03-1010334
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: MOOR
Project Address: 2738 SW 314TH 5t
Project Description: Replace existing furnace
i'
Mechanical Permit #:03 -101033 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number:
Owner
Applicant
Contractor
ROSE MOOR
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
2738 SW 314TH ST
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA 98023
AUBURN WA 98002
AUBURN WA 98002
(253) 931-0610
Mechanical Valuation..........................................2270 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
PERMIT EXPIRES September 14, 2003.
Permit issued on March 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 Wa .
Owner or agent: Date: o-3
I I I I q 103 �-k f�yd /0 hyyxpg�
CONSTRUCTION PERMIT APPLICATION
CITY OF PPLICATION NUMBER: 0-L i)
Federal Way PPLICATION NUMBER: _-
PPLICATION 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.
A PROPERTY• •
SITE ADDRESS: l 9'�� 314- cASSESSOR'S TAX/PARCEL #: 6 / -5-
C) 6 - D z O
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): o BUILDING o PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): _j- 4,
PROJECT NAME:
f ■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAMt:
DAYTIME PHONE'
I
MAILING
/ADDRESS
O (STRRES/Z A--IIP):
-IIP
NAM •
'
I DAYTIME PHONE:
6 (z53 1- o WO
i MAILING ADDRESS (STREET ADDRESS; CM, STATE. ZIP):
(' EVENING PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
L !' S'Z �S - 6013x( ) -
CONTRACTOR'S REGISTRATION NUMBER:
c�
I EXPIRATION DATE:
L
(cDPy of card required)
NAME:
MAILING ADDRESS (STREET Alt
RESS; CITY, STATE, ZIP . 1 EVENING PHONE: i
RELATIONSHIP TO PROTECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): -
E -MAIL ADDRESS: —�
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER PPPLICANT CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE:
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
"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:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
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)
RAIN WATER SYS.
SHOWER(S)
SINK(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 supplied to ft cityps apart of this application.
NAME/TITLE: i11iS DATE://0-3
❑ PROPERTY OWNER APPLICANTCONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.dbmffederalway.com