04-101133City of Federal Way
Comm-nity Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: KYLER
Project Address: 1113 S 299TH P1
Project Description: Replace existing gas furnace.
Mechanical Permit #:04 - 101133 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 515160 0420
Owner
Applicant
Contractor
John H Krogman & TERESA KYLER
ALL SEASONS, INC.
ALL SEASONS, INC.
1113 S 299TH PL
5118 N HIGHLAND ST
5118 N HIGHLAND ST
FEDERAL WAY WA
TACOMA WA 98407
TACOMA WA 98407
98003-3751
(253) 879-9144
Mechanical Valuation..........................................1600 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
_ Description _Quantity Description �Quantityl, Description�uanti
Furnaces -- ----- ���
PERMIT EXPIRES September 25, 2004.
Permit issued on March 29, 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 Way.
Owner or agent: Date: �� " ZC� — Zoc)q-
cmr of
Federal Way
M For Odi— Ux ONy,
The followina is
VELOPMENT SERVICES
"ECf0 IRST WA SOUTH BOX 9718
FEDERAL WAY, WA 98063-9718
2561-41 IS- F: 253-661129
PERMIT APPLICATION MAR 2 93-6 nIede- yM4
FW File Number: _q - 1 GI I_ 1 3 -ID CIT TOF FEDEAL �WAY
FED
EM
information -an incomplete application will not be accepted. Please print le9ibltl lin ink/ or tube.
SITE ADDRESS: 1113 S `Z I9 -1"l P L SUITE/APT #
ASSESSOR'S TAX/PARCEL #: �) S I tD O - 0 �i• 2 Q SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECTINFORMATION
TYPE OF PERMIT (This application): ❑ BUILDING ❑ PLUMBING W'MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu%
RePLAC4_- C=XU,n luq W j A)ezu 80`/- GrA& C -Q 9A6 l-c4E-, (L xE roe- L i LES
PROJECT NAME (Name of Business/Owner Last Name):
PEOPLE1 • - •
PROPERTY
OWNER:
CONTRACTOR:
LENDER:
(It Proposed Venae > $5,000)
APPLICANT:
NAME: PRIMARY PHONE:
T� fZG-s A- lC L E (253 ) Q -
MAILING ADDRESS (STREET ADDRESS, : CITY, STATE, ZIP
PL FEu w (,j At q 9003
NAME
COMPANY
COMPANY
COMPANY
OFFICE PHONE:
ALS Seks6nus 19C
( ) -
Au _-.&qsocw me-
(Z53)
MAILING ADDRESS (STREET ADDRESS;(:
RELATIONSH I PTO PROJECT:
CITY, STATE, ZIP
CELL PHONE:
51 IS 0 X41la 1. LA0 0 '�cx
-TAG cU ,4 q_
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
EXPIRATION DATE: .
FAX NUMBER:
1 C -Q $ - 0 5 2 b ?-
12 / Si /2(5b+
(253) 8q -q
B L_
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required with each application( A L
�+
4 5 &- y t o 3 6_ S S
12 / 1-4 / zims
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS;(: CITY, STATE, ZIP
NAME:
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner VContractor
COMPANY
COMPANY
OFFICE PHONE:
rr• SeASQN 5 1/(TC,
'
( ) -
MAILING ADDRESS (STREET ADDRESS(:
CITY, STATE, ZIP
EVENING PHONE:
RELATIONSH I PTO PROJECT:
FAX NUMBER:
❑ Architect ❑ Tenant ❑ Other (Describej.
( ) -
CONTACT PERSON FOR THIS PROJECT: Property Owner Applicant
�
DETAILED I• I 1 • • n/ C
EXISTING USE: ��5 PROPOSED USE: n
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK:
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)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING S4. FT.
PROPOSED S4. FT,
TOTAL
--
BASEMENT
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
FIRST
RAINWATER SYS
WASHING MACHINES
URINALS
SECOND
LAVS (Bathroom Sik
VACUUM BREAKERS
ELECTRIC WATER BEATERS
THIRD
i
UP/SEPA/SU? YES
-
FOURTH
- YES ;; NO
DEMO PERMIT REQUIRED? n YES
ADDITIONAL FLOORS (DESCRIBE)
ADDITIONAL
DECK (COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL EXISTING
TOTAL PROPOSED
TOTAL EXISTING AND PROPOSED
**NEWHOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: S
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of A4echanical Work SV 0O0
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS FANS HOODS(comms ial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS _� FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS (orT.h/Sl,., rc
SHOWERS
WATER CLOSETS (T„ii,y MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYS
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS (Bathroom Sik
VACUUM BREAKERS
ELECTRIC WATER BEATERS
]ISCi.AiMRR / SIGNATURE BLC
I certify under penalty of perjury that the information furnished by me is tree 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. 1 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 an a Ioyees, upon the accuracy of the information supplied to the city as apart of this application.
NAME/TITLE: P;oz���DATE: b� " Z-004
(Si ,n;uL e� (Title)
RELATIONSHIP TO PROJECT: Property Owner ❑Applicant Contractor ❑Architect 11
FOR OFFICE USE ONLY:
o NEW ❑ ADDITION
❑ ALTERATION
n REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
YES ❑ NO
BASIC PLAN? ❑ YES
o NO
ZONING DESIGNATION:
CHANGE OF USE? n YES
a NO
NEW ADDRESS REQUIKED?
YES NO
UP/SEPA/SU? YES
NO
PLATTED LOT?
- YES ;; NO
DEMO PERMIT REQUIRED? n YES
❑ NO