03-100398City Federal Way
Conununity Development Services Mechanical Permit #:03 - 100398 - 00 - ME
un
33530 1st Way S
Federal Way, WA 98003-6210 2 G
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: ARMSTRONG
Project Address: 29257 12THC
Project Description: Replace gas furnace in existing residence.
Parcel Number: 516200 0110
Owner
Applicant
Contractor
Michael J & Carol L Armstrong
NORTHWEST PERMIT
WASHINGTON ENERGY SERVICES CO
29257 12TH PL S
2320 1 STAVE SUITE 250
2800 THORNDYKE AVE W
FEDERAL WAY WA 98003-3770
SEATTLE WA 98121
SEATTLE WA 98199
(206) 282-4700
Mechanical Valuation..........................................3000
Furnaces 1
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
PERMIT EXPIRES August 2, 2003, IF NO WORK IS STARTED.
Permit issued on February 3, 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: Date: (32-3,63
ci-
01/28/2003 21:27 3609452091
�e
RECEIVED
crrO
JAN 2 9 2003
NWPERMIT
PAGE 02
CONSTRUCTION PERMIT APPLICATION'
CITY OF FEDERAL WAY 0fLL::t�IV1EE<
pa�R (�;a DEPT.
*M� follovViK > uie>t6 reformation Please print (in ink) oil type**
Please note: Electrkai, Fire Prevention Systema and Eagireeering permits may require aseparate appliratiun,
PROPERTY s a
SITE ADDRESS,- 29257 12TH PL S ASSES ORAS TAXI PARCEL #x: 5 1 6 2 0 0_ 0 1 1 0
LEGAL MSCRIPTION OF SUBIECT PROPERTY (ATTACH SEPARATt: DESCRIPTION IF LENGTHY):
A
TYPE OF PROJECT (' lis application): p BUILDING = PLUMSXNGCi1AN[[AL DEMOLITION
a ELECTRICAL ENGINEERIN o F ENTION SYSTEM
PROJECT DESC RIPTWN fflmvids 4et0;kd 4et=60t3*p)o
REPLACE 98 MBTU OAS FURNACE
PROPERTY OWNER:
CON TRACTOR:
APPLICANT -
CONTACT PEPS014 f
MSTMG U'SIE-
PEOPLE INFCJILCmrIOIV
NAMe MICHAEL ARMSTRONG
DAYTIME- PHONE:
( 253 ) 941 4173
aaalLuaG antes rsTael=r ar�tEss; cln; srAtt=, UP),
29257 12TH PL S
�""""`"'"'
KAMP
UNESCO
DAYTIME PHONE'
(206 ) 282 4,700
. E55151 Ef 44LUR G, CITY, 51'AIh, AP):
ew LNG rye;
2800 THORNDYKE AVE 1A/ SEATTLE 96199
CrrYC4-08MtALWAYSUSiNE5SLXEN5E .LH8EA:
FAXNUMBEti _
CONTRACTOR'6 KGISTRATION NUMBER:
FkPIRATION CYa7E:
_.LCEV ca card re W)recD WAS H1 E$ 9 9 0 G W
02 1 28 10
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, 61 ., SI:
DAYTIMF:�---
, V ry PWM l C—
r 25a—)— ;_; ; 73
MAILING ApD0.E, (STREETADOR.ESS: CiTr; STATE, ZJP):
EWNING PWUNE:
-
PZLAT1.Y45K[P •
FAX NUMBER:
rl ARCHXTECT 't TENANT -1 OTHER ( DESCRIBE):
( ) -
5-M IL ADDRE92
°OR 1IHi5 PRQ3ECTs o PROPERTY OWNER = APPLWANT o CONTRACTOR
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVXCE PRt1VXOER:
SEINER SERVICE PROVIDER
J YES
DE A]LED BUILDING INFORMATION
EXISTING "LOINC3 ASSs:SSMIAPPRAISED VALUA1(W& �
_ PROPOSED VALUATION FOR TIMCPROVEM s: 3fl00.00
U NO FIRE SUPPRESSION SYSTEM PROPOSEDJREQUIREDe L YES j NO
-1 L1 KEHAVEN -1 HWHLINE
D LAKEHAVEN :3 HIGHLINP
n TACOMA - PREVATE (WELL)
rI PRIVATE (SEPTIC)
01/28/2003 21:27 3609452091 NWPERMIT PAGE 01
**NEW RESIDENTIAL CONSTRUCTION ONLY"" w
NUMBER OF BEDROOMS. ESTIMATED SELLING PRICE: $
PROJECT FLUOR AREAS
(FLOOR
IiASEM ENT
- 4
FJil.$'Tlfas SQ. FT_
PROPOSED SQ- FT_
TOTAL
FIRST
•$ •LkYMl6�..H • 'i.�if#F Y�:�:Lr.. 'NCY�:::i�i::::� ': '
' b`' :'•C� 1IE. , B�IL•"�PGAFf, . lsii � ii C: fi,i>::: i.� r:: i. ; : '::.::: ; : •; . �..• •...:
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SECOND
Y
THIRD
FOURTH
OTHER FLOOR$ (PESCRIBE)
DECK
I
GARAGE
HOW MANY FLOORS?
k -
TOTAL;
Indicate number of egch typo of fixturc
t+i Et•HdNICdL
AIR HANDLING UNIT($) EVAPORATIVE COOLELR(5) GAS LOG(&) REFRIG. SYSTEM(S)
BSSQ(S) HOODS) WOODSTOVE(S)
BOYLER(s} FiiLEPi tNiSERT(S) RANGE(S) MIs . { )
COMPRESSORtS)
DUCT(S) AS PIPE OUTLET(S) HEAT SOURCE: n ELECTRIC 0 GAS
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWYER(S)
SINKS)
SUM Fr(S)
URINAL(S)
VACUUM RRF•AKER(S)
WASH MACHINE OUTLET
WATi:R CLOSET(S)
WATER HEATER(S)
n ELECTRIC 0 GAS
I certft urrder penalty of Perjury that the information furnished by me is true and correct to the best of my knowtedpR, and
furtherf that tam authorized by the owner of tho above premises to peffUnn the work for which ttW permit app8mrwn is made. I
further agree to bold haryrtlesS that CRY of "decal WikV BS to any ralaim (inciudi" costs, expeMog, amt jqftoCWVS' Ttr&"Wed in the
investigation and ddense of aucb claim), which May be made by any person, including the undersigned, and Ned against the City of
fed0ml WAY, but 008y Vvherve such clWm 13118W out of the m4ionon of the cRy, lnclurdi" Ra 0"kern and en"ployees, upon the aorsrracy
of the ilaivrmatton sue ied fn the city as
osf this a itratpn.
NAME/TITLE; DATE; Qii�7103
U lit OPMTY O WNElk -4 APFLL U CONTRA►crOR
COMNUNITY MVE-�LPfIENT.�RRVICEF •,33530 FOZST WAY SOUTH • PO BOX 9718 • FEDEiWL WAYS WA 98763.018 • 253-651-4000 • FAX: 253-661.4t29
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COMNUNITY MVE-�LPfIENT.�RRVICEF •,33530 FOZST WAY SOUTH • PO BOX 9718 • FEDEiWL WAYS WA 98763.018 • 253-651-4000 • FAX: 253-661.4t29
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