03-104405At �rr
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City ofhederai Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:03 -104405 - 00 - ME
Project Name: FREED
Project Address: 710 SW 358TH St
Project Description: Install heat pump and air handling unit.
Inspection request line: 253.835.3050
Parcel Number: 768390 0090
Owner
Applicant
Contractor
Glen W Freed
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
710 SW 358TH ST
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA
AUBURN WA 98002
AUBURN WA 98002
98023-7257
(253) 931-0610
PERMIT EXPIRES March 22, 2004.
Permit issued on September 24, 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: �G�' Date:
Cy-oz—meq -V�9
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I
o r` ' CONSTRUCTION PERMIT APPLICATION
VV FTYAPPLICATION NUMBER: Q - 0 0 _
APPLICATION NUMBER:
APPLICATION NUMBER:
"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: ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descri
PROJECT NAME:
PROPERTY OWNER: NAME:
G j -e n Fre e�
MAILING ADDRESS (STREET ADDRESS; CITY, STATE
`1 k C S c':) } 1ti fie'
CONTRACTOR:
APPLICANT:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
�Oeo t) -ejo 1�
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
19 qe CONT TOWS REGISTRATION NUMBER: (/{��
(copy of card required) G ti T
MAILING ADDRESS (STREET ADDRESS; CITY, STATE,
L,0A 'INOTZ )
14 �r 0a5
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT XOTHER ( DESCRIBE):. Cop ? eAcq (-3e
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 'k6PPLICANT >6
ONTRACTOR
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
DAYTIME PHONE:
Z20J'
(a53) 931 -
EVENING PHONE:
FAX NUMBER:
f 1fDr-'I _ n� i
DATE:
/ ICY O
DAYTIME PHONE:
053)9(
EVENING PHONE:
(
FAX NUMBER:
(T55) P)
E-MAIL ADDRESS:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
0 LAKEHAVEN ❑ HIGHLINE n PRTveTF fcaor,r i
❑ NO
1
**NEW F&SIbENTIAL CONSTRUCTION ONLY**
HUMBER 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:
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) HOODS ( )
BOILER(S) FIREPLACE INSERT(S) RANGE(S) M OODSTOVES )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: p ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC.
INTERCEPTORS) SUMP(S)
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 supplie,d to city as a part of this application.
NAME/TITLE:`
/ DATE: _ q/Zc�/Ll,
o PROPERTY OWNER [APPLICANT ONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-6661-4129
www,dtvorfederalwaV om