01-102202 City of Federal Way Mechanical Permit #:01 - 102202 - 00 - ME
Community Development Services
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: MARTIN
Project Address: 206 SW 303RD St Parcel Number: 233730 0470
Project Description: MEC-Replace 60,000 BTU gas furnace
Owner Applicant Contractor
Gordon L&Berdine Martin NONE WASHINGTON ENERGY SERVICES CO
206 SW 303RD ST 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE,WA
98023-3935 NONE (206)282-4700
litio//f/i 5,5 - //1// SS
Mechanical Valuation 2300 Over the Counter Permit Yes
Mechanical Fixtures
Qescription"� w gQuantitj� i DeSOintion"f,,*' 'Quantity)
Furnaces
PERMIT EXPIRES December 3,2001,IF NO WORK IS STARTED.
Permit issued on June 6,2001
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: Ciik (13 ✓ )-V`-- Date: (.(2162(C)
�i
\.(11\
T
JUN-04701 10:00 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-508 P.04/05 F-985
_ Ep Z131.� APPLICATION NUMBER: O l - L 0 . 2Q 2--/1E
FEY APPLICATION 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 INFORMATION r� T
SITE ADDRESS:�/""" v w S Xv 541 _ ASSESSOR'S TAX/PARCEL #:�:33'730 .-C)�1 <1 V
• LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PRO)ECTINFORMATION . - - •
TYPE OF PROJECT(This application); ❑ BUILDING 0 PLUMBING ECHANICAL ❑ DEMOLITION
- ❑ ELECTRICAL 0 ENGINEERING U FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION 4:Provide detailed description): r:/ 4V AO •
I ` �'^•LX r
PROSECT NAME: at /. r) i h JL-
• • ■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: — °Aja, _ �g
oy, a- �ac,r-� 11J
1 1
MOILING • _--(STREET ADDRESS:(TM srATE,ZIP .
CONTRACTOR tum DAYTIME PHONE:
ti,„LINGAD,Relsorsep-Appossa,STATe. e esimmemmuk-
hinc
3145 44C.0
all,of FEDERAL WAY eUStiEss u FAX NUMB&.
ornit*croRs Re2STRATIOn NUMBS-R: f 3- S r � 99 0 c c '717t,t,2 0? -`
APPLICANT: K►M: • DAYCIME P1wNE:
t•AILING ADoaess(s„Rr ADDREss;MY SrAT.ITP): - EVENING PHONE:
( )
RELATIONSHIP zn PROJECT: FAX NUMBER
(3 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( )
��- E•NAIL*DORM!
CONTACT PERSON FORTHIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT '.fit•NTRACTOR
$ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $_
PROPOSED USE: _ PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDII`(G? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑YES ❑ N4
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: Cl L AKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
. JUN-9v01 10:00 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-508 P.05/05 F-985
**NEW RESIDENTIAL CON57RUCTLON ONLY**
NUMBER OF BEDROOMS- . ESTIMATED SELLING PRICE: $
1111111111.111 ■ PR07EECT FLOOR AREAS
FI.OpiZ EXISTING SQ FC. PROPOSED SQ.FC- I TOTAL
BASEMEENT _
FIRST
SEECOND
- THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK -----J
•
GARAGE
HOW MANY FLOORS?
TOTAL:
c ■ .FIXTURES
Indicate number of eachh type of fixture
i MECHANICAL
AIR HANDLING UNrr(S) EVAPORATIVE COOLER(S) , GAS LOG(S) —REFRIG.SYSTEM(S:
BBQ(S) FAN(S) _ HOOD(S) WOODSTOVE(S)
FIREPLACE INSERT(S) . RANGE(S) MISC.
COMPRESSOR(S) —r- FURNACE(S)
DUCTS) GAS PIPE OUTLET(S) HEAT SOURCE ❑ ELECTRIC yKYGAS
PLUMBING
BATHTUBS;r _ LAVATORY(S) _ URINAL(S) WATER HEATERL(S;
,DISHWASHER(S) , RAIN WATER SYS, VACUUM BREAKER(S) 0 ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWERS) WASH MACHINE OUTLET MISC.(��
GAS nee OU LET(S) SINK(S)' WATER CLOSET(S)
INTERCEEPTOR(S) SUMP(S)
• DISCLAIMER/SIGNATURE BLOCK
I certify un &r penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,an
further,that I am authorized by the owner of the above premises too perform the work for which the p permit
application
plio Insumad in I tt
further agree to hold harmless the City of Federal Way as to any daim(induding costs,expo attorneys'fees
Investigation and defr:nse of such daim),which may be made by any person,Including the undersigned,and filed against the City 1
Federal Way,but only where such daim arises out of the reliance of the dty,including its officers and empl ees,upon the accura4
of the information su Eglied to the dty as a part of this ap lic tiion..
NAME/TITLE: •
I.-•"" ..)4\Q e 'n C " DATE:
❑ PROPERTY OWNER 0 fAliPLICANTpNTRACTOR
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COMMUNITY Dew!WHEW SERVICES•33570 FIRST WAY SOI11H•P.O.BOX 971.8•Ftp WAY,WA 98063-9718.2533-6414000•FAX 7516614129