03-100170City unity Development Services Federal Way
CorrnrnmMechanical Permit #:03 -100170 - 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: PETRICH
Project Address: 32524 40TH SW Parcel Number: 873196 0110
• Project Description: Changeout gas hot water heater and furnace in existing residence.
Owner
Applicant
Contractor
Martin A Petrich III
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
32524 40TH CT SW
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA 98023-2606
AUBURN WA 98002
AUBURN WA 98002
(253)931-0610
Mechanical Valuation..........................................2565 Over the Counter Permit...................................... Yes
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES July 13, 2003, IF NO WORK IS STARTED.
Permit issued on January 14, 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.
Owner or agent: Date: , d
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- REGEIV Ev
Of Frz�>L SAN 1 4 2003 CONSTRUCTION PERMIT APPLICATION
uV flyPPLICATION NUMBER: c�3 - / 4 d /70_ - 4v^
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CITY OF FEDERAL WAY — — - — — - —
BUILDING DEPT, APPLICATION NUMBER:
APPLICATION 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 INFORMATION
SITE ADDRESS:.7452 y — �� Com- AJ ASSESSOR'S TAX/PARCEL #: J - C) I I
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING PLUMBING >d.ECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME:
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DAYTIME PHONE:
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MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): � , p
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EVENING PHONE:
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CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
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FAX NUMBER:
(253)
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CONTRACTOR'S REGISTRATION NUMBER:
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EXPIRATION DATE:
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(copy of card required)
VAMC: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER: I
❑ARCHITECT ❑TENANT OTHER (DESCRIBE): (a.5j7)
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER PPLICANT CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ QUIRED: ❑ YES ❑
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ : PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
FIRST
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
`FIXTURES "
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 INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) 1 FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
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)
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. 1, A
NAME/TITLE: \ ()/\J.IV — \ it
❑ PROPERTY OWNER APPLICANT
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❑ NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANTIMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
rnnimv iNrTY nFVFI OPMENT SERVICES - 33530 FIRST WAY SOUTH - P.O. BOX 9718 -FEDERAL WAY, WA 98063-9718 - 253-661-4000 -FAX: 253-66t-4129
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