03-101842r t
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: PACKARD Lr
Project Address: 30020 2NDIS
Project Description: Replacing A/C and gas water heater
Mechanical Permit #:03 -101842 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 891420 0140
Owner
Applicant
Contractor
John M Packard & Lorna J Packard
ADVANCED FILTER SERVICE INC
ADVANCED FILTER SERVICE INC
30020 2ND CT S
418 VALLEY AVE NW UNIT B115
418 VALLEY AVE NW UNIT B115
FEDERAL WAY WA
PUYALLUP WA 98371
PUYALLUP WA 98371
98003-4302
1 (253) 770-2440
PERMIT EXPIRES November 15, 2003.
Permit issued on May 19, 2003
I hereby certify that the above informatio is correct and that the construction on the above described property and
the occupancy and the use will be ' ac . ance wi the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date:
G - c - G3 r7,1" .A �11-10t�a4
u
Thursday, May 08, 2003 10:36 AM Melissa Croda 13609452158
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p.02
CONSTRUCTION PERMIT APP IC TION
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0 Ay � (APPLICATION NUMBER: �� - / Com. _ ���'
F �E�ERp1.WAY APPLICATION NUMBER:
gu1LO NG DEQ 'APPLICATION 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.
PROPE INFORMATION
SITE ADDRESS: 30020 2ND COURT SOUTH, FEDERAL V ASSESSOR'S TAX/PARCEL #: 8 9 1 4 2 0_ 0 1 4 0
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATT:4CH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): I UD_DING PLUMBING MECHANICAL --''DEMOLITION
LE.TRICAL ENGINEERING t.Tfffff PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): REP[ ACE A/C R WATER HEATER I eV`LVOt FAGS Ft�t°'fiRIC A+ -
Wt
PROJECT NAME: ; I `,IL
PEOPLE •. •
............................--.
PROPERTY OWNER: NAME;;rrr•IE
PACKARD
PHONE
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i—lA. .7(:: .,r..urrss fSfkrET nDORESS; CITY, STATE, ZIP):
30020 2ND COURT SOUTH, FEDERAL_ WAY WA 98003
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CONTRACTOR: 1rArSE:
ADVANCED FILTER & MECHANICAL
(253 ) 770
- 2440
i PSA'-ING ADDRESS (ST!tEr: f ADf!Rf•55; :;CY, III E, i1P)•-.........._..
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C E E�JIG. I+vrrE
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418 VALLEY AVE N1V, PUYALLUP WA 98371
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IOR-S F.Fl1Sl'Ri1TIpN NUPIIieR: ---- ----EXPIRATION
DATE:
(� p.r,or ,,. ,.q A D V A N F M 0 4 4 R D
-._..._.. .._.... ..... .. ............. ,_ .
j 02 / 16
/ 05
APPLICANT: ,.Mr_ ---- — --...._.._ . ....................-.....—_.._—
ADVANCED FILTER & MECHANICAL
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DnYTrrn, iw
-.---------:
...-.APPLICANT:
_...._.... _ ..---•----
(253 ) 770
2440
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r�+n.ur;e ADDRESS isrreer ADDRESS; : 11'r, ,rare, =:P1: ..................... _!
r-�.r,m ranr,E
418 VALLEY AVE NW, PUYALLUP WA 98371
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ARCHITECT TENANT i i OTHER ( DESCRIBE):
EPtnII. ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ;::; PROPERTY OWNER ! APPLICANT CONTRACTOR
i........................_.._..._...._..._....._..---._-.....__.__.....--
--- ----
• = • BUILDING INFORMATION
EXISTING USE: __...................................... _-___-_ - T._ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: — PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ;.:i YES 1 NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: YES
; NO
WATER SERVICE PROVIDER: ::i LAKEHAVEN _ HIGHLINE TACOMA :: PRIVATE (WELL)
SEWER SERVICE PROVIDER: LAKEHAVEN r: HIGHLINE ;:? PRIVATE (SEPTIC)
Thursday, May 08, 2003 10:36 AM
**NEW RESIDENTIAL CONSTRUCTION ONLY"
Melissa Croda 13609452158 p.03
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
PR03ECT FLOOR AREAS
i
FLOOR EXIS ING SQ. FT. '_.._. F_- — PROPOSED SQ _FT _ T TOTAL
_... ..._ -..... .
BASEMENT
GARAGE
HOW MANY
TOTAL:
FIXTURESI
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC. ( )
1
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ELECTRIC r GAS
PLUMBING
_—,
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) — RAIN WATER SYS. VACUUM BREAKER(S) ELECTRIC GAS
_ DRINKING FOUNTAIN(S) SHOWER(S) _ WASH MACHINE OUTLET
-"—_ GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) _ MISC.
INTERCEPTORS) SUhtiP(S)
'ISCLAIMER/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 supplied to the city as a part f�tiis application.
NAME/TITLE: r'i'L_ DATE: 05/09/03
PROPERTY OWER i:i APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
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NEW ADDITION ALTERATION REPAIR TENANT IMPROVEMENT
I
CENSUS CODE: _ _. _ . . .
LOT SIZE_:
ZONING DESIGNATION: BUILDING SHELL ONLY? YES :i NO
COMP PLAN DESIGNATION BASIC PLAN? -j YES NO
SECTION TOWNSHIP RANGE I NEW ADDRESS- REQUIRED? _ _ YES NO
PLATTED LOT? L:1 YES L:; NO CHANGE OF USE? YES NO
C F1hIUNLTY DEJ'ELOPADNT SEF ViCIS • :3530 F!IR r WkY SOUFII • PO BOX 9718 • FLD-l"kAL 1,AY, ?VA 98063-97:8 • 203-66;-40001 • --AX: 2,53-666-4':29