02-105660City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way. WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #: 02 -105660 - 00 - ME
Inspection request line: 253.835.3050
Project Name: WATSON
Project Address: 1117 SW 334TH P1 Parcel Number: 926496 0430
Project Description: Changeout of gas hot water heater and furnace in existing residence.
Owner
Applicant
Contractor
John R & Peggy A Watson
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
1117 SW 334TH PL
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA 98023-5317
AUBURN WA 98002
AUBURN WA 98002
(253) 931-0610
Mechanical Valuation..........................................3065.95
Over the Counter Permit......................................Yes
iliechanical Fixtures
s- aIle magi*1a a m ��„iia":
PERMIT EXPIRES June 17, 2003, IF NO WORK IS STARTED.
Permit issued on December 19, 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 Way—
Owner
or agent: Date:
k
RECEIVED
`^•°` �-- CONSTRUCTION PERMIT APPLICATION
•APPLICATION NUMBER: fes- G► �( d
-v Her
DEC 19 2002
vv �v Frz�L - -
APPLICATION NUMBER:
C* OF FEDERAL WAY APPLICATION NUMBER:
owing is required information - Please print (in ink) or type**
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Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. .
PROPERTY INFORMATION
SITE ADDRESS: 1114 C Lk ASSESSOR'S TAX/PARCEL #: "1 V w q fo- �
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
jFfD
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
�o`p�-
EVENING PHONE:
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER.
IClRe-Los_-� 58C_-84-
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
{� V✓ �� L� o
EXPIRATION DATE:
/ a a
o3
(copy of mrd required)
l i
CITY, STATE, ZIP):
❑ ARCHITECT ❑ TENANT AOTHER(
DAYTIME PHONE:
(Q53) q
-�,E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER �/
PPLICANT J�E/ ONTRACTOR
DETAILED BUILDING INFORMATION'
EXISTING USE:
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
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 0 HIGHLINE 0 PRIVATE (SEPTIC)
f
t/
1
**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)
DISHWASHER(S)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(�,)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC �AS
PLUMBING
LAVATORY(S) URINALS) WATER HEATER(S)
RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC DiVGAS
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 informatiT!.aAk
upplied to the city as a part of this application.
G
NAME/TITLE: ' ''�' ATE: t
�
❑'PROPERTY OWNER*APPLICANT
^
/ RACTOR L l
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
rn..,ro+T 1NfTY nFVFI OPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 251-661-4129