03-102424lt '
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: HEADY f\
Project Address: 31823 32ND SW Unit56
Project Description: Gas furnace chanSeout.
Mechanical Permit #:03 -102424 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 698000 0560
Owner
Applicant
Contractor
Carole Heady
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
PO BOX 24176
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA 98093-1176
AUBURN WA 98002
AUBURN WA 98002
(253) 931-0610
Mechanical Valuation..........................................2600
Over the Counter Permit......................................Yes
PERMIT EXPIRES December 9, 2003.
Permit issued on June 12, 2003
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 ac ordance with the laws, rules and regulations of the State of Washington and
the City of Federal W
Owner or agent: Date: �Z D
P4e C> � , T" 0,- &- �� (5) 4D 3 <�-, C-�
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�nRECEIVED CONSTRUCTION PERMIT APPLIC TION
FAY PPLICATION NUMBER:
JUN 2 ZOOS APPLICATION NUMBER: _ — - — — — — — — - — —
PPLICATION NUMBER:
(+rffWQ (%1i5 Yt Ylred information — Please print (in ink) or type**
Please note: Electricalu
�DII�G DEPT.
Ire revention Systems and Engineering permits may require a separate application.
SITE ADDRESS: j�,w_ ASSESSOR'S TAX/PARCEL #: _C ��-�_/- �_J_✓�LJ C�
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBINGECHANICAl
)0 DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING EVENTTON CYCT9:M
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
PROPERTY OWNER: NAME:
CONTRACTOR:
APPLICANT:
CONTACT PERSON
EXISTING USE:
PROPOSED USE:
U _.E
LID O
MAILING ADDRESS
DAYTIME PHONE:
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96
(STREETADDRES�S; CITY STATE, ZIP):
Zt5- 3aI,�Q(�a
NAME:
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MALLINU
DAYTIME PHONE:
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(STREET ADDRESS; CITY, STATE, ZIP):
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EVENING PHONE:
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CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
Iq - L05-? 5_6 Co - Q,
LMBER:AX•NU
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CONTRACTOR'S REGISTRATION NUMBER: — — —
— \ J
(copy of card required) - - - - - I--J�-
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EXPIRATION /ATE:
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NAME:
MAILING ADDRESS
DAYTIME PHONE: -
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(STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT OTHER ( DESCRIBE):
FAX NUMBER:
(AS_
I
i
:OR THIS PROJECT: ❑ PROPERTY OWNER .'k6PPLICANTCONTRACTOR
E-MAIL ADDRESS:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
14
PROPOSED VALUATION FOR IMPROVEMENTS: $ p1�Qa),j1r
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
PROJECT FLOOR AREAS .
FLOOR
EXISTING S_ . FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FAN(S)
FIREPLACE INSERT(S)
HOODS)
RANGES)
WOODSTOVE(S)
MISC. ( )
FIRST
FURNACE(S)
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
SECOND
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC GAS
THIRD
PLUMBING
FOURTH
LAVATORY(S)
URINALS)
WATER HEATER(S)
OTHER FLOORS (DESCRIBE)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DECK
SHOWER(S)
WASH MACHINE OUTLET
GARAGE
HOW MANY FLOORS?
SINK(S)
SUMP(S)
WATER CLOSET(S)
MISC. ( )
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S)
BBQ(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)REFRIG.
SYSTEM(S)
BOILERS)
FAN(S)
FIREPLACE INSERT(S)
HOODS)
RANGES)
WOODSTOVE(S)
MISC. ( )
COMPRESSOR(S)
FURNACE(S)
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC GAS
PLUMBING
BATHTUB(S)
DISHWASHER(S)
LAVATORY(S)
URINALS)
WATER HEATER(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAINS)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
SINK(S)
SUMP(S)
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 th accuracy
of the information supplied to !the city as a part of this1 application.
NAME/TITLE: �ti �'/ ( 1 , DATE: l
❑ PROPERTY OWNER k-IPPLICANT CONTRACTOR
FOR OFFICE USE ONLY -
El NEW ❑ ADDITION ElALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION :
BUILDING SHELL ONLY? 11 YES El 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
mtiinn LAITY nFVFI OPMENT SERVICES - 33530 FIRST WAY SOUTH . P.O. BOX 9718 - FEDFRAI WAY WA QRnFz_o71a . ,__ ___ ..__