03-103357City Federal Way
Community Development Services Mechanical Permit #: 03 -103357 - 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: REECE AJv
Project Address: ' 33017 35TAW Parcel Number: 109975 0050
Project Description: Install gas water heater plus install gas piping
Owner
Applicant
Contractor
Joseph A Reece
Joseph A Reece
Joseph A Reece
33017 35TH AVE SW
33017 35TH AVE SW
33017 35TH AVE SW
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA
98023-2674
98023-2674
Mechanical Valuation..........................................350
1
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
PERMIT EXPIRES February 14, 2004.
Permit issued on August 18, 2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy a e use e ' ccor a with the laws, rules and regulations of the State of Washington and
the City of Fe ral Wa
1
Owner or age n Date:
�S
1�
`RECEIVED CONSTRUCTION PERM APPLICATION)
CITY OF PPLICATION NUMBER: - — — — - _
Federal Way AUG 1 S M3 PPLICATION NUMBER: — — - — — — — — — - _
PPLICATION NUMBER: —
- -
ERALWAY — ------ --
=TI�1 Blii{STgd Information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: 33 0 i? :3 045 f LA , ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): o BUILDING o PLUMBINGMECHANICAL o DEMOLITION
O ELECTRICAL O ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): C_149�
.> C',�„A KZF
PROJECT NAME:
PROPERTY OWNER: i NAME:
CONTRACTOR:
APPLICANT:
,DDRESS (STREET ADDRESS;ST TE, ZIP):
DAYTIME PHONE,
(215-3) $3e)-V?3 $
Lll-�Aj 9 8023
NAME:
I DAYTIME PHONE:
' MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
; FAX NUMBER: 1
CONTRACTORS REGISTRATION NUMBER:
I EXPIRATION DATE:
(capY of card required) — — — — — — —
— — — 1 % /
NAME:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
RELATIONSHIP TO PROJECT:
o ARCHITECT o TENANT o OTHER ( DESCRIBE
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT O CONTRACTOR
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
DAYTIME PHONE: I
EVENING PHONE:
( }
FAX NUMBER:
( � I
E-MAIL ADDRESS: I
I
I
EXISTING BUILDING ASSESSED/APPRAISED VALUtriON ;
PROPOSED VALUATION FOR IMPROVEMENTS: �
❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: O YES
❑ LAKEHAVEN O HIGHLINE o TACOMA o PRIVATE (WELL)
❑ LAKEHAVEN O HIGHLINE 0 PRIVATE (SEPTIC)
❑ NO
**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:
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. ( 1
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATE EATER(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. ( 1
INTERCEPTORS) SUMP(S)
I certify under penalty of perjury tha ftli;e information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized by the owner of a above premises to perform the work for which the permit application is made. I
further agree to hold harmless the City of to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation �ppfled
claim hick may be ma by any person, including the undersigned, and filed against the City of
Federal W , but claim arises u of the reli nce of the city, including its officers and employees, upon the accuracy
of the In rmatiocity as a pa n.
NAM
❑ PROPERTY OWNER
❑ CO
DATE: 8 ` /S - ® 3
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.ctvoffederalway.com