03-101537I It
City of Federal Way -�
Community Development services Mechanical Permit #:03 -101537 - 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: WHITNEY 0
Project Address: 31612 45TH SW
Project Description: Changeout of gas furnace
Parcel Number: 211551 0150
Owner
Applicant
Contractor
Carol A Whitney
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
31612 45TH PL SW
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA
AUBURN WA 98002
AUBURN WA 98002
98023-2188
(253) 931-0610
Mechanical Valuation..........................................2433 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES October 15, 2003.
Permit issued on April 18, 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.- /) r)
Owner or agent: Date:
c
zS �3 l�1 AIA't IV,,e f �'
10
Al�sscs CONSTRUCTION PERMIT APPLICA ON
CITY OF �..../ ppLICATION NUMBER: '
Federal Way App\ i S M3Y PPUCATION NUMBER:
epePPLWA PPLICATION NUMBER: - -
**The I�y14 equired information —Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY
Lo
,, _CaOINFORMATION
SITE ADDRESS: LoI o�-L(5-14 L_ aASSESSOR'S TAX/ PARCEL #: �) - 1
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT•• •
TYPE OF PROJECT (This application): o BUILDING ❑ PLUMBINGCHANICAL o DEMOLITION
D ELECTRICAL ❑ ENGINEERIN tFIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed
PROJECT NAME:
PROPERTY OWNER: i NAME:
CONTRACTOR:
kDDRESS (STREET ADD SS; CITY, STATE, ZIP):
I � - /IST_"_ PL S
DAYTIME PHONE'
(253) 9*7q -
0 A- 9P r)
DAYTIME PHONE:
c� $ `(9nc731 -0(Q1b
MAILING ADDRESS (STREET ADDRESS; CITY. STATE, ZIP): I EVENING PHONE,
560a N_K I U_elo c�ft� �(� • � 6- g8obaL ( > Old b- i
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:FAX NUMBER:
q �8 - ro57s8 (AS5)-
CONTRACTOR'S REGISTRATION NUMBER:I EXP ON DATE:
(�ofcarorqulred) oaS c �- ; CR / oZn/ or
APPLICANT: I NAME: DAYTIME PHONE: -
I
MAILINADDRESS (STREET ADDRESS; CITY, STIP): � EVENING PHONE: -
RELATIONSHIP TO PRO)ECT: i FAX NUMBER:
❑ ARCHITECT o TENANT ❑ OTHER ( DESCRIBE):
I
E-MAIL ADDRESS:
I
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER 'S(APPLICANT NTRACTOR �
DETAILED 13UILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: S ��-f�✓ 3 b ��
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
f
F
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT 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)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S) URINAL(S) WATER HEATER(S)
RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
SHOWER(S) WASH MACHINE OUTLET
SINKS) WATER CLOSET(S) MISC. ( )
SUMP(S)
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 this application. ,.
NAME/TITLE:
❑ PROPERTY OWNER OPPLICANT
DATE:
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.dtvoffederalway.com