03-100290City Federal Way
Commununity Development Services Mechanical Permit #: 03 -100290 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210 p
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request Mlle: 253.035.3050
Project Name: WOLF
Project Address: 32328 10THIS Parcel Number: 150240 0280
Project Description: MEC - Gas furnace change out
Owner
Applicant
Contractor
Hans W Wolf
NARROWS HEATING/AIR CNDTNG,INC
NARROWS HEATING/AIR CNDTNG,INC
32328 10TH AVE S
1601 - 6TH AVE
1601 - 6TH AVE
FEDERAL WAY WA
TACOMA WA 98405
TACOMA WA 98405
98003-5925
(253) 627-7543
Mechanical Valuation..........................................2300
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
1117-121 RNSRMIMW 'Elk),Emil
::
PERMIT EXPIRES July 21, 2003, IF NO WORK IS STARTED.
Permit issued on January 22, 2003
I hereby certify that the abo orm4ord
orrect and that the construction on the above described property and
the occupancy and the us �nl in e with the laws, rules and regulations of the Stale of Washington and
the Ci of Federal Way// /
Owner or agent: I U / l Date:
eco. F,' P% CA.( � /< -7 - /- 3e-- , C-�)
CONSTRUCTION PERMIT APPLICATION
CITY OF �►•...� RECEIVED PPUCATION NUMBER: _ - -
Federal Way APPLICATION NUMBER: _ - -
JAN 2 2
APPLICATION NUMBER: _ _ ------ - _ _
**The following is required information - Please print (in ink) or type**
CITY tLt .&?5R W
Please note: Electrical, Fire Pr 'a I�iEngineering permits may require a separate application.
SITE ADDRESS: Z JC/� { V — ryW / ASSESSOR'S TAX/ PARCEL #: _ _ _ _ _ --- — — — —
LEGAL
,-
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): o BUILDING
o ELECTRICAL
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME: Wo 1
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
o PLUMBING _IECHANICAL o DEMOLITION
o ENGINEERING ❑ FIRE PREVENTION SYSTEM
5 CZA)kj�. C�,(AOV -OASt
' NAME:/
`DAYTIME PHONE:
1 DAYTIME PHONE:
wo
"%f*
EVENING PHONE:
( )� -�
MAILIN DDRESS( EET ADO SS; CITY, STATE, ZIP):
; (
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
NAME: C
`DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CTTY, STATE.
"%f*
EVENING PHONE:
dvu&7,we-
i t(O01 l���
; (
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:
I EXPIRATION DATE:
(wPY of mrd required)
i / /
NAME: CI
•
DAYTIME RHONE:
3) GV
MAILING ADDRESS (`ET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
1601 111:1111,
RELATIONSHIP TO PROJECT: f I FAX NUMBER:
❑ ARCHITECT ❑ TENANT OTHER ( DESCRIBE):C�(l�d`�y�-
E-MAIL ADDRESS: .
CONTACT PERSON FOR THIS PROJ
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
OWNER ❑ APPLICANT o CONTRACTOR
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: ; 00V
o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ 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
SINK(S)
INTERCEPTOR(S)
SUMP(S)
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNITS)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
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)
RAIN WATER SYS.
DISHWASHER(S)
DRINKING FOUNTAIN(S)
SHOWER(S)
GAS PIPE OUTLET(S)
SINK(S)
INTERCEPTOR(S)
SUMP(S)
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
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 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 sup 'ed to the d s a part of this application.
NAME/TITLE: J N DATE: �y
❑ PROPERTY OWNER ❑ APPLICANT �NTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129
www.cttvoffederalway.com