03-104372City 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: WHITHAM
Project Address: 2608 SW 349TH Q�
Project Description: Remove replave gas furnace.
Mechanical Permit #:03 -104372 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 502945 0560
Owner
Applicant
Contractor
Hai T Tran et al
BRENNAN HEATING CO INC
NONE
2608 SW 349TH PL
4601 S 134TH PL
FEDERAL WAY WA
TUKWILA WA 98168
N§gd3gii3kjyaluation..........................................203
Over the Counter Permit.
...................................Yes
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES March 21, 2004.
Permit issued on September 23, 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 W
Owner or agent: Date: /� d
RECEIV CONSTRUCTION PERMIT APPLICATION
clTv " µ"' PPLICATION NUMBER:
S 0�3 ,3
Federal � 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.
0 PROPERTY INFORMATION
SITE ADDRESS: Qwz o ASSESSOR'S TAX/PARCEL #: -T 0,:P- ` 4 - o 5-c, 7
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): E` PROJECTK-
• •
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREyV�E_NTIHON SYSTEM
A
PROJECT DESCRIPTION (Provide detailed description):
PROJECT
■ PROJECT INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
ab�S SL3 -n, ►7(_ FEp6-0-4- tk AY
NAME: r-�/�
�B tiKj 1p� �C�-1���
DAYTIME PHONE: q
( b(0) a42 --711(M)
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): Q.. / �['
-PL Ct
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: �j ` t
`-' � ry
EXPIRATION DATE:1
3 / 0�
(copy of card required)
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER: _
❑ ARCHITECT ❑ TENANT OTHER( DESCRIBE):CC�IT12A(�CJ�
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ a,02 t 00
PROPOSED VALUATION FOR IMPROVEMENTS: $
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
a- . A
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUILDING 'SHELL 'ONLY? ❑ YES o NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
FIRST
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ 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. SYSTEMS)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) �_ FURNACE(S)
DUCT(S) a' GAS GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC GAS
PLUMBING
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
LAVATORY(S) URINAL(S) WATER HEATER(S)
RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
SHOWER(S) WASH MACHINE OUTLET
SINKS) WATER CLOSET(S) MISC. ( )
SUMP(S)
•BLOCK
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 su plied to the city as art of this application. 2
NAME/TITLE: s DATE: q/1 � � /05
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
Cno ACCTe'C "CC f%M1 V.
o NEW ❑ ADDITION ❑ ALTERATION
❑-REPAIR -- ❑ TENANT IMPROVEMENT'
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING 'SHELL 'ONLY? ❑ YES o NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www, dtyffWgfA wP.y:.44m