03-101344-
City Federal Way
Community Development Services Mechanical Permit #: 03 -101344 - 00 - ME
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: COLLEEN
Project Address: 4027 SW 334TH Pi Parcel Number: 327900 0600
Project Description: Replace existing furnace with new 75K BTU gas furnace
Owner
Applicant
Contractor
Colleen Norris
ALL SEASONS INC (CONSTRUCTION CONT
ALL SEASONS INC (CONSTRUCTION CONT
4027 SW 334TH PL
5118 N HIGHLAND ST
5118 N HIGHLAND ST
FEDERAL WAY WA
TACOMA WA 98407
TACOMA WA 98407
98023-2925
(253)879-9144
Mechanical Valuation..........................................1700
Over the Counter Permit......................................Yes
PERMIT EXPIRES October 4, 2003.
Permit issued on April 7, 2003
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:
C
/✓4 CC
RECEIVED EIVED CONSTRUCTION PERMIT APPLICATION
mMID
V
APR 0 7 c.003
CITY OF FEDERAL WAY x:.::_,...,......._.._._.__..._.r....::....::....:,::...:_. _»
BUS%W& ,Ig is required information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY•- •
SITE ADDRESS: 402----T Sul 33+4 PL ASSESSOR'S TAX/PARCEL *: 3 Z ':F 9 O O - U (V
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT•- •
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING a//
MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): SPL E a STI NG -r 2(1/ACk-_- Lk -)j IV C-�-
—4 -SL 91U Cb dS FC1 I2 -1J A 6(---
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
NAME: DAYTIME PHONE:
6D9 -1J eOLLE- -�0 (2s3) g 14 ' 22.2.0
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
40Z-- Sw 3344' pL Fop c=iA-U t) -)A CMC)23
NAME:
DAYTIME PHONE:
(263 ) S+ci - 9 H4
(.t, 6E:JaSbnjs IAf
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
S ► i � eU 414. a- 'j D 'S -r c< LA -),k- 9, li�40-4-
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
I I - qz j- 'a Z- O a
FAX NUMBER:
(2-5 -,-,)a+q I!3
CONTRACTORS REGISTRATION NUMBER:
J S
EXPIRATION DATE:
12- / 1:0: -S�
(copy of card required) A L L S (_ � Q d
FAX NUMBER:
APPLICANT:
NAME:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
( )
RELATIONSHIP TO PROJECT:
FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE):
/
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER C3 APPLICANT [3'CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: Y2 E S EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PC S PROPOSED VALUATION FOR IMPROVEMENTS:
If 0C .QO
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAIEHAVEN ❑ HIGHLINE ❑ 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 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)
FIREPLACEINSERT(S) RANGE(S) MISC.(
FURNACE(S) -`
GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC 01GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
]TSCLAIMER/SIGNATURE BLC
WATER HEATER(S)
o ELECTRIC o GAS
MISC. ( 1
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 a city as a part of this application.
NAME/TITLE: Q DATE: 0+ -04 --ns
o PROPERTY OWNER o APPLI NT it/CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cbgffederalway.com