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02-104616City of Federal Way Community Development Services 33530 1 st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: LEVICK Project Address: 513 SW 324TH St Drniart rUcrrintinn' Ad'vir17 _ 1D-1— —e fnrna DP Mechanical Permit #:02 104616 - 00 - ME Inspection request line: 253.835.3050 Parcel Number: 926490 0860 __J___ Owner Applicant Contractor Gordon Levick COMPLETE HEATING AND A/C INC COMPLETE HEATING AND A/C INC 513 SW 324TH ST COMPLETE HEATING AND A/C INC COMPLETE HEATING AND A/C INC FEDERAL WAY WA 15627 SE 178TH ST 15627 SE 178TH ST 98023-5635 RENTON WA 98058 (425) 254-0031 Mechanical Valuation..........................................1500 Over the Counter Permit ...................................... Yes Mechanical Fixtures PERMIT EXPIRES April 16, 2003, IF NO WORK IS STARTED. Permit issued on October 18, 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 Wa . Owner or agent: Date: /O a c^•°FG CONSTRUCTION PERMIT APPLICATION ffbe: L O I $ 2�© PPLICATION NUMBER: O Z— / D vv Rv ! Og-k0- Y APPLICATION NUMBER: _ _ - _ _ _ _ _ _ - _ - C ®U1`p1NG OEPT APPLICATION 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 INFORMATION SITE ADDRESS: (A)• cJ2 '�c� qS ASSESSOR'S TAX/PARCEL #: LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): ... - -: ` :: ■ ' PR03ECT INFORMATION-.::;- TYPE NFORMATION .:: , TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING lX MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: L -G VICK PROPERTY OWNER: CONTRACTOR: APPLICANT: ■ PEOPLE INFORMATION N E: DAYTIME PHONE: ADDRESSMAILING 5/ 3vel �� II� Led era F Waw OJ4. 9 2N 3 NA ' I DAYTIME PHONE: MAILING ADDRESS EET ADDRESS; CITY, STA ZIP)' EVENING PHONE: CITY OF FEDEkAL WAY BUSINESS LICENSE NUMBER: r ------------(Pt53)Y5q-1877 FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: �i /' p EXPIRATION DATE: (copy of card required) /� S� S! NAME: DAYTIME PHONE: ( ) MAILING RESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT []TENANT ❑ OTHER( DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACTRERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR EXISTING USE: PROPOSED USE: ■ DETAILED BUILDING INFORMATION EXISTING BUILDING ASSESSED/APPRAISED VALUATION. PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED• ❑ YES ❑ NO WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) . ❑ LAKEHAVEN 0 HIGHLINE 11 PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** ` NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT 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) DISHWASHERS) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTORS) 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. FURNACE(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC 4 GAS PLUMBING LAVATORY(S) URINAL(S) WATER HEATER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS SHOWER(S) WASH MACHINE OUTLET SINKS) WATER CLOSET(S) MISC. ( ) SUMP(S) ]TSCLeTMER/STGNOTtlRE 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 upplied to the city as part of this application. //( Q' NAME/TITLE: DATE• l (J / O O ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129 WWW.dNoffederalway.00m