03-105269City of Federal Way
Community Development Services
33530 Ist Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: POORE 0
Project Address: 32913 49TH SW
Project Description: Replace gas furnace
Mechanical Permit #:03 -105269 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 802951 0170
Owner
Applicant
Contractor
Stephen E Poore
CITY SHEET METAL
CITY SHEET METAL
32913 49TH PL SW
4202 AUBURN WAY N #8
4202 AUBURN WAY N #8
FEDERAL WAY WA
98023-3326
\AUBURN WA 98002
(253) 852-2174
Mechanical Valuation..........................................1500 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Desciipion j Description Description QQunuantity''
Furnaces -- �
i
PERMIT EXPIRES May 29, 2004.
Permit issued on December 1, 2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Fede 1 Way.
Owner or agent 1 Xayk- _ Date: �� `6--
l• t •
RECEIVED
/AcL�
CONSTRUCTION PERMIT APPLICATION
CITYOP
DEC 0 1 2003 PPLICATION NUMBER:
Federal Way = S =
PPLICATION NUMBER:
CITY OF FEDERAL WAY PPLICATION NUMBER: - -
BUILDING DEPT.
**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.
SITE ADDRESS: � ;)19 1 -�) 4 C-1 A-,/\ P ASSESSOR'S TAX/PARCEL *: — — — — — — — — — —
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ti MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): -P" ( C(C. G Gt S
PROJECT NAME:
PROPERTY OWNER:
APPLICANT:
NAME:pAYTIME PFION
&WToc)V� (z3)(3-�c�l
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, IIP):
z� � 1
�� l 3 � P
NAME'
DA E PHONE:
s 1�
(Zs 3) 2(-)+
MAILING ( ADDRESS;�ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:
C \ l S
EXPIRATION DATE:
(OW of -rd equine)
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, IIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT 19'EONTRACTOR
INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
I
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
PROIFCT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
WASH MACHIN OUTLET
SINKS)
WATER CLOSET(S)
FIRST
NEW ADDRESS REQUIRED? o YES o NO
PLATTED LOT? o YES o NO
CHANGE OF USE? o YES o NO
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)
SIMS) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. l )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC
PLUMBING
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
LAVATORY(S)
URINAL(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
SHOWER(S)
WASH MACHIN OUTLET
SINKS)
WATER CLOSET(S)
SUMP(S)
WATER HEATER(S)
o ELECTRIC o GAS
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 o such claim arises out of the reliance of the city, Including Its officers and employees, upon the accuracy
of the Informed o supplied the city as a part of this application.
/ i /° „ ,I
NAME/TITLE:�1 V(///l DATE:
o PROPERTY OWNER o APPLICANT D-f~ONTRACTOR
FOR OFFICE USE ONLY:
o NEW o ADDITION o ALTERATION
o REPAIR o TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? o YES o NO
COMP PLAN DESIGNATION
BASIC PLAN? o YES o NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? o YES o NO
PLATTED LOT? o YES o NO
CHANGE OF USE? o YES o NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX: 253-661-4129
www.cityoffederalway.co m