02-105330City Federal Way
Community Development Services Mechanical Permit #: 02 -105330 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: WHITE
Project Address: 2507 S 279TH P
Rroject Description: MECH - Change out of gas furnace
Parcel Number: 757561 0530
Owner
Applicant
Contractor
DANIEL WHITE
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
2507 S 279TH PL
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA
AUBURN WA 98002
AUBURN WA 98002
98003-6938
(253) 931-0610
Mechanical Valuation..........................................1685 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES May 25,2003, IF NO WORK IS STARTED.
Permit issued on November 26, 2002
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 Feder
Owner or agent: Date:
�i-ate-off
Mechanical Fixtures
Furnaces
PERMIT EXPIRES May 25,2003, IF NO WORK IS STARTED.
Permit issued on November 26, 2002
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 Feder
Owner or agent: Date:
�i-ate-off
kkc-cr�
CI.Y°f r-- CONSTRUCTION PERMIT APPLICATION
VV —
APPLICATION NUMBER: - 1 Q 5_ 3
APPLICATION 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. .
PROPERTY• •
SITE ADDRESS: C —I / ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING CHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERI Gfl ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
PEOPLE•• •
PROPERTY OWNER:NAME:. ` 0 _TIME PHONE:
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
f_&
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ / Q
PROPOSED VALUATION FOR IMPROVEMENTS: $ �(D(/ 5.
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
MAILING ADDRESS (STREET ADDRESS CTrY,
ATE, ZIP):
CONTRACTOR:
NAME:
DAYTIME PHONE:
M'q91 -
MAILIN OGRE S (STREET ADDRESS; ATE, ZIP):
#30) 41-1114"'(
EVENING PHONE: -
CITY OF FEDERAL WAY BUSINESS LICENSE IMBER.— � / 1 � 9 V D - 9 �
FAX UMBER: -'
Gt
CONTRACTOR'S REGISTRATION NUMBER:
O
(copy Of Card required) — — — — — — —
'PIRA�N /ATE:
p-�C)/
APPLICANT: NAME:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
�y
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER YKAPPLICANT
�f
E CONTRACTOR
DAYTIME PHONE:
EVENING PHONE:
FAX NUMBER:
( -
E-MAIL ADDRESS:
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
f_&
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ / Q
PROPOSED VALUATION FOR IMPROVEMENTS: $ �(D(/ 5.
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
.. ■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
FIRST
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
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 FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTORS)
f
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEMS)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERT(S) RANGE(S) MISC. ( )
-� FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S) URINALS) WATER HEATER(S)
RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
SHOWER(S) WASH MACHINE OUTLET
SINKS) WATER CLOSET(S) MISC. ( )
SUMP(S)
ITCr1-STMFR/STGNOTURE BLC
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 t e city as a part of this application.
NAME/TITLE:Jiaw2d-,DATE:
❑ PROPERTY OWNER /,&APPUWNT CONTRACTOR
FOR OFFICE 115F ONLY:
❑ 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
COninu INITY nFVF1 OPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 251-661-4129