02-100483t
City of Federal Way
Community Development Services /Mechanlcal
1st Way S
Feder Y
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: BONUS
Project Address: 1140 S 313TH 5t
Project Description: MECH - Changeout of existing gas furnace
Permit #:02 - 100483 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 787540 0065
Owner
Applicant
Contractor
Bradley E Bonus
THURMAN'S HEATING & AIR, LLC.
THURMAN'S HEATING & AIR, LLC.
1140 S 313TH ST
THURMAN'S HEATING & AIR, LLC.
THURMAN'S HEATING & AIR, LLC.
FEDERAL WAY WA
21221 A MOUNTAIN HWY
21221 A MOUNTAIN HWY
MSCI$gi�,31gYaluation..........................................750
SPANAWAYWA 98387 Over the Counter Permit...(
-253)-975=0094......••• Yes
Mechanical Fixtures
Description." =: ` Quanti Description . h Quantit Description Quantit
Furnaces
PERMIT EXPIRES July 30, 2002, IF NO WORK IS STARTED.
Permit issued on January 31, 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 will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent:/-2�C/� s Date: — �'—
my
CA CONSTRUCTION PERMIT APPLION
VVyAPPLICATION NUMBER:
APPLICATION NUMBER:
PPLICATIOWNUMBER:—
**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: w' io C, • 13 ASSESSOR'S TAX/PARCEL #: '� 5-Y Ci _
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING X MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT NAME
PROPERTY OWNER:
CONTRACTOR:
=`;PEOPLE INF
rORMATION
E.
DAYTIME Pt10NE:
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MAILING ADDRESS (STREET ADDRESS; CITY, STATEZIP):
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DAYIIMC PHONE:
(1)53 ) &3-5
- 00
MAILING ADDRESS (STREET ADDRESS; CITY, STA ZIP):
EVENING Pf10NE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMB :
C)1
08L
FAX NUMBER:
(a53 )DCI&
CONTRACTOR'S REGISTRATION NUMBER:
(copy of card required) T
k� � � V� }� r� L� �t � 3 t t
EXPIRATION DATE:
% / 31
/ (�
APPLICANT: NAME:
�1iLYActq<'p�C i- i L -LC--
MAILING ADDRESS (STREET ADDRESS; CITY, TE, ZIP):
RELATIONSHIP TO PROJECT: T—
❑ ARCHITECT ❑ TENANT OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: � PROPERTY OWNER ❑ APPLICANT FA CONTRACTOR
EXIST-ING USE:
PROPOSED USE:
DAYTIME PHONE:
EVENING PHONE:
FAX NUMBER:
(05 3) �i%
E-MAIL ADDRESS:
:.Ly,DETAILED BUILDING INFORMATION...
7. 777-
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
SPRINKLERED BUILDING? ❑ YES ❑ NO
PROPOSED VALUATION FOR IMPROVEMENTS: $ 75-0
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
' ■ PR03ECT FLOOR AREAS
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
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. ( )
OOMPRESSOR(S) _ FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC KGAS
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. ( )
INTERCEPTORS) SUMP(S)
fiSCL�iMER/SiGN�Tl1RE HLC
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 as a part of this application.
NAME/TITLE: 1,16 d' DATE: hob_
❑ PROPERTY OWNER APPLICANT ,CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 -FEDERAL WAY, WA 98063-9718 - 253-661-4000 -FAX: 253-661-4129