02-103597City unity Development Services Federal Way
Community Mechanical Permit #: 02 - 103597 - 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: ROBINSON V�v&
Project Address: 33592 36TH SSW Parcel Number: 109960 0410
Project Description: MEC - Change out of a gas furnace
Owner
Applicant
Contractor
Denis J Robinson
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
33592 36TH AVE SW
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA
AUBURN WA 98002
AUBURN WA 98002
98023-2904
1
1 (253) 931-0610
Mechanical Valuation..........................................2372.5 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Desai tion r ` x Qu.
Furnaces 1
PERMIT EXPIRES February 18, 2003, IF NO WORK IS STARTED.
Permit issued on August 22, 2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy a 'll be in ce with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date:
�nsrl I�If C�q��CRI
I
`"r or CONSTRUCTION PERMIT APPLICATION
RECEIVED APPLICATION NUMBER: 02 - 1 _
APPLICATION NUMBER: _ _ --
AUG 2 2 2002 APPLICATION NUMBER: - -
"The foIIQTrigg�i�edAinformation — Please print (in ink) or type**
Please note: Electrical, Fire Pre%e�t'tAN9��ttii LTL. and Engineering permits may require a separate application.
� ^ 11 PROPERTYn C%
SITE ADDRESS: <� ` L J( �� ASSESSOR'S TAX/PARCEL
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING -MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DES*RIPTION (Provide detailed
PROJEC- NAME:
w
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
NAME: / c—
DAYTIME NE:
S _ 0& 1 hl
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, IP):
EVENING PHONE:
gr
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: q 1
FAX NUMBER: - �
CONTRACTORS REGISTRATION NUMBER:
,' > l tl
(cDW of card required) L�1' O o� J C
EXPIRATION OATS: ,
8/ a O l 03 1
APPLICANT: NAME: DAYTIME PHONE:
c
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 ❑ 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)
0 LAKEHAVEN 0 HIGHLINE 0 PRrVATE (SEPTIC)
I a,
**NEW RESIDENTIAL CONSTRUCTION ONLY**
1
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRoxcir FLOOR AREAS
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 UNITS)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
■FIXTURES
Indicate number of each type of fixture
MECHANICAL
M
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERT(S) RANGE(S) MISC. ( Fi )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC AS
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)
'ITCC/ ATMFR /4ZTl3NAT1101- RI f
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 pliedCto the city a part of this application.
NAME/TITLE: DATE: v I Cp
❑ PROPERTY OWNER IXPPLICANT XCONT�
CTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION
❑ 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
rO NINT1IN(TY f)FVFI OPMENT SERVICES - 33530 FIRST WAY SOUTH - P.O. BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 751-661-4129