03-104001City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: STEERE
Project Address: 2152 SW 322ND $f'
Project Description: Changing out gaslines in home
Mechanical Permit #:03 -104001 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 932430 0020
Owner
Applicant
Contractor
Richard L Steere & Karen M Steere
Richard L Steere
Richard L Steere
2152 SW 322ND ST
2152 SW 322ND ST
2152 SW 322ND ST
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA
98023-2516
98023-2516
Mechanical Valuation..........................................500
Over the Counter Permit......................................Yes
Mechanical Fixtures
PERMIT EXPIRES February 23, 2004.
Permit issued on August 27, 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 in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way. j
Owner or agent: Date: /1 7/2a
2, T - n,-,!> c J
67
CONSTRUCTION PERMIT APPLICATION
CITY OF OVA% PPLICATION NUMBER: - -
Federal Way PPLICATION NUMBER:
P -H TION NUMBER: - -
**The following is required information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: -�Z /5Z ='42 327— 6 -%)- ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): o BUIL&ING ❑ PLUMBING MECHANICAL o DEMOLITION
o ELECTRICAL o ENGINEER ING�0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): (/1L i✓Ln!� /kj r'--6 -'x(}1 e
PROJECT NAME:
PROPERTYOWNER: NAME:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP;
CONTRACTOR:
i MAILING ADDRESS (STREET ADDRESS; CITY, STATE. ZIP):
i
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
(ropy of card required)
APPLICANT: NAME:
y��/3
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
RELATIONSHIP TO PRO)ECT:
o ARCHITECT TENANT ❑ OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: O PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
USE:
) USE:
SPRIN LERBUI DING?
WATER RVICE ROVIDER:
SEWER S VI PROVIDER:
DAYTIME PHONE:
(206 )-4Y3 -
),,q 9ia2Z
DAYTIME PHONE:
)
EVENING PHONE:
)
FAX NUMBER:
)
DAYTIME PHONE: e
EE(Vg9ENNI�ING PHONE: `yam�
FAX NUMBER:
i \ i
E-MAIL ADDRESS
EXISTING BUILDING ED/APPRAISED VALUATIO
PROPO D VALUATION OR IMPROVEMEN $ �,
❑ S ❑ NO FIRE SUPPRESSION STEM P POSED/REQUIRED: ❑ YES ❑
❑ LAK AVEN ❑ IGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
W -MA
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE: $
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESC
DECK
GAWE
OW MANY FLOORS?
TOTAL:
Indicate
of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S)
BBQ(S) FAN(S)
BOILERS) FIREPLACEINSERT(S)
COMPRESSOR(S) FURNACE(S)
DUCT(S) T GAS PIPE OUTLET(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
GAS LOG(S) REFRIG.SYSTEM(S)
HOOD(S) WOODSTOVE(S)
RANGE(S) MISC. ( )
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC.
further agree to hold harmless the City of Federal Way as to any dal m- (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 a part of this application.
NAME/TITLE: (�L/ J� DATE:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
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