03-104698T
City of Federal Way
Community Development Services
33530 1st Way S
Federal % ay, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: ZEBIAN
Project Address: 3906 SW 324TH 5f
Project Description: New gas furnace and hot water tank
Mechanical Permit #:03 -104698 - 00 - ME
it Inspection request line: 253.835.3050
Parcel Number: 873190 2430
Owner
Applicant
Contractor
Jamal H Zebian & Raeda Zebian
COMPLETE HEATING & A/C
COMPLETE HEATING & A/C
3906 SW 324TH ST
15627 SE 178TH ST
15627 SE 178TH ST
FEDERAL WAY WA
RENTON WA 98058
RENTON WA 98058
Nogo,pyiMyaluation.......................................... 34001
Over the Counter Permit..(425)
254-0P3......••••Yes
ec anlca Ix ures
PERNHT EXPIRES April 12, 2004.
Permit issued on October 15, 2003
Descoptiort Qlarilty
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 Wa .
Owner or agent: (/ V 1 Date: M— 15— 63
CA
My or
VV F—iY
xk65, �*
CONSTRUCTION PERMIT APPLICATION
PPLICATION NUMBER:
APPLICATION NUMBER:—
UWP`s APPLICKRON NUMBER: — — — — — — — —
E
G`�rlo fglw p � required information - Please print (in ink) or type**
Please note: Electrica��ire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: 3 9Q V" 4J1 ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION-.
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING A MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DES PTION (Provide detailed description),
escr ption):
Air n 0-41k _ V_ , +p Gv
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NA DAYTIME PHO E
07�o3
MAILING ADDRESS (STREET AD CrIY,STA ZIP:
NAM
:�
kelt gL , ` dIC
N C
�A ME PHONE
twvh
gF 0� 3
MAILNG ADDRESS (SffREET ADDRESS; CITY, STATE ZIP): 4 e �
S �•(,.,��X&
Q
� I�PHONE: � _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
- 4
-6 o 0
(
CONTRACTOR'S REGISTRATION NUMBER: /� %
e Q C
/
EXPIRATION DATE:
(copy of card required) —
ll 1`T
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER
CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑. NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN 11 HIGHLINE 11 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
■ PROSECT 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) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACEINSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) T FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) / WATER H f-ATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
]TSCIOTMER/STGNOTURE BLC
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 pplied t the city as a art of this application.
NAME/TITLE: DATE:
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129
ederaiwav_com