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02-102697City 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: CORTNER Mechanical Permit #:02 - 102697 - 00 - ME Inspection request line: 253.835.3050 Project Address: 1533 SW 327TH] I Parcel Number: 010453 0420 Project Description: MECH - Replace existing gas furnace (75,000 BTU) and replace existing air conditioner (3 ton). Owner Applicant Contractor Margaret W Cortner VALLEY FURNACE INC VALLEY FURNACE INC 1533 SW 327TH ST PO BOX 507 PO BOX 507 FEDERAL WAY WA 98023-6407 PUYALLUP WA 98371 PUYALLUP WA 98371 (253) 848-3517 Mechanical Valuation..........................................4309 Over the Counter Permit ...................................... Yes Mechanical Fixtures .�_d IICS�1 kQ n IF -1 14Ct,%YEl 1 " Air 1-landlin—units �L I Furnaces 1 PERMIT EXPIRES December 24, 2002, IF NO WORK IS STARTED. Permit issued on June 27, 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: IJ C"\' •' S Date: 1, , w ,--tCC q �'of <— CONSTRUCTION PERMIT APPLICATION PPLICATION NUMBER: ©OZ- 1 D oZ 6 G" APPLICATION 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.- PROPERTY• • SITE ADDRESS: /533 Sb J 30-7`-A 5T ASSESSOR'S TAX/PARCEL #: LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): •lb TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): -� x s �1►ti C; A S e �? S, Co 4��(�� Fj r QA cyc s 0. t r L 3 -kms. PROJECT NAME: CPUC PEOPLE•• • PROPERTY OWNER: NAME: DAYTIME PHONE: 54/4 - 7S 9T' j MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): 15 3 3 5 Lx) 32.7 F e. 'f'j 3 CONTRACTOR: NAME: ( ��� J L�VVCtCA ZN t� DAYTIME PHONE: (asp) MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): 983-7 EVENING PHONE: (a5'J) S -LI? - 35/7 PO`-6oX 507 P caL WA CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: v C a o- ©o FAX NUMBER: (9S3) gyg - 57io - 1 o r$ CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) \1 Ig L L E F t (o I 2 APPLICANT• NAME: DAYTIME PHONE: V o- L V, C_ -3-5/7 MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑TENANT Cx OTHER ( DESCRIBE): �L � '� �' (aS3) S `i �i - 57/6 j E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR DETAILED BUILDING INFORMATION EXISTING USE: PROPOSED USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED VALUATION FOR IMPROVEMENTS: SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC) ❑ NO "NEW RESIDENTIAL NUMBER OF BEDROOMS: ONLY" f ESTIMATED SELLING PRICE: $ OOR EXISTING S . FT. PROPOSED S . FT. TOTAL ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO ff 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. ( ) COMPRESSOR(S) �FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: [I ELECTRIC ❑GAS PLUMBING BATHTUB(S) LAVATORY(S) URINALS) WATER HEATER(S) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUMP(S) DISCLAIMER/SIGNATUREBL• 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_tq the city as apart of this application. NAM E/TITLE: — %� �-� DATE: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR rc�rc c�rri�e vae vn�1: ElNEW ElADDITION ❑ ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT CENSUS CODE: 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? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129