02-103476rCity of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:02 - 103476 - 00 - ME
I
Inspection request line: 253.835.3050
Project Name: SINGH VK 'J
Project Address: 28822 18TH�S Parcel Number: 546280 0010
Project Description: MECH - Gas pipe of stove & dryer with stub for future water heater
Owner
Applicant
Contractor
JAGDEEP SINGH
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
28822 18TH AVE S
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA 98003
AUBURN WA 98002
AUBURN WA 98002
(253)931-0610
Mechanical Valuation..........................................551.47
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
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Decrt ; tiort4Y
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Gas Pipm- -- - 3
PERMIT EXPIRES February 10, 2003, IF NO WORK IS STARTED.
Permit issued on August 14, 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 W y.
Sql—
Owner or agent: Date: O ¢ Z-
1
.�EnFa �L RECEIVED CONSTRUCTION PERMIT APPLICATION
VV �Y AUG 1 4 2002 PPLICATION NUMBER: (2Z -Q$ '7 -
APPLICATION NUMBER:
CITY OF FEDERAL WAY APPLICATION NUMBER:
BU&PING DEPT. - - - -
**The o owing 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:W'90' Icr-s' (a Ue- !YD -2'S3 ASSESSOR'S TAX/PARCEL #: ��t Q - 0 r v
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT• •
TYPE OF PROJECT (This application): ❑ BUILDING DIciLUMBINGECHANICAL C1 RE
ElELECTRICALS ❑ ENGINEERINGL1 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECTL
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
DAYTIME PHONE:
GZ�27fP S/• -)G -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
o� — 1 W" A-V r <::�n Sr i I
NAME:
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DAYTIME PHONE:
(AS) q -
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MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
- 1 n5�58 00
g E
(as3)gov - FAX NUMBER:
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CONTRACTOR'S REGISTRATION NUMBER:
(copy of Card required)
y]_, 1 IC}
k T�_ W�,
EXP RATION DATE:
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NAME: DAYTIME PHONE:
Go l9 f-f2Ti�G C (1 sz )9 I
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
3f3 � y /0
RELATIONSHIP TO PROJECT: FAX NUMBER: , I /
1:1 ARCHITECT ❑ TENANT OTHER ( DESCRIBE): (°0AJWf4C (19153 gb`f
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
EXISTING USE:
PROPOSED USE:
■ DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $ •" 7 T
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED. ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
1.
r
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
SHOWER(S)
GAS PIPE OUTLET(S)
SINK(S)
FIRST
SUMP(S)
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
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. SYSTEMS)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCTS)_ GAS PIPE OUTLET(S) HEAT SOURCE: Cl ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
DISHWASHERS)
RAIN WATER SYS.
DRINKING FOUNTAINS)
SHOWER(S)
GAS PIPE OUTLET(S)
SINK(S)
INTERCEPTOR(S)
SUMP(S)
URINALS) WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( )
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: — Wt - DATE: I�
❑ PROPERTY OWNER ./LS�APPLICA T CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ 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
(-(IMMI iNiTv nFVF1 OPMENT SERVICES - 33530 FIRST WAY SOUTH - P.O. BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 753-661-4129