04-101287City of Federal Way
Community Development Services Mechanical Permit #: 04 - 101287 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: TORGESON
Project Address: 1509 SW 320TH {%1
Project Description: Replace gas furnace
Parcel Number: 010450 0740
Owner
Applicant
Contractor
Hans J Togesen
ALL SEASONS INC (ELECTRICAL)
ALL SEASONS INC (ELECTRICAL)
519 S 214TH ST
5118 N HIGHLAND ST
5118 N HIGHLAND ST
DES MOINES WA
TACOMA WA 98407
TACOMA WA 98407
98198-3664
1 (253) 879-9144
Mechanical Valuation..........................................1500 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Furnaces 1
PERMIT EXPIRES October 4, 2004.
Permit issued on, April 7, 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:
RECEIVED RECEIVED
COMMUNITY DEVELOP,%f1iNT SERVICES
33530 FIRST WAY SOUrI . Po BOX 9718
CtrY of �•� FEDERAL WAY, WA 98063.9718
Federal way A i°��ERMIT APPLICATION 0 7 Z00 25366' „'S•PAX 253-661-1129
nIN�G�yn PTS �utvw.citun7rdcrnhuny mm
Fx OSi-U«On1Y• F'1AFile 1V UI DCT- - DIN PT. .
The followinq is re uired in ormation - an into tete a lication urUl not be.acce ted. Please Tint ie ibi (in inkjortu=---
PROPERTY INFORMATION
SITE ADDRESS: 15001 cS W 5-20 P L SUITE/APT #
ASSESSOR'S TAX/PARCEL #: U 1 a -4 5 0 - 4 O SQUARE FOOTAGE OF LOT:
,LEGAL'DESCRIPTION (e.g.: Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT• •- •
TYPE OF PERMIT (This application): ❑ BUILDING ❑ PLUMBING "ECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlur
REPLACE Exp S -n ►b l01 wc-0 -151r- '13� ca pts Ea" ACC-
L I ICE Foe- LI IGE�
PROJECT NAME (Name of Business/Owner Last Name): " Nz GE Soo
PEOPLEI •- •
PROPERTY
OWNER:
CONTRACTOR
LENDER:
(If Proposed Volae > $5,0001
APPLICANT:
NAME: PRIMARY PHONE:
4"s 'TO (2iblo ) B74 - 01044
MAILING ADDRESS (STREET ADDRESS;(: CITY,STATE, ZIP
1509 S W 5-2Z+"' PL I-�D WtA LkJ A q $o Z 3
NAME
COMPANY
OFFICE PHONE:
ALL SEFfisotis / &sc,
A LL seA5ow-s I arc.
( ) -
2S 3 ) 8:? 9
- 91 +-
MAILING ADDRESS (STREET ADDRESS;(:
CITY, STATE, ZIP
CELL PHONE:
❑ Architect ❑ Tenant ❑ Other (Describer
5118 N 41 l4 LA n! a ST
-rAC-OMA w a $40+
( )
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
EXPIRATION DATE: .
FAX NUMBER:
1 9---? 8- i 0- ia z 4a Z- o0
— --
12 /31 / zoo
(zs3 ) 8-+Q
- a( 4 3
& L
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required with each application( (�
5 E _ -16 (� S
2/ 1 �-
42/
LOOS
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS;): JOTT-,—STATE, ZIP
NAME:
COMPANY
OFFICE PHONE:
ALL SEFfisotis / &sc,
( ) -
MAILING ADDRESS (STREET ADDRESS(:
CITY, STATE, ZIP
EVENING PHONE:
RELATIONSHIP TO PROJECT:
FAX NUMBER:
❑ Architect ❑ Tenant ❑ Other (Describer
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner ultontractor ❑ Applicant E-MAIL ADDRESS:
/
DETAILED 1 • 1 • - • n
EXISTING USE: RAS PROPOSED USE: R�S
/ d
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: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DES( IPTION EXISTP,1 SQ. FT. PROPOSED SQ. FT. TOTAL
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (IJL. !UBE)
DECK (COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
1—NEW HOMES ONLY". N1
Indicate number of each type
MECHANICAL
Value of Mechanical Work
AIR HANDLING UNI
BBQS
BOILERS
COMPRESSORS
DUCTS
TO:
3ER OF BEDROOMS:
,<ture that is to be installed or relocr�
tsaw
EVAPORATIVE COOLS:
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
PLUMBING
DISCLAIMER
_ BATHTUBS (o Tub/> '0,)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLET'
SUMPS
WASHING MACHIN
URINALS
LAVS pamrsink
VACUUM BREAKERS
Mart of this project. Do not include existing fixtures to remain.
GAS LOGS
HOODS (commercial)
RANGES
GAS WATER HEATERS
'; I'F_R CLOSETS Rea�q _
I)PINKING FOUNTAINS
RAINWATER SYS
FUSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
FOR OFFICE USE ONLY:
❑ NEW o ADDIT]
BUILDING SHELL ONLY?
ZONING DESIGNATION:
NEW ADDRESS REQUIRE
PLATTED LOT?
o ALTERATION ❑ F
o YES ❑ NO
❑ YES ❑ NO
YES ❑ NO
❑ TENANT IMPROVEMENT
DISCLAIMER
:� •
I certify under pe
knowledge, and further, ti
application is made. I fur
attorneys' fees incurred it
undersigned, and filed ag
including its officers an
y of perjury that the information:
: am authorized by the owner of :
agree to hold harmless the City
investigation and defense of su<
,t the City of Federal Way, but or
loyees, upon theaccuracy of th`e/
ted by me is true and correct to the best of my
i -c premises to perform the work for which the permit
crai Way as to any claim (including costs, expenses, and
n), which may be made by any person, including the
c such claim arises out of the reliance of the city,
ion supplied to the city as apart of this application.
NAME/TITLE:
+w
f�J" �' V P cS DATE: O�6 S— 2+w_(
(_
RELATIONSHIP TO PROJE
r
(Talc)
❑ Architect ❑
FOR OFFICE USE ONLY:
❑ NEW o ADDIT]
BUILDING SHELL ONLY?
ZONING DESIGNATION:
NEW ADDRESS REQUIRE
PLATTED LOT?
o ALTERATION ❑ F
o YES ❑ NO
❑ YES ❑ NO
YES ❑ NO
❑ TENANT IMPROVEMENT
BASIC PLAN?
o YES
o NO
CHANGE OF USE?
o YES
o NO
UP/SEPA/SU?
o YES
o NO
DEMO PERMIT REQUIRED?
o YES
❑ NO
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