02-105158City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:02 -105158 - 00 - ME
Inspection request line: 253.835.3050
Project Name: RIZER
Project Address: 33324 29TH SW Parcel Number: 0100601010
Project Description: MECH - Changeout of a gas furnace
Owner
Applicant
Contractor
Arthur L Rizer
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
33324 29TH PL SW
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA
AUBURN WA 98002
AUBURN WA 98002
98023-2715
(253)931-0610
Mechanical Valuation..........................................1573 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Mechanical rough -in:
Gas pipe:
FINAL MECHANICAL:
Date
Date
ate
. r '
<' o CONSTRUCTION PERMIT APPLICATION
PPLICATION NUMBER: -17 -
APPLICATION
_ --
V PPLICATIONNUMBER:
NAV 1 9 2002APPLICATION NUMBER:
following is required information — Please print (in ink) or type**
PQ i01I; Fire Prevention Systems and Engineering permits may require a separate application.
e�►T _ 1
SITE ADDRESS: -�55(9 tL 49- I T 110 C � l /u ASSESSOR'S TAX/PARCEL #: N
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT•• •
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING )1ECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: -
DAYTIME PHONE:
( 05 X31 - CYWQ
MAILING ADDRESS (STREET ADDRESS;STA ZIP): _
!RDQ
EVENING PHONE:
a� &4�97.j (ffj'��/J..
-
CITY OF FEDERAL WAY BUSINESSLICENSE NUMR:j a - 105-75
/ 5_ l 00 - �
�qX ryUMB q-
CONTRACTORS REGISTRATION NUMBER: �
(COPY of Wfd required) O � � �
EXPIRATION ATE: �/ U
v '
.& cL— ( '
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP),EVENING PHONE:
gp(
RELATIONSHIP TO PROJECT: FAX NUMBER: j
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER APPLICANT NTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ `Z �_ ✓ ,
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
n
❑ NO
i
**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:
■ - FIXTURE$
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S)
FAN(S) HOODS) .,. WOODSTOVE(S)
.. BOILER(S) :FIREPLACE INSERT(S). RANGE(S) ,.., MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEATSOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) WATER HEATER(S)
DISHWASHER(S)- RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET -
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
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 appiicatior> 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, upo the accuracy
of the information supnkMd to the city as a part of this a plication.
NAME/TITLE: DATE:
❑ PROPERTY OWNER t! APPLICANT NTRACTOR
FOR OFFICE LSE nNLY-
❑ NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO..
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
rr)%IKn INITY nFVFI OPMENT SERVICES - 33530 FIRST WAY SOUTH -P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 -FAX: 751-661-4129