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04-100028ft City 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: HAWKINS Project Address: 31618 13TH 1% AV & S Project Description: Replace existing gas furnace. Mechanical Permit #:04 - 100028 - 00 - ME Inspection request line: 253.835.3050 Parcel Number: 858800 0595 Owner Applicant Contractor Charles D Hawkins BRENNAN HEATING CO INC BRENNAN HEATING CO INC 31618 13TH AVE S 4601 S 134TH PL 4601 S 134TH PL FEDERAL WAY WA TUKWILA WA 98168 TUKWILA WA 98168 98003-5328 (206)248-7900 Mechanical Valuation..........................................1685 Over the Counter Permit...................................... Yes Mechanical Fixtures Description Quantity - Description Quantity F- Description Quantity fFurnaces PERMIT EXPIRES July 3, 2004. Permit issued on January 5, 2004 I hereby certify that the above information is correct and that the constructionon 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: See Application Date: — `0 3 NV CONSTRUCTION PERMIT APPLICATION CITY OF AL 'N" �APPLICATION NUMBER: Federal Way APPLICATION NUMBER: PPLICATION NUMBEfOt MM 1iv nF�'F rG�'aIT.ART-- �'T **The following is required information — Please print (in ink) or type** JAN Q 5 RECT Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. PROPERTY INFORMATION SITE ADDRESS:y, Vit C% « �U 0 ASSESSOR'S TAX/PARCEL #: O g © 0 - 0 5 Cl LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PROJECT• • TYPE OF PROJECT (This application): o BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): E0 W 80-15 E -PLA PROJECT NAME: -kAwkU KAG PROJECT• • PROPERTY OWNER: CONTRACTOR: APPLICANT: CONTACT PERSON F EXISTING USE: NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): 3 t eo t 3-a� Av F jk) 9'iOD3 NAME: "b2t l-LA`S' i l� DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): a Icc,J+tom- EVENING PHONE: CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTORS REGISTRATION NUMBER: Q L_ �j /1 T'7 9-� + ' /� (copy of card required) 13 ' `6 R. O C - L ` Q C - EXPIRATION DATE: 03/01 / NAME: '�R.E�A� R DAYTIME PHONE: (am) a -�� MAILING ADDRESS (STREET ADDRESS; CITY, STATE, IP):•'j� L I� EVENING PHONE: RELATIONSHIP TO PROJECT: ❑ ARCHITECT o TENANT ❑ OTHER ( DESCRIBE): FAX NUMBER: ( ) ;OR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT�CONTRACTOR E-MAIL ADDRESS: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ OD PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE o PRIVATE (SEPTIC) "NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: ■ PR03ECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT BUILDING SHELL ONLY? 0 YES ❑ NO COMP PLAN DESIGNATION AIR HANDLING UNIT(S) FIRST GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) SECOND HOOD(S) WOODSTOVE(S) BOILER(S)INSERT(S) THIRD RANGE(S) MISC. ( ) COMPRESSOR(S) FOURTH --'E OTHER FLOORS (DESCRIBE) HEAT SOURCE: ❑ELECTRIC ❑GAS DECK BATHTUB(S) GARAGE HOW MANY FLOORS? URINAL(S) WATER HEATER(S) DISHWASHERS) TOTAL: VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAINS) ■ 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 §.applied to the city as a p94 of this application. a Rmy.9jon arn maqw. w wdsim-mm, ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR o'NEW ❑ ADDITION o'ALTERATION Indicate number of each type of fixture CENSUS CODE; LOT SIZE: MECHANICAL BUILDING SHELL ONLY? 0 YES ❑ NO COMP PLAN DESIGNATION AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S)INSERT(S) INSERTS) RANGE(S) MISC. ( ) COMPRESSOR(S) S EDUCTS) --'E OUTLETS) HEAT SOURCE: ❑ELECTRIC ❑GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHERS) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) 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 §.applied to the city as a p94 of this application. a Rmy.9jon arn maqw. w wdsim-mm, ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR o'NEW ❑ ADDITION o'ALTERATION o REPAIR o TENANT IMPROVEMENT ' CENSUS CODE; LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑'NO SECTIONTOWNSHIP RANGE NEW ADDRESS 'REQUIRED? o YES -o No PLATTED LOT? ❑ YES 0 NO CHANGE OF USE? 0' YES ❑ NO COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129 WWW.CitV0ffgd1g1IW .1qm