02-104807f city of Patleral Way
Community Development Services
33530 1st Wav S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: DODGE
Project Address: 2404 SW 322ND ST,
Project Description: MECH - Changeout of gas furnace
Mechanical Permit #:02 - 104807 - 00 - ME '
Inspection request line: 253.835.3050
Parcel Number: 932432 0060
Owner
Applicant
Contractor
Tate E & Cynthia M Dodge
THURMAN'S HEATING AND AIR LLC
THURMAN'S HEATING AND AIR LLC
15910 3RD PL SW # D
110 179TH ST E
110 179TH ST E
SEATTLE WA
SPANWAY WA 98387
SPANWAY WA 98387
98166-3034
(253)875-0094
Mechanical Valuation..........................................550
rLL Desch ion __tanfi
Furnaces 1
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
PERMIT EXPIRES April 28, 2003, IF NO WORK IS STARTED.
Permit issued on October 30, 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: Date: CCS 3 ^ c�?
-? -- (;� -- 'P ? -F-77��7
QTY Of � RECEIVED CONSTRUCTION PERMIT APPLICATION
s
APPLICATION NUMBER: - L Q Z�1- o -Z
cOOU OCT 3 0 2002 PPLICATION NUMBER:
X5-3 - PPLICAT_ _ _ _ _ _ ION NUMBER: - -
CITY OF FEDERAL WAY - - - - - - - - - -
**The follcWffilg1hN6il@k!'dTnformation - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
0 PROPERTY INFORMATION
SITE ADDRESS: o'fN 5-tJ- 32a4 s ASSESSOR'S TAX/ PARCEL #: 93.) `f 3 - 0 D& C%
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): I
PROJECT• •
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING 9MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): v anq&L � i�r GvLrlc ✓1Q( -J
PROJECT NAME:
PROPERTY OWNER: I NAME:
CONTRACTOR:
APPLICANT:
MAILING ADDRESS (STREET ADDRE CITY, gATE, ZIP):
DAYTIME PHONE:
(ao(o) a
-773
NAE
rr�owtS
`r L_ .e
DAYTIME PHONE:
(a53) 075-
-c oq(j
MAILING ADDRESS (STREET ADDRESS; CITY,
P.D, fax 53��
ATE, ZIP):
�.� (,�►�
ct83��
EVENING PHONE:
(<<)
CITY OF FEDERAL WAY BUSINESS LICEN E NU BER::r^ ^� i1
900 L - LJ 1
(r j
l 1r�
FAX `NUMBER:
Ql.� (�
(�Jr�) V i! (V
e�Q
-gds/ II,
CONTRACTOR'S REGISTRATION NUMBER:
++ M �(
ij
�j f� `'
� '3 is `�
EXPIRATION DATE:
0 1 / 31
/04
(copy of card required)
1 [ SUP 1'` IfF
`
rhatm 00, ) C, L C (.253 ) E - o0 9 y
HAILING ADDRESS (STREET ADDRESS; C ATE, ZIP): EVENING PHONE:
12
ebt-
2ELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): (d53) 6Y(o - 6a0S
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT A CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
..,r - 1
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE: $
IN PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
i
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNITS)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERT(S) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
DISCLAIMER/SIGNATURE RLC
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
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 the city as a part of this application.
NAME/TITLE: LI& &q a `?L-- DATE: /0 3,)
XJ -
11 PROPERTY OWNER ❑ PLICANT XCONTRACTOR
FOR 'OFFICE USE ONLY:
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661.4129
www. cf tyoffedera Tway. com