02-104322City 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: IRONS Wf-
Project Address: 32030 4TH ISW
Project Description: MECH - Replace gas furnace
Mechanical Permit #:02 - 104322 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 926490 0340
Owner
Applicant
Contractor
JEFF IRONS
ALL STAR HEATING & APPLIANCES
ALL STAR HEATING & APPLIANCES
32030 4TH AVE SW
PO BOX 1923
PO BOX 1923
FEDERAL WAY WA 98023
GIG HARBOR WA 98335
GIG HARBOR WA 98335
(253) 853-2088
Mechanical Valuation..........................................728 Over the Counter Permit ...................................... Yes
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 Q Date: / O
. > NI50
yor An-- PERMIT APPLICATION
VV FiY
APPLICATION NUMBER: t2a - Q 3,a2- Of
APPLICATION
,aZ-
PPLICATION 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: -CJ 4 ASSESSOR'S TAX/PARCEL #: —
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
ECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): _' �`�` RCS, --�� (2, r� � r)az�-
• J�
_
PROJECT
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
NAME: �t DAYTIME PHONE:
MAILING ADD (STREET ADDRESS; CITY, STATE, IIP):
-1
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NAME: V
DAYTIME PHONE:
S'-'
WS3) 93 - zoo
MAILING ADDRESS (STREET ADDRESS;STATE, ZIP):
-� –6. �nX 15Z3 ��� � s�Q� c,Jp ��C��S'
EVENING PHONE:
(ZS3) e53 ' ?-d
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
—
( ) —
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME:\ -� DAYTIME PHONE:
P4%\ S —, atz �- a x, (z&-3) F r3 - 2� �8-
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT:�('+ FAX NUMBER
11 ARCHITECT ❑ TENANT OTHER ( DESCRIBE): \D
CONTACT PERSON FOR THIS PROJECT: C'7.PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 7 �d
SPRINKLERED BUILDING? ❑ YES ❑ NO' FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED• ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 11 HIGHLINE 11 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
7m.
■ 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)
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)
SINKS)
SUMP(S)
URINALS)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
' ■ "DISCLAIMER/SIGNATURE BLOCK
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
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.
❑ PROPERTY OWNER ❑ APPLICANT
DATE: � (0 — O 3 — C) -2--
COMMUNITY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129
www.dtvofTederalway.Com