03-100291City mun ty Development
Way Mechanical Permit #: 03 - 100291 - 00 - ME
Community Development Services
33530 1 st `Nay S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: PETERSON'P�
Project Address: 31917 34TH SW wl;+ 8 Parcel Number: 698001 0210
Project Description: MEC - Gas furnace changeout
Owner
Applicant
Contractor
JUDY PETERSON
NARROWS HEATING/AIR CNDTNG,INC
NARROWS HEATING/AIR CNDTNG,INC
31917 34TH PL SW
1601 - 6TH AVE
1601 - 6TH AVE
FEDERAL WAY WA 98023
TACOMA WA 98405
TACOMA WA 98405
(253) 627-7543
Mechanical Valuation..........................................4500
Over the Counter Permit......................................Yes
Mechanical Fixtures
PERMIT EXPIRES July 21, 2003, IF NO WORK IS STARTED.
Permit issued on January 22, 2003
I hereby certify that the ve info on is correct and that the construction on the above desc ed pro erty and
the occupancy and the se ll be ' a ordance with the laws, rules and regulations of the State f Was gton and
the City of Federal W y.
Owner or agent: 1A'1V / �--
Date: v �(
2�
RECEIVED CONSTRUCTION PERMIT APPLICATION
CITY OF �...� R PPLICATION NUMBER: 0�- _ _ -
Federal Way JAN 2 2 ?1n3 APPLICATION NUMBER:
V (� �nFR
APPLICATION NUMBER:
"`The tQjT j` 6j�t�L'aL'& ormation -Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: �l L �P' �I/ �t/l� ASSESSOR'S TAX/PARCEL #: (0 VO O - P O
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT•• •
TYPE OF PROJECT (This application): o BUILDING o PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL o ENGIN_"RING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME: �t�/y �C-VI
PEOPLE•• •
PROPERTY OWNER: NAME DAYTIME PHONE:
-
tLING ADDRESS TREET ADDRESS; STATE, ZIP): f I vjA 1'8 2 !
CONTRACTOR:
NAME: � �
� (A�PHONE:
-
i
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE
I )bol �cMVk' �n�'— b9J� <Vkw � P10(o
i ( ) -
CITY
TY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
i FAX NUMBER: 1
CONTRACTOR'S REGISTRATION NUMBER
I IXPIRATION DATE:
(copy of card required)
APPLICANT:
NAME:�� J
i DAYTIME PHONNE:zp,
MAIYADDRESS (STREET ADDRESS. • ATE, ZIP
!? `1's`tb(v
EVENING PHONE:
N
-
( J
RELATIONSHIP TO PROJECT:(
ARCHITECT TENANT THER
NUMBER:
'
o o ( DESCRIBE): /��
-
I
i E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
$
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/
REQUIRED: o YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: o 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
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(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 OUTLETS) 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)
■ DISCLAIMER/SIGNATURE BLOCK
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 rises out of the reliance of the city, including Its officers and employees, upon the accuracy
of the information suppli to the city a part of this application.
NAME/TITLE: �0 DATE: 446'5
❑ PROPERTY OWNER ❑ APPLICANT ❑RACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cntgsderalway.com