02-104820Cityun Federal Wayni
Applicant
Mechanical Permit #: 02 -104820 - 00 - ME
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Commty Development Services
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
33530 1st Way S
3802 AUBURN WAY N
3802 AUBURN WAY N
Federal Way, WA 98003-6210
AUBURN WA 98002
AUBURN WA 98002
Ph: 253.661.4000 Fax: 253.661.4129
Inspection request line: 253.835.3050
Project Name: WESSEL Q►�
Project Address: 33149 36TH SW Parcel Number: 109961 0020
Project Description: MECH - changeout of 2 -stage furnace and hot water heater in existing residence.
Owner
Applicant
Contractor
William E & Karen L Wessel
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
33149 36TH AVE SW
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA
AUBURN WA 98002
AUBURN WA 98002
98023-2616
(253) 931-0610
Mechanical Valuation..........................................3477 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
n, ,p_escrl lor►
Furnaces 1
PERMIT EXPIRES April 28, 2003, IF NO WORK IS STARTED.
Permit issued on October 30, 2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy a 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:
1(` st
C^Y°r CONSTRUCTION PERMIT APPLICATION
EDfI— PPLICATION NUMBER:-
uV
APPLICATION NUMBER:
OCTQ � /APPLICATION NUMBER:
T **The`f` gwing is required information - Please print (in ink) or type**
Please not Y fe&iiiMFMre�jr ention Systems and Engineering permits may require a separate application.
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SITE ADDRESS:;53PJc? _ 0d u 2 A % ASSESSOR'S TAX/PARCEL #: t () q q t I - vO a
LEGAI 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:
PROPERTY OWNER: I NAME:
CONTRACTOR:
■ PEOPLE INFORMATION
t
IME PHONE.
S3) � -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
,�I Ll I HiQ t3U 'r
'3W :7�SpAQ-TI . vtt�) rA X
N
DAYTIME PHONE:
(Q55) R31 -062101
MAILING ADDRESS (STREET ADDRESS; CITY, STATIE,
380 a
ZIP):
/) 014 '7&tg-
EVENING PHONE:
(
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
,' - qg JOS 75'�' - 00 6_L
FAX NUMBER:
(a oo - o
CONTRACTOR'S REGISTRATION NUMBER:
(copy of card required)
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Cg AT= q-vj N� o oZ S C �—
EXPIRATI N DATE: ^ l
F/ a v / O
APPLICANT: NAME: DAYTIME PH
(S HO - Ole /G;
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: {
RELATIONSHIP TO PROJECT: FAX NUMBER: i
❑ ARCHITECT ❑ TENANT / HER ( DESCRIBE): (x.55 8 - Q
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: E]PROPERTY OWNER ElAPPLICANT CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ J�-f T -T. IJLJ
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE: $
■ PR07ECT FLOOR AREAS
j` ,x
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 FOUNTAIN(S)
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) 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)
]TSCLATMER/SIGNATURE 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 sulfjlied to the city_ as, a part of this application. J
NAME/TITLE: 0 DATE:
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
3�T•tiTr� C�T�IC-TOWN
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❑ NEW ❑ ADDITION ❑ ALTERATION
Cl 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
mrm,ii irvTv nFVFI OPMENT SERVICES - 33530 FIRST WAY SOUTH • P.O. BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129