02-100304City 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: MCDOUGALL
Project Address: 2711 SW 322ND P
Mechanical Permit #:02 -100304 - 00 - ME
Project Description: MEC - Change out furnace - gas to gas
Inspection request line: 253.835.3050
Parcel Number: 873190 0220
Owner
Applicant
Contractor
Donald & Patricia MacDougall
NORTHWEST PERMIT
WASHINGTON ENERGY SERVICES CO
2711 SW 322ND PL
2320 1ST AVE SUITE 250
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98121
SEATTLE WA 98199
98023-2257
(206) 282-4700
Mechanical Valuation..........................................2000 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
-Description Quanti
Furnaces
PERMIT EXPIRES July 24, 2002, IF NO WORK IS STARTED.
Permit issued on January 25, 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 vyill be in accordance with t e laws, rules and regulations of the State of Washington and
the City of Federal) /
i
I,*,- "I -Owner or ag t: dl /��� % Date: � �� �� _
CONSTRUCTION PERMIT APPLICATION
FF)",EMO�:L PPLICATION NUMBER: .0- _
APPLICATION NUMBER:
APPLICATION 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.
PROPERTY
• . .. .
SITE ADDRESS: ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPAXTE DESCRIPTION IF LENGTHY):
R03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING .MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
PROPERTYOWNER: NAME:
1�J ick
MAILING ADDRESS (STREET AC
CONTRACTOR:
(a53)
ED
NAME:DAYTIME
W��
PHONE:
mow &S -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
by
(-- t W a P a 9 Oz�
CITY OF FEDERAL WAY BUSINESS LICENSE NU R:
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:EXPIRATION
�t� �s9gD0
DATE:
/ «/oma
APPLICANT: NAME:d--Da, V `a 1 � d LU DAYTIME PHONE: -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EE/VENING PHONE:
l )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT MCONTRACTOR
INFORMATION
EXISTING USE: SQQi�: F eAYYI1'1 U EXISTING BUILDING ASSESSED/APPRAISED VALUATION oZ �•
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: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
RESIDENTIAL CONSTRUCTION ONLY**
muMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
FLOOR
EXISTING SQ. FT.
PROPOSED S2. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S)HEAT SOURCE: ❑ ELECTRIC ,GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HEATER(S)
ElELECTRIC ❑ GAS
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 claim (including costs, expenses, and attorneys' fees incurred in the
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 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;f; Opart of this application.
DATE: l —a I -7',,�a
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOK 9718 • FEDERAL. WAY, WA 98063-9718 • 253.661-4000 • FAX: 253-961-4129