02-1027274
t
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BLACKFORD
Project Address: 2313 SW 323RD ST
Mechanical
Permit #: 02 -102727 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 873180 1110
Project Description: MECH - Gas furnace changeout in existing residence (unit installed previously).
Owner
Applicant
Contractor
JULIE A & SCOTT BLACKFORD
JULIE A & SCOTT BLACKFORD
JULIE A & SCOTT BLACKFORD
2313 SW 323RD ST
2313 SW 323RD ST
2313 SW 323RD ST
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA
98023
98023
98023
Mechanical Valuation............................................1500
Is this an Online or O.T.C. application?.................Yes
Furnaces ........................................ 1
PERMIT EXPIRES Wednesday, December 25, 2002
Permit Issued on Friday, June 28, 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: Date: s , 3 —,-62 5
e
RECEIVED CONSTRUCTION PERMIT APPLICATION
uV Fn�-JUN 2 g 1 U U PPLICATION NUMBER: Z 7 Z �_ -
APPLICATION NUMBER:
CITYOFFEDERALWAY APPLICATION.NUMBER: _.
*--Ay'R0 '0N1�nVTS equired information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: _'731-3 SU S iZC7 T ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT Pi&ERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):�-
CONTRACTOR:
APPLICANT:
NAME:
DAYTIME
UJ ✓l CI
PHONE:
1
MAILING ADDRESS (STREET ADDRESS; CRY, STATE, ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
PIRATION DATE:
(copy of card required)
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CRY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( -
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
PROPOSED VALUATION FOR IMPROVEMENTS:
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ 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
re
MECHANICAL 16C� C>v
AIR HANDLING UNITS) 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: ❑ ELECTRIC ❑ GAS
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) SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
•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 whereyuch din arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the informatiplied'to ty as a part of this application.
DATE:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
6- Z�-vZ
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063.9718.253-661-4Ooo • FAX: 2S3-661-4129
www.CRvorfederalway.00m