03-100744City of Fedeeai' Vay t Mechanical Permit #: 03 - 100744 - 00 - ME
�Coirummity Development Services
335301 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 ' / Inspection request line: 253.835.3050
4ProjectName: FRISBIE
Project Address: 2662 SW 332ND Parcel Number: 894430 0450
Project Description: Gas furnace and hot water tank changeout -
Owner
Applicant
Contractor
M FRISBIE
BRENNAN HEATING CO INC
BRENNAN HEATING CO INC
2662 SW 332ND CT
4601 S 134TH PL
4601 S 134TH PL
FEDERAL WAY WA
TUKWILA WA 98168
TUKWILA WA 98168
98023-2761
(206)248-7900
Mechanical Valuation..........................................2275
1"I-111,4i'v 45413J t1E,E
Furnaces I
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
PERMIT EXPIRES August 19, 2003.
Permit issued on February 20, 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:
See Ap� lication Date: See Application
11
A , , W �
CONSTRUCTION PERMIT APPLICATION
VV F3Y L ��((��C'� ' 4CEIVED By PPLICATION NUMBER: 03 - ,0 -07q - _DV_
'"'"v DEVELOPMENT DEPAD CATION NUMBER: _ _ - _ _ _ _ -
FEB 2 0 2003 4,PPLICATION NUMBER: _ _ -
**The following is required information - Please print (in ink) or type**
Please note: Electrical, FiTpy ntion Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
Q ,j
SITE ADDRESS: �'P� U) � J ASSESSOR'S TAX/PARCEL #: O 4 `t' 2)O - O O i
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
13re--
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING '0 MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): G&5 E) W Aid CZ+DU-r
PROJECT NAME: zI'S 151
PROPERTY OWNER:
CONTRACTOR:
D H0
■ PEOPLE INFORMATION
NAME:M , \ K' A e i DAYTIME PHONE:
`J/
MAIUNG ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
(2�0 (r"9- 43 Ll"') '55&tjC, 3E x:01 9
NAME:
2E�.1 fa n!
N t'�, i t ►tel tom'
DAYTIME PHONE:+�
(." ) a.49 - `i 07C)
MAILING ADDRESS (STREET ADDRESS* CITY, STATE, ZIP):
blvd I i 3- -F►. �L TucCuJt �R 9 a t ��
EVENING PHONE:
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: (� '
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FAX NUMBER:
a4 O'S
CONTRACTORS REGISTRATION NUMBER:
d
` ' �,x/ r� A-� - I
i= %t �+ 1 i� C [ / >�
EXPIRATION DATE:
3 / ( /
(copy card required)
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APPLICANT:
NAME:
-'6rzt►Ksa
N-Tud-
DAYTIME PHONE:
(aa(") a42 -"? ,10 -L-)
MAIUNG ADDRESS(STREET ADDRESS;
��j S !�
, STATE, ZIP):
�I1C-BILA
9�t(o�
EVENING PHONE:
L
( )
RELATIONSHIP TO PROJECT:
11ARCHITECT ❑TENANT OTHER ( DESCRIBE):
FAX NUMBER: ,IG
0
E-MAIL ADDRESS:
\�
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER E] APPLICANT J�1 CONTRACTOR
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $,
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ .1a C ✓ ' CY
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO ,
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN 11 HIGHLINE 0 PRIVATE (SEPTIC)
:-
ENT,„O1L CONSTRUCTION ONLT--
NI IMBER OF BEDROOMS:
ESTIMATED SELLING PRICE: $
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S) HEAT SOURCE: ❑ ELECTRIC GAS
DUCT(S) GAS PIPE OUTLET(S)
PLUMBING I
BATHTUB(S)
LAVATORY(S) URINAL(S) WATERH TER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) El El GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
BLOCK'M -'DISCWMERISIGNATURE
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 a_&a part of this application. ,
NAME/TITLE:
Q PROPERTY OWNER
❑ APPLICANT `9 CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253.661-4000 • FAX: 253-661-4129
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