02-105269City of Federal Way
Community Development Services Mechanical Permit #: 02 -105269 - 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: BISHOP M
Project Address: 35909 6TH SW Parcel Number: 302104 9065
Project Description: ME - Installing gas furnace & gas water heater
Owner
Applicant
Contractor
Walter W & Sono Bishop
BRENNAN HEATING CO INC
BRENNAN HEATING CO INC
35909 6TH AVE SW
4601 S 134TH PL
4601 S 134TH PL
FEDERAL WAY WA
TUKWILA WA 98168
TUKWILA WA 98168
98023-7212
(206) 248-7900
Mechanical Valuation..........................................3125
. e C'S . 1.sflOil 'ix._ Qt1lf
Furnaces
Over the Counter Permit......................................Yes
Mechanical Fixtures
PERMIT EXPIRES May 21, 2003, IF NO WORK IS STARTED.
Permit issued on November 22, 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: See Application Date: �Z2�DZ
� C
1'
Mechanical rough -in:
Date
Gas pipe:
Date
FINAL MECHANICAL: APR L2 U t2 ' 6 2
Date
PROPERTY INFORMATION
SITE ADDRESS: �5 {�q TN p`�C� Jul J ASSESSOR'S TAX/PARCEL #: o Oma- 10
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): Jf I-.
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING "MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING 6 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): _IDIS i "AILI M t V "70K E510 C 5 Eb ej�,W
Am I)
•
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
NAME: DAYTIME PHONE:
(J-�A LTA l� �l Sy�
MAILING ADDRESS (STREET ADDRESS; CTTY, STATE, ZIP):
�vS�t�q (o -TA aVc slk� F LO.
NAME:
$2E1J►.lP i.! ���Tc>\tCZ,
DAYTIME PHONE:
(Act,) o-+?
-157C)
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
y o ( 9 (3L--tij► -PL- -ruKu-�tLA, wA-
EVENING PHONE:
CTTY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
- - - - - -
- - - -
(aQ�)a42
_
-'7gD'S
CONTRACTOR'S REGISTRATION NUMBER: /1
R
(copy of card required) 6 R C K C
—� �
y1 T! Q
EXPIRATION DATE:
3
4
APPLICANT: NAME: DAYTIME PHONE:
AqR- -
MAILING ADDRESS (STREET ADDRESS; , STATE, ZIP): EVENING PHONE:
- 4 PL Tlj(,4, [LA Lk -)A ' 271108
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT OTHER ( DESCRIBE): CVq AC-rO 2 - (00.) A+d
\ , E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT `CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
o LAKEHAVEN ❑ HIGHLINE o TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
me
"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:
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCr(S) A_ GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC 19GAS
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTORS)
PLUMBING
LAVATORY(S)
RAINWATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
3ISCLAIMERISIGNATl1RF RI C
' WATER HEATER(S)
❑ ELECTRIC XGAS
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 Milled o the cityas a p of is application.
NAME/TITLE: DATE: ' A 4
o PROPERTY OWNER o 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.cltyoffederalway.com