02-104853City of Federal Way
Community Development Services Mechanical Permit #: 02 - 104853 - 00 - ME
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: ALBERT 4cJ
Project Address: 31531 36TH /t, J(,'
W Parcel Number: 873198 0790
Project Description: MECH - Replace existing gas furnace
Owner
Applicant
Contractor
Dennis A & Gayle C Albert
CITY SHEET METAL
CITY SHEET METAL
31531 36TH AVE SW
4202 AUBURN WAY N #8
4202 AUBURN WAY N #8
FEDERAL WAY WA
AUBURN WA 98002
AUBURN WA 98002
98023-2104
1 (253) 852-2174
Mechanical Valuation..........................................2000
Descri tion# 4
Furnaces1
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
E3e6c0_ fio . Qtaanti
PERMIT EXPIRES April 30, 2003, IF NO WORK IS STARTED.
Permit issued on November 1, 2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and will be in accordance with the laws, rules and regulations of the State of Washington and
the City of FedeyM Way.
Owner or agen (tii/YI=`��a'w`" Date: �` Z
«�•� CONSTRUCTION PERMIT_ APPLICATION
-•
APPLICATION NUMBER: -
APPLICATION NUMBER: - -
APPLICATION NUMBER:
**1fng is required information —Please print (in ink) or type**
Please note: Electricals, °Fire Prexen�9gstems and Engineering permits may require a separate application.
VV ••ERTY INFORMATION
pF of
S
ASSESSOR'S TAX/PARCEL #:SITE ADDRESS: ��_` _�te
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): I ❑ BUILDING ❑ PLUMBING LY MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT/
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
NAME:
/DAYTIME PHONE:
Zl
MAILING ADD (STREET ADDRESS; CITY, STATE, ZIP):
--�,Q 2- V V,)C j0 g
EVENING PHONE:
(UY, ) 3cl - 7Z_512_
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRAcrOR5 REGISTRATION NUMBER:
C ILLa'M— 1'1'3j6 _
EXPIRATION DATE:
' I / A
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CrIY, STATE, ZIP): /EVENING PHONE:
l � -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( -
� F -MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 11 PROPERTY OWNER ❑ APPLICANT LIYCONTRACTOR
EXISTING USE:
PROPOSED USE:
■ DETAILED BUILDING INFORMATION .
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $ ')-o 0Q Q -D
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)
U
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS I
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. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACEINSERT(S) RANGE(S) MISC.( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC L� GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
IMMAYMER/SIGNATURE BLC
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
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 t pp r to the city as a part of this application.
r.
NAME/TITLE: \✓1 "w Z� AL1 (� DATE:
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129