02-100014City of Federal Way
Community Development Services Mechanical Permit #: 02 -100014 - 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
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Project Name: FUENTES q,J�
Project Address: 32207 23RD SW Parcel Number: 873180 0070
Project Description: MECH - Change out 125K BTU gas furnace
Owner
Applicant
Contractor
Rogelio C & Nathalie J Fuentes
UNITED AIR COMFORT
UNITED AIR COMFORT
32207 23RD AVE SW
UNITED AIR COMFORT
UNITED AIR COMFORT
FEDERAL WAY WA
875 INDUSTRY WAY
875 INDUSTRY WAY
98023-2504
TUKWILA WA 98188
(206) 575-9128
Mechanical Valuation..........................................2000 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description'�u �.��i� .�C'�' ;�"rr "Quantity
Furnaces I
PERMIT EXPIRES July 2, 2002, IF NO WORK IS STARTED.
Permit issued on January 3, 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 wffl be in accordance with the la , rules and regulations of the State of Washington and
the City of Federal Way.
Owner or age 177-7- Date:
JA's -02-02 11:34 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-051 P-01/02 F-444 RE C 0
rPP`L11CATI9N
CATION NUMBER: Q �-- D A i
CATION NUMBER• NUMSFR: - -
**The following is required information ^ Please print Cin ink) or type*w
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY.. .
SITE ADDRESS: 2 i= O 3 y 6- -e z- ASSESSOR S TAX/PARCEL. #: 3 •� &? .a Q D Z Q
LEGAL. DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ : PR07ECT INFORMATION
TYPE OF PROJECT (This application): 0 BUILDING ❑ PLUMBING k) MECHANICAL ❑ DEMOLITION
Q ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed destdption): _• — Q- a 'g P.., ! R 54 Vy o 6-r 9 � s k If 'A � �p
PROJECT NAME: �r LA A.1 T 3
INFORMATION
PROPERTY OWNFR:
Kelzi {•►L: ]KO
STATE,
32.201 2.,
(as3)-P7y - 9.z P9
NAMES y • �
DAYTIME PNONE.
f�J
MAILINGRESS ( ESS; CITY, STATE, LP);
t
EVENING PHONE:
oa� (A.
df%
F WAY BUSINESS LICUM NUM R:
FAX HUMBER:
- -
_ - - - -
CONIVACTORS REGISTRATION NL94KR:
WIRATION DATE;
V 9 z
-19 -!�'
'3/ 3
APPLICANT: NAS% DAYTIME PHONE:
MAIE LNG ADDRESS (STREET ADDRL55; QTY, STAB:, YIP): EVENING PHONC-:
(
REU TIONSMP TO PROTECT: FAX NUMBER:
❑ ARCHITl;CI ❑ TENANT Q OTHER( DESCRIBE):
E-MAIL ApDRi55:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER Q APPLICANT 0 CONTRACTOR
DETAILED WiLDINro IhFORMATION
EXISTING USE: SQA EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 2 G 0 ,
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKL.ERED BUILDING? Q YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEINER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
�M-02-02 11:34 FROM-NORTHWEST-CASSIMAR
t:14ENIRM13W YALCOPiSTRUCn(MOMLTT•
206-374-0834 T-051 P.02/02 F-444
OF BEDROOMS: ES t4ATED'SELLxNG
indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S)
EVAPORATIVE COOLERS)
GAS LOG(S)
HOOPS)
REFRIG. SYSTEM(S)
WOOQSTOVE(S)
66Q(S)
601LER(S)
FAN(5)
FIREPLACE INSERT(5)
RANGES)
MISC. ( ,
COMPRESSOR(S)
DUCT(s)
FURNACE(5)
GAS PIPE OUTLET($)
HEAT SOURCE:
Q ELECTRIC GAS
PLUMBING
eaTHTus(s) _ J
LAVATORY(S)
URINAL(S)
WATER HEATER($)
DISHWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING Fr}UNTAIN(S)
GAS PIPE OUTLET(S)
SHOWER(S)
SINKS)
WASH MACHINE OUTLET
WATER CLOSET(S)
MISC.
INTERCEPTOR(S)
SUMP(S)
'1TSCI.A1MFR/ST8NATURE $LC
I eeta(y under penalty of perjury that the information furnished by me Is true and correct to the best of my knowledge, anc
farther, that I am auth-3rized by the owner of the above premises to perform the work for which the permit application is made. I
further ague to hold harmless the City of Federal Way as to any daim (induding costs, expenses, and attorneys' fees tncuth cd to tlh<
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 11where such daim arises out of the reliance of the city, including Its officers and employees, upon the accuraq
of the information supplied to the city as a part of this application.
KAME/TITLE;
0 PROPERTY OWNER
0 APPLICANT AZ CONTRACTOR
DATE: `-t z I "e—
OoMMUNnY D&(L3Pt eKr SOMCPS • 33S30 FIRST WAY SOunl • P.O. SOK 9718 - FeXA& WAY, WA SOW3,9718 0 253-661-4000 • FAX: 253-61-4129