03-105188City of Federal
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: STILES !c`V
Project Address: 3.5816 10T SW
Project Description: Install gas furnace in detached shop
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Mechanical Permit #:03 -105188 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 440561 0210
Owner
Applicant
Contractor
Mark F Stiles & Carol D Stiles
Mark F Stiles
Mark F Stiles
35816 10TH AVE SW
35816 10TH AVE SW
35816 10TH AVE SW
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA
98023-7232
98023-7232
Mechanical Valuation..........................................1500 Over the Counter Permit...................................... Yes
Mechanical Fixtures
Description Quantity Description Quantity F Description Quanti
Furnaces
PERMIT EXPIRES May 17, 2004.
Permit issued on November 19, 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 mi ccordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date:
V�w t 2 -t at—e' 3 - CvA--
1 CONSTRUCTION PERMIT APPLICATION
CITY OF
PPLICATION NUMBER:
Federal Wa
Y RECEIVE � PPLICATION NUMBER:
PPLICATION NUMBER: - -
**The follo%&ALQ� rljred information — Please print (in ink) or type**
Please note: Electrical, Fir%pr"4?5 i bLs"fs ,Engineering permits may require a separate application.
? /�C � • . • •
/0f�i1Ge�.We ASSESSOR'S TAX/PARCEL
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PR03ECT INFORMATION
T � application): o BUILDING o PLUMBING a-MCHANICAL o DEMOLITION
o ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
EXISTING USE:
PROPOSED USE:
(Provide detailed description):
w dc- I i -cel O
■ PEOPLE INFORMATION
' NAME:
MAILING ADDRE j (J 6 A DRES / O,o
t
Ii DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STAT , L EVENING PHONE! '
CITY OF FEDERAL WAY BUSINESS
CO REGISTRATION NUMBER:
(ZaPy d card required)
NAME:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
o ARCHITECT o TENANT ❑ OTHER ( DESCRIBE
DAYTIME PF
V163)
EVENING PI-
FAX
FFAX NUMBEI
)
E-MAIL ADD...._,...
I
IlIiTHIS PROJECT:' 'ROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED VALUATION FOR IMPROVEMENTS: •�.,�„
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** ,
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ. FT.
PROPOSED
TOTAL
BASEMENT
FIRST
SECONDz-,
.
THIRD
FOURTHvt
t '•y
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) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) URNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) 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)
BLOCKDISCLAIM ER/SIG NATURE
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 Cityof 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 supplied to the city as ypart f this application.
VQRO?JrRTY OWNER ❑ APPLICANT ❑ CONTRACTOR
U
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cttvofederalway.com
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