03-1041469
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: HINDERER
Project Address: 924 SW 314TH P1
Mechanical Permit #:03 -104146 - 00 - ME
Project Description: Replace existing 70,000 btu gas furnace.
Inspection request line: 253.835.3050
Parcel Number: 556050 0120
Owner
Applicant
Contractor
David J Hinderer & Chun C Hinderer
ALL SEASONS INC (ELECTRICAL)
ALL SEASONS INC (ELECTRICAL)
924 SW 314TH PL
5118 N HIGHLAND ST
5118 N HIGHLAND ST
FEDERAL WAY WA
TACOMA WA 98407
TACOMA WA 98407
INOSOFnipA:Yaluation.......................................... 16001
Over the Counter Permit...(253)-8794144••••••••Yes
Mechanical Fixtures
Description Quantit Description JQupnfiDescription,Quanti
Furnaces
Permit issued on Cl -F-6-3 E y. 3 - % - O
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 Wa q
Owner or agent: Date: (/���
SITE ADDRESS: q 24 SW 344 ' PL ASSESSOR'S TAX/PARCEL #: 5 S& O S U- 0 1 Z 0
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING M MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
4---PL-Ac$ ExI sTvyc-7 cu i T -f -F N 6to -40L 6 Tu Ca As Cu 0E- A)4C-'
PROJECT NAME: N 1b G R -G e—
PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
6AvM5S)g41 -X151
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
C12-4 Sw S14M' f L— 1' &D LUAL j , c,u R g802.3
NAME:
AI -L
NAME;;
DAYTIME PHONE:
q1+4 -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
511 S iU 94 60-c. -D sT" TA -c_ wA qiGqb-+
EVENING PHONE:
( ) -
CrrY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
- _ - _
FAX NUMBER:
(?SS) 23-N - 913
CONTRACTORS REGISTRATION NUMBER:
L S E S @ Q 5 S
EXPIRATION DATE:
Z
12
(copy of card required) L
-
NAME;; -.... _.._ ........
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR 1
DETAILED BUILDING INFORMATION
EXISTING USE: Re"S EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: a5 PROPOSED VALUATION FOR IMPROVEMENTS: $ (aOO
SPRINIaERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAIEA HAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACEINSERT(S) RANGE(S) MISC.( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC o GAS
PLUMBING
LAVATORY(S)
RAINWATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
]ISCLAIMER/SIGNATURE BLC
WATER HEATER(S)
o ELECTRIC o GAS
MISC. ( 1
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 City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of ch [aim), which may be made by any person, including the undersigned, and filed against the City of
Federal Way, but only where uch laim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information supplied th city as a pArt ofpis application.
NAME/TITLE:
o PROPERTY OWNER
�wCONTRACTOR
DATE: 0 "O2)'20OS
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.clyo}Rderalway.com