02-105044City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:02 -105044 - 00 - ME
Project Name: MOFFETT f1
Project Address: 32223 7TH'9W
Project Description: MECH - Change out of gas furnace and hot water tank
Inspection request line: 253.835.3050
Parcel Number: 926492 0360
Owner
Applicant
Contractor
Michael M Moffett
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
32223 7TH PL SW
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA
AUBURN WA 98002
AUBURN WA 98002
98023-5539
(253)931-0610
Mechanical Valuation..........................................8814
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Permit issued on November 13, 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-
Owner
eder Owner or agent: Date:
W T 0
`Erz�L CONSTRUCTION PERMIT APPLICATION
tlo%R? PPLICATION NUMBER:
PPLICATION NUMBER:
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.
PROPERTY• •
SITE ADDRESS: —a:x� ASSESSOR'S TAX/PARCEL #: (/j'a - Q3
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING XECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): /�JMA) Z OUT -)F 14 r S
PROJECT NAME:
PEOPLE• •
PROPERTY OWNER: NAME:DAYTIME PHONE:
MAcis -��
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): )83
CONTRACTOR:
NAME:�,.
L ��I sLi�L�J�f7—
DAYTIME PHONE:
\ ) q - D /7N I
MAILING ADDRESS (STREET ADDRESS; CITY, STATE ZIP): ��CJ
$�a tjX)f t
A
ENING ) ONE,
J` I
CITY OF FEDERAL WAY BUSINEZ
LICENSE NUMBER - K/ bD
— — ——L✓,—j((� — —
FAX NUMBER:
(� ) 9-W -
(ONTRACTOR'S REGISTRATION NUMBER: �� O � � —
(Copy of card required)
EXPIRA ATE:
i
APPLICANT: NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
I
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE):
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER )95,PPLICANT OC NTRACTOR
DETAILED . • •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ P 0 a
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)
.s 4 .
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ moxcT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
SHOWER(S)
GAS PIPE OUTLET(S)
SINKS)
FIRST
SUMP(S)
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ . `FIXTURES -
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
DISHWASHERS)
RAIN WATER SYS.
DRINKING FOUNTAINS)
SHOWER(S)
GAS PIPE OUTLET(S)
SINKS)
INTERCEPTORS)
SUMP(S)
URINALS)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
11TCCI ATMFV 1CTr l AT11RF art e,
WATER H TER(S)
❑ ELECTRIC GAS
MISC. ( )
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, u on the accuracy
of the information suppliyoth,ci as a part of is application
NAME/TITLE:DATE:
❑ PROPERTY OWNER APPLIC CONTRACTOR
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
CnMNII iNfTY nFVFi OPMFNT SFRVICES - 33530 FIRS? WAY SOUTH - P.O. 13OX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 151.661-4129