03-102911City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
. Mechanical Permit #:03 -102911 - 00 - ME
Inspection request line: 253.835.3050
Project Name: SKUTT
Project Address: 2645 SW 347TH P I Parcel Number: 502945 0300
Project Description: Changeout gas furnace in existing residence.
Owner
IApplicant
Contractor
Daniel G Skutt & Sandra Skutt
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
2645 SW 347TH PL
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA
AUBURN WA 98002
AUBURN WA 98002
98023-3063
1
1 (253) 931-0610
Mechanical Valuation..........................................1500 Over the Counter Permit ............... ....................... Yes
Mechanical Fixtures
Description,;,,, 3lescr1 orr Quanti
Furnaces
PERMIT EXPIRES January 11, 2004.
Permit issued on July 15, 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 W
Owner or agent: Date:
A<tz, �, Ft 4/ 0 /<- 7 -2,5 � ";3>
14
RECEIVED
CONSTRUCTION PERMIT APPLICATION _
CITY OF •...�/ JUL 15 2003 PPLICATION NUMBER: _d _3 - _l O 2 �_ _I
Federal Way CITY OF FEDERAL WAY PPLICATION NUMBER: _ _ - _ _ _
BUILDING DEPT. PPLICATIO 4 NUMBER:
**The following is required information — Please print (in ink) or type**
L Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: lS/ 'l ✓ �����'IqSSESSOR'S TAX/PARCEL #:5 0 Z T J ' �3 O 0
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT• •
TYPE OF PROJECT (This application): ❑ BUILDING o PLUMBING MECHANICAL o DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): \"h "U& - 01/(6
PROJECT NAME �511CU-r-F
PROPERTY OWNER: 1 NAME:
CONTRACTOR:
DAYTIME PHONE.
"_-_N^-.1^ 1—Q�r
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): I
s ZsxCQ- jF<de1r_" Y�t WDI �?EDQS
NA i DAYTIME PHONE:
owi MAILING ADDRESS (STREET ESS; CITY. STATE. ZIP): EVENING PAHOlf
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: 1
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
S C�•� (�
(copy of card required) rr �• ' O -�' j
APPLICANT: I NAME:
cq� p DAYTIME PHONE'
MAILING ADDRESS (STREET ADDRESS; CITY, STATE. ZIP): EVENING PHONE:
-
i RELATIONSHIP TO PROJECT: FAX NUMBER.
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
-MAIC ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNERPPLICANT CONTRACTOR
DEtAILEDBUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/ APPRAISED VALUATION �_
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: O YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE Ci PRIVATE (SEPTIC)
L�
"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.
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC( AS
PLUMBING `
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(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. ( )
INTERCEPTORS) SUMP(S)
31rSCLA1rMFR/S1rrNAT11RF RLC
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 �&PLICANT
DATE:
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cityoffederalway.com