03-104513w
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: CHANDLER
Project Address: 2017 S 281ST 5+
Project Description: Change out of gas furnace
Mechanical Permit #:03 -104513 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 422231 0290
Owner
Applicant
Contractor
Jack E Chandler & JACK CHANDLER
ALL WAYS AIR CONTROL INC
ALL WAYS AIR CONTROL INC
2017 S 281ST ST
1515 S CENTER ST
1515 S CENTER ST
FEDERAL WAY WA
TACOMA WA 98409
TACOMA WA 98409
l i,r*_/aluation..........................................640
Over the Counter Permit..253)•383
7748......••• Yes
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: ��/OZ /03
CONSTRUCTION PERMIT APPLICATION
Z�U3 PPLICATION NUMBER: — — — —
Y PPLICATION NUMBER: - -
Oii'Y F rEDERAL77W` Y PPLICATION NUMBER:
oC l Q *"The following is reegUdd information - Please print (in ink) or type**
WS
(; ��/ OF FFeAElectrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: to n S 7-sk 6 5�- ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PRO3ECT INFORMATION "
TYPE OF PROJECT (This application): o BUILDING o PLUMBING K MECHANICAL o DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Cb 0-Xk SIQ5 S�V41\1\0G..tit% c0lL
0-'r ccM &' V', A i n` u
PROJECT NAME:
�,N'PEOPLE INFORMATION;,
PROPERTY OWNER: NAME: ; DAYTIME PHONE
cx 1(2:53 )q,41 - k3VA
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): '
CONTRACTOR: ! NAME:
L
�l �- �a�s q-IY Co•►
i MAILING ADDRESS (STREET ADDRESS; CITY, STATE. ZIP):
IS iS S C �c c' S� / c i7r►1G 9Zg09
CrIY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
(copy-efcard tequ,reI) 1 dal A A C 9 Z'
APPLICANT: NAME:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT pkOTHER ( DESCRIBE):_ 60GG{0N-
( 253 )3'&S -771W
EVENING PHONE:
FAX NUMBER:
( )
EXPIRATION DATE:
DAYTIME PHONE: ;
EVENING PHONE:
( I
FAX NUMBER:
E-MAIL ADDRESS: I
I
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER D APPLICANT ❑CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
o YES o NO
PROPOSED VALUATION FOR IMPROVEMENTS: $—�
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT 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)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL Value of Mechanical Work: $
EVAPORATIVE COOLER(S)
FAN(S)
FIREPLACEINSERT(S)
FURNACE(S)
GAS PIPE OUTLET(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
GAS LOG(S) REFRIG. SYSTEM(S)
HOOD(S) WOODSTOVE(S)
RANGE(S) MISC. ( )
HEAT SOURCE: o ELECTRIC o GAS
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) o ELECTRIC o GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( )
■ DISCLAIMER/SIGNATURE BLOCK
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 attomeys' 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 arisW3'M of the reliance of the city, including Its officers and employees, upon Lfiie accuracy
of the Information supplied to the city as a part of this application.
NAME/TITLE: UA,�,X_ DATE: /O/VZ /03
o PROPERTY OWNER o APPLICANT o CONTRACTOR
COMMUNTIY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 FAX: 253-661-4129
www.dtvoffederalway.com