02-100870City 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: WALLACE,��v
Project Address: 32820 22ND SW
Project Description: MECH - Install (1) pellet stove
Mechanical Permit #:02 -100870 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 894510 0190
Owner
Applicant
Contractor
W. H. WALLACE
W. H. WALLACE
NONE
32820 22ND AVE SW
32820 22ND AVE SW
FEDERAL WAY WA 98023-2802
FEDERAL WAY WA 98023-2802
Mechanical Valuation..........................................800
D' h0ti6n Quantity
Fireplace Inserts
I hereby certify that t06 above inforr
the occupancy and Xe use will be in
the City of Federa ay.
Owner or agent:
Over the Counter Permit......................................Yes
Mechanical Fixtures
EXPIRES August 26, 2002, IF NO WORK IS STARTED.
Permit issued on February 27, 2002
is correct and that the construction on the above described property and
�anc with the laws, rules and regulations of the State of Washington and
Date:
z-71,
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CRTM
uv FiY
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CONSTRUCTION PERMIT APPLICATI N
PPLICATION NUMBER: Q - -
PPLICATION NUMBER: - -
PPLICATION NUMBER: - -
**The following is required information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: .37- y 2'0 — Z 2 A AV Sr�AJASSESSOR'S TAX/ PARCEL #: !J l q519- 01 IV
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): UILDING ❑ PLUMBING ^ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT1 i
■ ' PEOPLE INFORMATION
PROPERTY OWNER: NAME:
was w
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
CONTRACTOR:
Cvz 3
NAME: f
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE: I
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
(copy of card required)
EXPIRATION DATE:
APPLICANT: NAME: _
W A- C A-C_C
MAILING ADDRESS (STREET DDRESS; CITY, STATE, ZIP):
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
DAYTIME PHONE:
( ) Sy�
EEVENING PHONE:
FAX NUMBER:
E-MAIL ADDRESS:
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 49•
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COAPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S)
FAN(S)
FIREPLACEINSERT(S)
FURNACE(S)
GAS PIPE OUTLET(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
GAS LOG(S) REFRIG. SYSTEM(S)
HOOD(S) WOODSTOVE(S)
RANGE(S) MI C. ( 2L )
'ry ✓
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( )
I certify d penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, that I am a zed by the owner of the above premises to perform the work for which the permit application is made. I
further agree to h d harm;such
City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation an defense o'm), which may be made by any person, including the undersigned, and filed against the City of
Federal Way, b t only wherlai out of the reliance of the city, induding its officers and employees, upon the accuracy
of the inform 'on s plied rtlof/this application. �J
E/TIT E: C/ DATE:
PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.citvoffederalway.com