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03-104652r • City of Federal Way Community Development Services Mechanical Permit #: 03 -104652 - 00 - ME 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050 Project Name: ACOSTA Project Address: 2163 S 278THf�' Parcel Number: 757562 0760 Project Description: Rawe'l rep'"49 taa her Owner Applicant Contractor Maximino P Acosta & Maria C Acosta WASHINGTON CORROSION SRVC INC WASHINGTON CORROSION SRVC INC 2163 S 278TH ST 1425 BLAINE AVE NE 1425 BLAINE AVE NE FEDERAL WAY WA RENTON WA 98056-2774 RENTON WA 98056-2774 114 ig;4yaluation..........................................600 Over the Counter Permit..(425)•228-139.3 ......... Yes Number of Gas Outlets 1 ,, Mechanical` Fixtures PERMIT EXPIRES April 7, 2004. Permit issued on October 10, 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 Iffay. 4 Owner or agent: Date: r © 3— k RECEIVED VK 6-- ` CONSTRUCTION PERMIT APPLICATION CITY OF �.� p C j 1 0 2003 ppLICATION NUMBER: Federal WayPPLICATION NUMBER: CITY OF FEDERAL WAY BUILDING DEPT, ppLICATI )N 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: 78 J ► 'ASSESSOR'S TAX/PARCEL #: LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY) - PROJECT INFORMATION TYPE OF PROJECT (This application): o BUILDING o PLUMBINGMECHANICAL o DEMOLITION ❑ ELECTRICAL o ENGINEERI . ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): � Ql� ( �/(/j�%Lz� /z PROJECT NAME: 1-A cos Pr PEOPLE• • PROPERTY OWNER: NAME: r� DAYTIME PHONE: CONTRACTOR: APPLICANT: MAILING ADDRESS (STREET ADDRESS; 1'rc)0 NAME: I /.(%& ���Tar► �,eds.6.� i DAYTIME PHONE: j SyC ( MAILING ADDRESS (STREET DURESS; CITY, STATE. ZI ): QQ� EVENING PHONE: CIIY OF FEDERAL WAY BUSINESS LICENSE NUMBER. FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: (copy-e(card required) . vSC A 5 EXPIRATION DATE: NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: i RELATIONSHIP TO PROJECT: FAX NUMBER: ; o ARCHITECT ❑ TENANT o OTHER ( DESCRIBE): ) - E-MAIL ADDRESS: I CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR EXISTING USE: PROPOSED USE: SPRINKLERED BUILDING? WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED VALUATION FOR IMPROVEMENTS: $ o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES ❑ NO ❑ LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE (WELL) o LAKEHAVEN o HIGHLINE o PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT SHOWER(S) GAS PIPE OUTLET(S) SINKS) FIRST SUMP(S) 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) BBQ(S) FAN(S) BOILERS) FIREPLACEINSERT(S) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) PLUMBING BATHTUB(S) LAVATORY(S) DISHWASHERS) RAIN WATER SYS. DRINKING FOUNTAIN(S) SHOWER(S) GAS PIPE OUTLET(S) SINKS) INTERCEPTORS) SUMP(S) Value of Mechanical Work: $ 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 �14AS WASH MACHINE OUTLET WATER CLOSET(S) MISC. ( ) 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 againstae City Qf Federal Way, but only where such claim aril-EVVTt of the reliance of the city, including its officers and employees, upon t ie accuracy of the informatior l suppVe-1 to the dj,.4s a part of this application. DATE: �� f/6) ^ (--,)3 ❑ 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 www.cltvoPfederalway.com