04-100054City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: MCCLUREt%
Project Address: 31431 8TH'9W
Mechanical Permit #:04 -100054 - 00 - ME
Project Description: Remove and replace furnace and fireplace
Inspection request line: 253.835.3050
Parcel Number: 556050 0380
Owner
Applicant
Contractor
Connie Butcher
ADVANCED FILTER AND MECHANICAL &
ADVANCED FILTER AND MECHANICAL
31431 8TH PL SW
418 VALLEY AVE NW UNIT B115
418 VALLEY AVE NW UNIT B115
FEDERAL WAY WA
PUYALLUP WA 98371
PUYALLUP WA 98371
98023-4549
1
1 (253)770-2440
Mechanical Valuation..........................................1580 Over the Counter Permit...................................... Yes
Mechanical Fixtures
Description Quanti Description Quantity Description Quanti
Fireplace Inserts Furnaces , 1
PERMIT EXPIRES July 5, 2004.
Permit issu�d on January 7, 2004
I hereby certify that the above information ' co ect and the construction on the above described property and
the occupancy and the us ill a in accorda a with a ws, rules and regulations of the State of Washington and
the City of Federal W
Owner or agent: Date: 7 ��
//71 )46C
/L
RECEIVED COMMUNI YDEVEWPMENT sMICES
33530 FIRST WAY SOUTTI - PO BOX 9718
C" of
Federal WayFEDERAL WAY, WA 98063-9718
jAN ® 7 2004PERMIT APPLICATION ,�,��� 2�� �,uof�;at, mm129
P— l,a<0,I,C1T�c a�ygQ Pt — -1 Q 0 0 5 J1 — -0 D � � r)
SITE ADDRESS:
ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION (eg: Acme Estates, Lot 1)
SQUARE FOOTAGE OF LOT: (Attach separate page for lengthy legal description)
PROJECT•- •
TYPE OF PERMIT (This application): ❑ BUILDING ❑ PLUMBING *IECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT-RESCRIPTION (Provide detailed description of work include] on thi ermit onl .
NAME (Name OfBusiness/OwnerLast
PROPERTY
OWNER
C•Z•� �f! � [nth l•7 C�
LENDER:
(!f rmpo:ea Valga > $5,0001
APPLICANT:
NAME
COMPANY
OFFICE PHONE:
MAILING ADDRESS (STREET ADDRESS;):
l �%14i
I STATE, ZIP -
r `r5
CELL PHONE:
'
CITY OF FEDERAL WAY BUS CENSE NUMBER: EXPIRATION DATE:
FAX NUMBER:
Ll
CONTRACTORS REGISTRATION NUMBER:
_
� Lf L7 9�
EXPIRATION DATE--
/
(copy of card required with each application)
r 1M�
NAME: • DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP -
WU
CITY, STATE,
RELATIONSHIP TO PROJECT: FAX NUMBER:
O'Architect ❑ Tenant ❑ Other (Describe) I -'---L-L
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner Acontractor ❑ Applicant E-MAIL ADDRESS:
DETAILED BUILDING• - •
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
o YES o NO
BASIC PLAN?
o YES
FIRST
ZONING DESIGNATION:
CHANGE OF USE?
SECOND
o NO
NEW ADDRESS REQUIRED?
a YES a NO
THIRD
❑ YES
❑ NO
PLATTED LOT?:
FOURTH
DEMO PERMIT REQUIRED?
o YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL EXISTING
TOTAL PROPOSED
TOTAL EXISTING AND PROPOSED
**AEW HOMES ONLY`* NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIECHANICAL
Value of Mechanical Work $
EVAPORATIVE COOLERS _ GAS LOGS
FANS MOODS (co—iaq
FIREPLACE INSERTS RANGES
_!71L FURNACES GAS WATER HEATERS
GAS PIPE OUTLETS
AIR HANDLING UNITS
_— BBQS
BOILERS
COMPRESSORS
DUCTS .
PLUMBING
BATHTUBS (or Tub/Shower Combo
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom sink
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS (.iie)
DRINKING FOUNTAINS
RAINWATER SYS
HOSE BIBBS
ELECTRIC WATER HEATERS
")TSCI.ATMF,R /STGNATURE BLC
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
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 harmless the City of Federal Way as to any claim (including costs, expenses, and
attorneys' fees incurred int -11
ve ggati n and ease of such clainq, which may be made by any person, including the
undersigned, and filed Inst City o Fed al Way, but only where such claim arises out of the reliance of the city,
including its office nd emp yees, u n t ac y of the information suppli7—DATE:
the city as apart of this application.
NAME/TITLE: 6 7 /
RELATIONSHIP TO PROJECT. ❑ Property Owner ❑ Applicant ❑ Contractor ❑ Architect ❑
_PU OFFICE IISE ONLY:
❑ NEW ` o ADDITION
a ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION:
CHANGE OF USE?
❑ YES
o NO
NEW ADDRESS REQUIRED?
a YES a NO
IIP/SEPA/SII?
❑ YES
❑ NO
PLATTED LOT?:
o YES ❑ NO
DEMO PERMIT REQUIRED?
o YES
o NO
'q;