02-105621r .4
City Federal Way
Community Development Services Mechanical Permit #: 02 - 105621 - 00 - MIE
33530 Ist Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: WEIK/WILSON
Project Address: 31526 41 ST SW
Project Description: Replacing gas furnace
Parcel Number: 873198 2450
Owner
Applicant
Contractor
James L Wiek
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
31526 41 ST AVE SW
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA
AUBURN WA 98002
AUBURN WA 98002
98023-2116
1 (253) 931-0610
Mechanical Valuation..........................................2430 Over the Counter Permit...................................... Yes
Mechanical Fixtures
a....R1='
Furnaces
PERMIT EXPIRES June 15, 2003, IF NO WORK IS STARTED.
Permit issued on December 17, 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 Federal Why. Q /1 -- A
Owner or agent: _ZNDate: D r—
Mechanical rough -in:
Gas pipe:
FINAL MECHANICAL:
Date
� Iia
f ate
arrof
� CONSTRUCTION PERMIT APPLICATION rye
VV f3Y DEC 1 202 PPLICATION NUMBER:
APPLICATION NUMBER: _ _ - _ _ _ _ _ _ - _ _
city
'IT BUILDING DEPT, AY 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.
i L� JPROPERTY INFORMATION
SITE ADDRESS: 1 t2 1 I S (� C �w ASSESSOR'S TAX/PARCEL #: g -7 L
LECIAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROIECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL /❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
PEOPLE•
PROPERTY OWNER: NAME: "` 6 DAYTIME PHONE:
LO'�-- i Y-- / k Lli-A-) tJ I tZard
MAILING7IDORESS (STREET ADDRESS; CITY, STATE, ZIP):
-3 \-
CONTRACTOR: NAME: bKYnMEPHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): , Q EVENING PHONE:
�30`1p -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
R - I C61 58 c_ - 34-_ (253) - o
CONTRACTOR'S REGISTRATION NUMBER: j EXPIRATION DATE:
(copy ofcard required) H-T-�LA3 RY�- o a!: -:>C
+ l a a o
APPLICANT: NAME: DAYTIME PHONE:
�9 cPtT JJ c' 1&3) - /
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
(
RELATIONSHIP TO PROJECT: FAX NUMBER:
• ❑ ARCHITECT ❑ TENANT OTHER ( DESCRIBE): (a5
-�.�/ EMAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: C3 PROPERTY OWNER �PPLICANT S CONTRACTOR
• . •INFORMATION //
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ a L
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT 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)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
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
SINK(S) WATER CLOSET(S) MISC. ( )
SUMP(S)
■ DISCLAIMER/SIGNATURE 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 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:
❑ PROPERTY OWNER APPLICANT
FOR OFFICE USE ONLY:
DATE: 0�
❑ 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
ro l"Nv iNrTY nFVFI OPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY. WA 98063-9718 • 253-661-4000 • FAX: 2SI-661-4129