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04-101852City of Federal Way Conm;pnity Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: ROPPEL Project Address: 905 SW 344TH PI Mechanical Permit #:04 -101852 - 00 - ME Project Description: Remove and replace furnace; install A/C Inspection request line: 253.835.3050 Parcel Number: 132171 0430 Owner Applicant Contractor Paul Sloan & Scarlette Sloan GATEWAY HEATING & AIR CONDITIO GATEWAY HEATING & AIR CONDITIO 905 SW 344TH PL 3802 AUBURN WAY N 3802 AUBURN WAY N FEDERAL WAY WA AUBURN WA 98002 AUBURN WA 98002 98023-8419 1 (253)931-0610 Mechanical Valuation..........................................3200 Over the Counter Permit ...................................... Yes Mechanical Fixtures DescrlptioQuanti Description- _ Q_uantity Description Quantity i Air Handling Units Furnaces 9 1 PERMIT EXPIRES November 9, 2004. Permit issued on May 13, 2004 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: l� D i CITY Of RECE VED CONSTRUCTION PERMIT APPLICATION Federal Way MAY 1 3 2004 PPLICATION NUMBER: _ PPLICATION NUMBER: CITY q�O� F FEDERAL WAY PPLICATION NUMBER: **The foll6Vd %RA9gTilred information — Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. SITE ADDRESS: qyv 5W --k44N-h PL - ASSESSOR'S TAX/PARCEL l -7 - LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): TYPE OF PROJECT (This application): o BUILDING o PLUMBING MECHANICAL o DEMOLITION o ELECTRICAL o ENGINEERING ❑ FIRE PPREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): yA ce f{G, PROJECT NAME: PROPERTY OWNER: NAM DAYTIME PHONE CONTRACTOR: "-PI o P L— I (2S3) && I - NeCA MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): ! I qQS- St..3 4j -lx )PL_ N: DAYTIME PHONE: LIf A E AO��`� STATE, Z P): I �O/ SVT ( EVENING PHONE' 1 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: " FAX NUMBER: 5 n - C... (Z53) CONTRACTOR'S REGISTRATION NUMBER: ,,//��•-� j ,, t_ I EXPIRATION DATE: (roPY of card required) IT l " © �J I � o APPLICANT: FNAME. CP feT1—` I e) % 4- 4q -/c MAILING ADDRESSAREET ADDRESS; CITY, STATE, IIP : *� I In V �(V IQ)` UAA RELATIONSHIP TO TO ROIECT: „1 ❑ ARCHITECT ❑ TENANT *THER ( DESCRIBE):��;�-31 CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT CONTRACTOR EXISTING USE: PROPOSED USE: SPRINKLERED BUILDING? WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: DAYTIME PHONE: (2�3) �3► -�� r � EVENING PHONE: FAX NUMBER: (2's-3 )Foy -6q6vd E-MAJIL ADDRESS: ! Vh.q*kk9A4jb101j �Orh EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED VALUATION FOR IMPROVEMENTS: $� O �� o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES ❑ NO o LAKEHAVEN o HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) o LAKEHAVEN o HIGHLINE ❑ PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: , 1 ■ : 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 UNITS) BBQ(S) BOILERS) COMPRESSOR(S) DUCT(S) BATHTUB(S) DISHWASHER(S) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTORS) Indicate number of each type of fixture MECHANICAL EVAPORATIVE COOLER(S) FAN(S) FIREPLACEINSERT(S) FURNACE(S) GAS PIPE OUTLET(S) PLUMBING LAVATORY(S) RAIN WATER SYS. SHOWER(S) SINK(S) SUMP(S) Value of Mechanical Work: $,;j0D(2 GAS LOG(S) REFRIG. SYSTEM(S) HOOD(S) WOODSTOVE(S) RANGE(S) MISC. ( ) HEAT SOURCE: ❑ ELECTRIC kGAS URINAL(S) WATER HEATER(S) VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS WASH MACHINE OUTLET WATER CLOSET(S) MISC. 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 w4ere such cjaim, arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information d to the ei as o ' is application. x /j NAME/TITLE: DATE: �✓ `7' ❑ PROPERTY OWNER ❑ APPLICANT XCONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253{661-4129 VMW,C1ty0ffCdQralWaY.C— DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS C0NS7.CONT GENERAL ;tri�y _REGIST' # ` . EXP DATE CC01 GATEWHA025C7 08/20/2005' EFFECTIVE DATE 02/27/1998 GATEWAYHEATING & A/C INC 3802 AUBURN WAY N STE 301 AUBURN WA 98002 L25-05�2-(8/97) Detach And Display Certificate - i `CITY OF Federal Way BUSINESS REGISTRATION License Number 19 -98 -105758 -00 -BL Non -Resident Business Registered: GATEWAY HEATING & AIR CONDT 3802 AUBURN WAY N Suite301 AUBURN, WA 98002 Expires: 12/31/2003 -Category: 1700 - Contractors- Special Trade Conditions: This license is non -transferable. Please notify the City Clerk's office of any change in your business such as a new 1111 location or business name. City Clerk, City of Federal Way This certifies that the above entity has been issued the registration or license listed. City of Federal Way - Licensing (253) 661-4072 33530 1st Way S., Federal Way, WA 98003-9718