02-103674City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: ROST
Project Address: 3609 SW 339TH PI
Mechanical Permit #:02 - 103674 - 00 - ME
Project Description: MECH - Gas furnace changeout in existing residence.
Inspection request line: 253.835.3050
Parcel Number: 921150 0670
Owner
Applicant
Contractor
Gary R & Connie I Rost
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
3609 SW 339TH PL
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA 98023-2971
AUBURN WA 98002
AUBURN WA 98002
(253)931-0610
Mechanical Valuation..........................................2238
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Furnaces
Over the Counter Permit......................................Yes
Mechanical Fixtures
PERMIT EXPIRES February 25, 2003, IF NO WORK IS STARTED.
Permit issued on August 29, 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 Wa Q Q
Owner or age Date: O zL �-
N
�.o. I
RECEIVED -
_ CONSTRUCTION PERMIT APPLICATION
�%v AUG 2 9 200't PPLICATION NUMBER:
PPLICATIONNUMBER:
BUILDING DEPT.
CITY FEDERAL WAY APPLICATION NUMBER: —
— — — — — — — — — — —
*The following is required information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
a PROPERTY• •
SITE ADDRESS: �_ _ I VL ASSESSOR'S TAX/PARCEL #: I I I V-
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ECHANICA 33 DEMOLITION
❑ ELECTRICAL ❑ ENGINEERIN 'PIREPRREE IENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):- (��T O i9
PR03ECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAM • DAYTIME PHONE:
r
-O&/61
11A1UM. AUUKt» (S I Kttl ADDRESS; QTY, STATE, ZIP): (/jam , p2t I— �QyJ - EVENING PHONE:
r1 ,� , J -I�JI (�� ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NU� �� � - � � � � � � - � � Q � FAX NUMBER:
q -
63
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(COPY Of CaM reawred) G -r LK)ac�C- a8 / a0 / 0
NAhj(;; 0/c, c, OAYITME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):I (� J�) xW - (�
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ,APPLICANT
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
❑ YES
R
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 2Q
PROPOSED VALUATION FOR IMPROVEMENTS: $ J O
❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
1
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
a
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER -FLOORS (DESCRIBE)
DECK,
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEMS)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) „ fIREFLACE INSERTS) RANGf(S)
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) WATER HEATER(S)
DISHWASHER(S)-- ----------- RAIN WATER SYS. VArUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
• yBLOCK
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 informatio supplied to the city as a part of this application.
NAME/T�Z�ITLE: DATE:
❑ PROPERTY OWNER 1)21:!�PPLI A T /R1:C:1NTRACTOR
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
Cnn,nn NfTY nFVFi OPMENT SERVICES - 33530 FIRST WAY SOUTH - P.O. BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 752-661-4129