION NUMBER:
**TheCITY OFgFEDEcwAL WAfc�rmation -Please print (in ink) or type**
Please note: Electrical, Fire ft*bft8 9FsKns and Engineering permits may require a separate application.
PROPERTY •. •
SITE ADDRESS: , `\ (1 ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT• •
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERIN FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT •moi`..'
'` ' ■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET D , STATE, P
�1r, s() 32'tq )'- 20
NAME:
!
I r
DAYTIME PHONE:
) -
MAILING ADDRESS ( A DRES/Sj•_ CITY, STATE, ZIP):
PHONE:
(EVENING
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
1 (copy of card required)
APPLICANT: NAME: DAYTIME PHONE:
MAILING ADDRESS ( ; CITY, STATE, ZIP): (EVENING PHONE:
l ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILED 13UILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 11 LAKEHAVEN 11 HIGHLINE 11 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS I
FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT _
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE) & HEATING, INC.
Licensed Contractor #SE-AT-TSM282NA
DECK Gas - Oil - Electric Furnaces. & Heat Pwnps
Licensed Free Estimates Bonded
GARAGE Ask for: OH: 7614061
HOW MANY FLOORS? 809 Fax: 763-6476
TOTAL: I
I
I
I
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)
WOODSTOVEQS)
BOILERS)
FIREPLACE INSERT(S)
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC XGA$
1-k , i
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HATER(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. ( )
INTERCEPTORS)
SUMP(S)
'ITSCLATMER/SIGNATURE BLC
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 filed against the City of
Federal Way, but only where such daim 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:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DATE:
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718. 253-661-400o • FAX: 253-661-4129
www.citvoffederalway.com