02-102759k
A City of Federal Way
Conmiunity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:02 - 102759 - 00 - ME
Inspection request line: 253.835.3050
Project Name: PARMENTER
Project Address: 537 SW 293RD jt Parcel Number: 119600 1690
Project Description: MECH - Installing gas furnce and HWT & gas piping to range and dryer.
Owner
Applicant
Contractor
Gualtiero Rudella
BRENNAN HEATING CO INC
BRENNAN HEATING CO INC
526 1 ST AVE S #516
4601 S 134TH PL
4601 S 134TH PL
SEATTLE WA
TUKWILA WA 98168
TUKWILA WA 98168
98104-2863
(206)248-7900
Mechanical Valuation..........................................3968 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
[_ „Qeserpt�on�.......E ._:w ..scr'Iptton s_Quanti
FFurn ces 1 Number of Gas Outlets 2
PERMIT EXPIRES December 28, 2002, IF NO WORK IS STARTED.
Permit issued on July 1, 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. See Application
Owner or agent: Date: Q
,�
• - RECEIVED BY i J ` er
,►, gyp COMMUM7YDFVF10PVFNT77PARTMErIT CONSTRUCTION PERMIT APPLICATION
JUL 0 12002 APPLICATION NUMBER: Q 2. -
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.
-11
ROPERTY INFORMATION
SITE ADDRESS: I 03(s) ar, v 1 ASSESSOR'S TAX/PARCEL #: ` l (0 O
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT• •
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL o DEMOLITION
❑ ELECTRICAL` ❑ ENGINEERING ❑ FIRE
t PREVENTION SYSTEM/I
PROJECT DESCRIPTION (Provide detailed description): iM'�; I A i,�1k ��f C` / !L t:-04 1A' Cr ALI
kw( ( + CCAS Pt PI him f fi-4 o -w'`rcy--
PROJECT NAME: �� I�I`�t--ISL l �:1`PEOPLE INFORMATION
—
PROPERTY OWNER:
CONTRACTOR:
NAME: �
DAYTIME PHONE:
_0 { 17
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
MAILING ADDRESS(STREET ADDRESS; CITY, STATE, ZIP):
�o1 L-A
EVENING PHONE:
NAME:
-6P-ClMfA1l REAT WGr,
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
b4► S f3�TN -FL, i ukc��CA (JA 018169
EVENING PHONE:
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
— — •— — — — — — — —
FAX NUMBER:
(c U
CONTRACTORS REGISTRATION NUMBER: •,' j / �i _
(copy of card required) I
EXPIRATION DATE:
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $_ ME D D
APPLICANT:
NAME: _r
`a+(cC��►�S N l t
DAYTIME PHONE:
ice) a��
-'7ct >
MAILING ADDRESS(STREET ADDRESS; CITY, STATE, ZIP):
�o1 L-A
EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: r� n
❑ ARCHITECT o TENANT OTHER ( DESCRIBE): �ul�� c� l�
FAX NUMBER:
( ,) r��%-
��2 C)
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $_ ME D D
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: ❑ LAKEHAVEN O HIGHLINE o PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
•
r
1 NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE: $
■ PROHCT?FLOOR AREAS
BASEMENT FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
FIRST
FIXTURES
Indicate number of each type of fixture
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
SECOND
CHANGE OF USE? ❑ YES ❑ NO
AIR HANDLING
THIRD
UNIT(S)
FOURTH
GAS LOG(S)
REFRIG. SYSTEM(S)
BOILERS)
(S)
OTHER FLOORS (DESCRIBE)
HOOD(S)
RANGE(S)
WOODSTOVE(S
f MISC.
COMPRESSOR(S)
DECK
DUCT(S)
GARAGE
HOW MANY FLOORS?
HEAT SOURCE:
❑ ELECTRIC GAS
TOTAL:
BATHTUB(S)
DRINKING SHOWER(S)
FOUNTAIN(S) WASH MACHINEOUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTOR(S) SUMP(S)
DISCLAIMER/SIGNATURE BLOCK
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^pplied to the city as a.,part of this application.
NAMEITITLE:
. ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFTCF 115F nN1 v
DATE: (' /"�
❑ NEW ❑ ADDITION ❑ ALTERATION
CENSUS CODE:
❑ REPAIR ❑ TENANT IMPROVEMENT
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
FIXTURES
Indicate number of each type of fixture
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
MECHANICAL
CHANGE OF USE? ❑ YES ❑ NO
AIR HANDLING
EVAPORATIVE
UNIT(S)
COOLER(S)
GAS LOG(S)
REFRIG. SYSTEM(S)
BOILERS)
(S)
FAN(S)
FIREPLACE INSERTS)
HOOD(S)
RANGE(S)
WOODSTOVE(S
f MISC.
COMPRESSOR(S)
I FURNACE(S)
DUCT(S)
`�_ GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINALS)
WATER HEATER(S)
DISHWASHERS)
SYS. RAIN WATER
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING SHOWER(S)
FOUNTAIN(S) WASH MACHINEOUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTOR(S) SUMP(S)
DISCLAIMER/SIGNATURE BLOCK
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^pplied to the city as a.,part of this application.
NAMEITITLE:
. ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFTCF 115F nN1 v
DATE: (' /"�
❑ NEW ❑ ADDITION ❑ ALTERATION
CENSUS CODE:
❑ REPAIR ❑ TENANT IMPROVEMENT
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? 0 YES 0 NO
CHANGE OF USE? ❑ YES ❑ NO