03-104471� t
s
City 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: COSA
Project Address: 29321 8TH= AVCS
Mechanical Permit #:03 - 104471 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 515280 0200
Project Description: Reroute gas piping to serve a relocated, free-standing gas heater relocated in connection with addition of
sunroom and swim spa.
Owner
Applicant
Contractor
Anthony Cosa & Maybelle Cosa
J & K PLUMBING INC
J & K PLUMBING INC
29321 8TH AVE S
1710 S 341ST PL UNIT B-20
1710 S 341ST PL UNIT B-20
FEDERAL WAY WA
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
1\ggdygt�pggfaluation..........................................870
1 Over the Counter Permit..
(853)•838-1865•• ••• •••• Yes
i�eSCrlppl!t ' QU�1'�
Gas Piping 1
PERMIT EXPIRES March 28, 2004.
Permit issued on September 30, 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.
Owner or agent. Date: q 4
A_5r
�, CONSTRUCTION PERMIT APPLICATION
rn�
CITY OF �� ppUCATION NUMBER:0-1z-> R2 Itf _ _
Fe d e ra I Way PPLICATION NUMBER: - -
PPLICATION 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.
PROPERTY. •
SITE ADDRESS: �2/ !SI� N ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
•• • •
TYPE OF PROJECT (This application): o BUILDING ❑ PLUMBING XMECHANICAL o DEMOLITION
O ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION Provide detailed
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PROJECT NAME:
PROPERTY OWNER e:
�DAAYYTIME PHONE -
MAILING ADDRESS (SIRE 0 CITY, STATE, ZIP):
CONTRACTOR:
NAME:
{/� rte.
{
I (DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STAT_F ZIL.
� /-710CITY
r
I.EVENING PHONE:
OF OF FEDERAL WAY BUSINESS LICENSE NUMBER: -
-
FAX NUMBER: -3�-
CONTRACTORS REGISTRATION NUMBER:tI
(coN 0 card required) --• • AL L
�' !
I E PRATION DATE:
� � % � 7/
APPLICANT: NAME:C
i
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
RELATIONSHIP TO PRO)ECT:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
FAX NUMBER:
1
i
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT o CONTRACTOR
; E-MAIL ADDRESS:
I
I
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUAN $
PROPOSED VALUATION FOR IMPROVEMENT .
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/11
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
❑ YES ❑ NO
"NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
7- GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture Q o0
MECHANICAL Value of Mechanical Work: $ O1Q
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACEINSERT(S) RANGE(S) MISC.( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
■ DISCLAIMER/SIGNATURE BLOCK
WATER HEATER(S)
❑ ELECTRIC
❑ GAS
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 supplied to the city as a part of )his application. ,
O PROPERTY OWNER ❑ APPLICANT KCONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-6661-4129
www.cityoffederalway.com