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02-105099City on tyDevelopment Services FederalWay Community DMechanical Permit #: 02 - 105099 - 00 - ME 33531) ist WayS Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050 Project Name: MARTINEZ Project Address: 449 S 316TH Parcel Number: 794170 0140 'tProject Description: MEC - Changeout gas furnace Owner Applicant Contractor BERTHA MARTINEZ THURMAN'S HEATING AND AIR LLC THURMAN'S HEATING AND AIR LLC 449 S 316TH PL 110 179TH ST E 110 179TH ST E FEDERAL WAY WA 98003 SPANWAY WA 98387 SPANWAY WA 98387 (253) 875-0094 Mechanical Valuation......:.`.:'`.:............................650 Over the Counter Permit...................................... Yes Mechanical Fixtures Ar Qi.iG Furnaces PERMIT EXPIRES May 13, 2003, IF NO WORK IS STARTED. Permit issued on November 14, 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: ! I ll!! T orry OF CONSTRUCTION PERMIT APPLICATION APPLICATION NUMBER: V APPLICATION NUMBER: NQ V 1 4 2002 APPLICATION NUMBER: **The folloiyiWYiJJ®/IFepl fired information - Please print (in ink) or type** BRA • Please note: Electrical, Fire Prevennt�is�UUE gineering permits may require a separate application. ''` 2 PROPERTY•• • `m L SITE ADDRESS: l J ` `,' � �` FI. n ASSESSOR'S TAX/PARCEL #: �} �1 �I I � Q - 01 C{ 0 LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PROJECT•• • TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL11ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): kaAio R (, viC o a. VlE?l PROJECT ■ PEOPLE INFORMATION PROPERTY OWNER: CONTRACTOR: APPLICANT: NAME: DAYTIME PHONE: ar4kc- mcxv'4�n'e'; (---Y5a)g141 - 3003 MAILING H 1.1 lADDRESS (STREET ADDRESS; Lt i_ J IA I` -C �CL� W V v' 1 (2 00 N E: Lt-0— DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS;CIVYZIP): �, EVENING PHONE: A�) ,. _ q CITY OF FEDERAL WAY BUSINESS LICENSE MBE v 4 4 � (� -(�(7 8�-- FAX NUMBER: (2s3) oto -�3��`�; ' CONTRACTOR'S REGISTRATION NUMBER:EXPIRATION 9 Lv DATE: l 3 / ©C (copy of card required) f�'1 L4 NAME: DAYTIME PHONE: r l �1 wfr� a Yi 5 11 I� i L 1. (a3) MAILING ADDRESS (STREET ADDRESS; CITY, STWE, ZIP): EVENING PHONE: PD. &k W1 I t - ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ &-CL SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) F "NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT , AIR HANDLING UNITS) FIRST GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) SECOND HOOD(S) WOODSTOVE(S) BOILERS) THIRD RANGE(S) MISC. ( ) COMPRESSOR(S) FOURTH DUCT(S) OTHER FLOORS (DESCRIBE) HEAT SOURCE: ❑ ELECTRIC ❑ GAS DECK BATHTUB(S) GARAGE HOW MANY FLOORS? URINAL(S) WATER HEATER(S) DISHWASHERS) TOTAL: VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) 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. f NAME/TITLE: G (. ! DATE: ❑ PROPERTY OWNER ❑ AP CANT ,CONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129 www.cltvoffederalway.com 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) BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC. ( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUMP(S) 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. f NAME/TITLE: G (. ! DATE: ❑ PROPERTY OWNER ❑ AP CANT ,CONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129 www.cltvoffederalway.com