02-105510City of Federal Way
Conmvnity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:02 -105510 - 00 - ME
Inspection request line: 253.835.3650
Project Name: EVENSONG
Project Address: 29002 23RD�S Parcel Number: 422250 0160
Project Description: HVAC - Replacement of gas furnace
Owner
Applicant
Contractor
Joseph D Coronell & CYNTHIA EVENSON
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
8930 DURAN ST
3802 AUBURN WAY N
3802 AUBURN WAY N
JUNEAU AK
AUBURN WA 98002
AUBURN WA 98002
99801-8875
(253)931-0610
Mechanical Valuation..........................................1678 Over the Counter Permit...................................... Yes
Mechanical Fixtures
Mechanical rough -in:
Gas pipe:
FINAL MECHANICAL:
Date
Doe
Date
RECEIVED
`^•°FONSTRUCTION PERMIT APPLICATION _
D 1 0 20Q2
PPLICATION NUMBER: _ _ -
DECCUYOF FEDERAL WAY APPLICATION NUMBER: _ _ - _ _ _ _ _ _ -
BUILDING DEPT, APPLICATION NUMBER:
**The following is required information — Please print (in ink) or type** r
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
.` INFORMATION
SITE ADDRESS: ASSESSOR'S TAX/PARCEL #: q 2
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
y` ■ PR03ECT INFORMATION
TYPE OF PROJECT (This application):
PROJECT DESCRIPTION
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
❑ BUILDING ❑ PLUMBING ,MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
description):
■ PEOPLE INFORMATION
NAME:
T L
c C_
DAYTIME PHONE:
(195-5) 173 i - 0&
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
o a
CITY OF FEDERAL WAY BUSINESS LICENSE NUMB R:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRA DATEE:,
j , �f T
(copy of card required) Al-ESSL `l � v C
l V v l O
APPLICANT: F NAME:
ADDRESS (STREET
#50)
RELATIONSHIP TO PRO)ECf:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ��^^
CONTACT PERSON FOR THIS PROJECT: E3 PROPERTY OWNER 1SAPPLICANT (CJ�CONTRACTOR
EXISTING USE:
POSED USE:
■ DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
DAYTIME PHONE:
EVENING PHONE:
FAX NUMBER:
(Ew -4(6 D
PROPOSED VALUATION FOR IMPROVEMENTS: $ z&a � ,
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: $
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)
- FIXTURES .
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEMS)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
_ I FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
'ITCCI ATMFR/CT[;NAT"RE RLC
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.
NAME/TITLE: (11(AA DATE:
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE USE 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
mN+Mi iNiTY nFVFI OPMENT SERVICES - 33530 FIRST WAY SOUTH - P.O. BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253.661-4129