02-105575City munit Federal Way Mechanical Permit #: 02 -105575 - 00 - ME
Community Development Services
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: MUSCUTT
Project Address: 1109 S 313TH s'i Parcel Number: 787540 0160
Project Description: HVAC - Replacing furnace
Owner
Applicant
Contractor
W L Muscutt
COMPLETE HEATING & A/C
COMPLETE HEATING & A/C
110 SW 313TH ST
15627 SE 178TH ST
15627 SE 178TH ST
FEDERAL WAY WA
RENTON WA 98058
RENTON WA 98058
98023-4628
1
1 (425) 254-0031
Mechanical Valuation..........................................2700
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
PERMIT EXPIRES June 11, 2003, IF NO WORK IS STARTED.
Permit issued on December 13, 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 Fede 1 Wa _ J
Owner or agent:�� Date:
Mechanical rough -in
Gas pipe:
FINAL MECHANICAL:
z
Da e
Date
Date
RECF-IVED
c„« G CONSTRUCTION PERMIT APPLICATIONIncovl�vv �L DEC 13 2002 - - -
PPLICATION NUMBER:
CITY OF FEDERAL WAY APPLICATION NUMBER: -
BUILDING DEPT. APPLICATION NUMBER: - -
**The following is required information - Please print (in ink) or type** x3,
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. /
SITE ADDRESS:.// 0 / !� ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• • •
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING N?14ECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
DAYTIME PHONE.
XD (STREELAPD � �YZIP)
Nrl, gwAq'�
n L
DA ME PHONE V S5
AD�RE55; CITY, STATE, ZIP
MAILING ADDRESS ( EETEVENING
17
LLICENSE
� -
PHONE:
CITY OF FEDERAL WAY BUSINESS NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; QTY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
11 ARCHITECT 11TENANT ❑ OTHER ( DESCRIBE): ( ' ) -
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
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 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
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)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
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)
SINK(S)
SUMP(S)
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( )
'ITSELOTMER/STGNOTURE BLE
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 attomeys' 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 sup lied to the 'ty as a part of Ahis applicquon.
NAME/TITLE: �' V DATE: / )
�1 0
❑ PROPERTY OWNER ❑ APPLICANT td CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718• FEDERAL. WAY, WA 980639718.153-661-4000 • FAX: 253-661-4129
www.dtvoffederaIway.com