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03-1001841 f 44 City of Federal Way Corutunity Development Services 33530 1st Way S Federal Way, WA 98003-62 10 Ph: 253.661.4000 Fax: 253.661.4129 Mechanical Permit #:03 -100184 - 00 - ME Inspection request line: 253.835.3050 Project Name: LAROSE ItO' Project Address: 32609 10TH S Parcel Number: 326070 0400 Project Description: Replace existing gas furnace with new gas furnace Owner Applicant Contractor Jon P & Lara C Larose HERITAGE ENTERPRISES INC HERITAGE ENTERPRISES INC 32609 10TH AVE S 9001 PACIFIC AVE 9001 PACIFIC AVE FEDERAL WAY WA TACOMA WA 98422 TACOMA WA 98422 98003-5926 (253)539-8709 Mechanical Valuation .........................................3267 Over the Counter Permit ...................................... Yes Mechanical Fixtures . .Isr�ption Qlaantl Im Quaritltt ` MD`escriptibn Quantity Furnaces _ I PERMIT EXPIRES July 15, 2003, IF NO WORK IS STARTED. Permit issued on January 16, 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 accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: ! ^ 4 Date: Iho t© _ y Jan 13 03 11:58a Heritage Enterprises (253)539-8709 p.2 CONSTRUCTION PERMIT APPLICATION •.H-. :.��R�� i`rii i'7:2+'ii zr e:Y: r:»:! rr.T.1, <i'': ji I if ;i,>,},;; ,••..-.i�4�J..i. •fir. .1i N.l �+.wli �.:..� �k:/: f�l;.'I!: f. +�'1�,' **The following is mquirad imam ation - Please print (in ink) or types, Please notal Electrical, Fire Prevention Spstanu and Eaglnearing parmits nmy require a separate application. SITE ADDRESS: 32 667 IO' lave 5•1 Fel X/&l- ASSESSOR'S TAX%PARCEL LEGAL DESCRIPTION OF SUWECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): -. .•IQ F�11 TYPE OF PRO]ECT (This application): D BUILDING O PLUMBING MECHANICAL o DEMOLITION 0 ELECTRICAL o ENGINEERING p FIRE PREVENTION SYSTEM PROJECT' DESCRIPTION (Provide detailed desorption): re ato PROJECT NAME! INFORMATIONPFOPLF VAMC; DAYTIME PHONE; OWNER: CONTRACTOR: APPLICANT: Tau -J /cc t %n Rc's� (��3 ) 7 V 6 - 27,33 3 MNUNG ADDRESS (Snr T A P); 3 z6a i D �` 2e eczz P � p CJs NME: HER17�t�; - MA1L§ �S {aC' FIC D j.FSe L oU4.c• L C Asa- .77 - � i- A ME PM (2-53) 9zz - 27/( EEvEmNa PHONE: - $AY ER; FAX NUMBER; — — — — — — — CONfAaCrOR5 MOISTMTTON NUMEER; (copy of card requited) tMAATION VATS: / N Aynm NONE: MNUNG ADDRESS (STREET ADDRESS; CRY, STATE, IIP): EVENING PHONE: ( RELATIONSHIP TO PMECr; FAX NUMBER: o ARCHITECT o TENANT o OTHER( DESCRIBE)s- ( ) - E-MAIL ADDRESS: CONTRACTOR OR THIS Pltp]ECT: o PROPERTY OWNER o APPLICANT CONTACT PERSON F X • • •• • EXISTING USE: EXISTING BUILDING ASSESSED/APPRAIStO VALUATION S PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? o YES Ll NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: n TES 0 NO WATER SERVICE PROVIDER: o LAIOEHAVEN o HIGHLINE O TACOMA c:3 PRIVATE (WELL) l SEWER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE o PRIVATE (SEPTIC) Jan 13 03 11:58a Heritage Enterprises "NEW RESIDENTIAL. CONSTRUCTION ONLY. NUMBER OF BEDROOMS; (253)539-8709 p.3 ESTIMATED SELLING PRICE: indicate number of each type of fiXtur,e MECHANICAL AIR HANDLING UNIT(S) BBQ(S) EVAPORATIVE COOLERS) GAS LOG (S) BCOMPRESSOR(S) FAN(6) FIREPLACE REFRIG. SYSTEMS) WOObSFOVE(5) DUCT(S) FURNACE(s) O --�� RANGEHOOD(S O "mc. GAS PIPE OUTLETS) HEAT SOURCE: 0 ELECTRIC Q GAS PLUMBING BATHTUB(S) DISHWASHER(S) DRINKING LAVATORY(S) RAIN WATER SYS. URINALS) VACUUM BRFAKE S �-- WATER HEATER(S) FoUNTAIN(S) GAS PIPE OUTLET($) SHOWERS) WASH MACHINE OUTLET 0 ELECTRIC 0 GAS INIERCEPTOR(S) SINK(S) SUMP(S) WATER CLOSET(S) MISC. ( �� I certify under penalty of perjury that the information famished by further, that I am authorized by the owner of the above prOW040 to perfnrrm theWorkWork for which and correct the Appjrc tto� Iawmadee' nd further that to hold harmles9 the City of Federal Way as to any claim (including cosEr, eapansss, And Attorneys, ream Iecurred in the investigation Way, and defense of myth claim), which may be made by any person, in Federal Way, but oaiy whore such claim arises out of the reliance of the skulk l tiro undersigned, and Rled against the City of of the information su Plied m the cityas it,, including its of car► and employees, mpg" Um accuracy a part of thin app6catiom NAME/TrIU. GC - 'i �- DATE. o PROPERTY OWNER a APPLICANT kCONTRACTOR COMMUNITY DEVELOPMENT SERVICES , 33530 FIRST WAy SOUTH • PO BOX 9718 . f EOML WAY, WA 98063-9710. 253-661.4000 . FAX: 253-661.4129