01-102452 City ofFederal Way
Community Mechanical Permit#:01 - 102452 — 00 — ME
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: BEITLICH
Project Address: 502 SW 324TH 5+ Parcel Number: 926490 0830
Project Description: MEC-Replace existing gas furnace.
Owner Applicant Contractor
Richard A&Deborah P Beitlich NORTHWEST PERMIT WASHINGTON ENERGY SERVICES CO
502 SW 324TH ST 2320 1ST AVE SUITE 250 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98121 SEATTLE,WA
98023-5635 (206)282-4700
Mechanical Valuation 3300 Over the Counter Permit Yes
Mechanical Fixtures
Description 24 Q `citify Description Quantity ~Description' Quantity
Furnaces 1
PERMIT EXPIRES December 16,2001,IF NO WORK IS STARTED.
Permit issued on June 19;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. c
Owner or agent: a "`
V CO/Date: �I (0
Al %10:39 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-610 P.01/02 F-144
_-. � ci - o-y� APPLICATION NUMBER: £)J -i () 2. L-
vel Fr v APPLICATION NUMBER: — - — 21-_,-,j_.,_,;:- — _
APPLICATION NUMBER: _ ........ '•'.__,::: :—...L. -,,. - —
w*The following is required Information-Please print(in Ink)or type**
Please note: 1:ledricai,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 9 O 1 S`-' ld L)1 4 s-\ ASSESSOR'S TAX/PARCEL#: 9 'e2 69 Po - O e 3 c
• LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
' _ ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): 0 BUI0 ELEtECTRIRILDCALING 0 EN INEERING° FIRE PREVENTION SYSTEM ON
-• �S ovo �.s
PROJECT DESCRIPTION(Provide detailed description): - C� -e
-10 j. G s nh A.r,o
PROJECT NAME: R \ C- \A % F- 1 1 L \ k-1
■ PEOPLE INFORMATION .
DAYTIME PHONE:
PROPERTY OWNER: AME: AAss ) y - 036S
>� 1 1-1 '� (- 1 L c H
M APING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP):
• 'J O Ss.__) 3 X L'i " s L r tbl t..,.A
LAMME PHONE:
CONTRACTOR: NI ME: •1"-/ 6-SG0 (a d 6 ) .1 d-l. - t{ vC
IK\ILIt4—" DORMS(sIREEr ADDRESS;Cmr,STATS ZIP): Se k. i Pi F (t PRONE:
- E: -
i FAX NUMBER:
ClY of FEDERAL WAY BUSINESS CENSE NUMBER: - ( )
✓mRACTORS eassrRATION NUMBER — — — — �— EXPIRATION DATE:
LA/Al: SIA- Lk S 9 90Cw o2 / 1 (s a)-
DAYrtMEPHONE:
APPLICANT: -TIME:
0w 46-, E.1.2 ( )
e wi E G —Don's(smear ADDRESS:aur,STATE.ZIP): EVENING PRONE:
( )
FELATIoNsl1IP TO PROJECT: FAX NUMBER:
ID ARCHITECT ❑TENANT ❑ OTHER(DESCRIBE): ( ) M
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER a APPLICANT / ONTRACTOR
IIIDETAILED BUILDING INFORMATION
EXISTING USE: _ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:
PROPOSED VALUATION FOR IMPROVEMENTS: $ :,`',1?;)0 Q
SPRINKLERED BUILDING? Cl YES 0 NO FIRE SUPPRtSSION SYSTEM PROPOSED/REQUIRED:0 YES Q N
WATER SERVICE PROVIDER: ❑ LAKEHAVEN •fa HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 E(IGHLINE 0 PRIVATE(SEPTIC)
-01 .10:39 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-610 P.02/02 F-144
lai•OW RESIDENTIALCONSTRUCYION ONLY** r= 4 •
• NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
11111110111.1 ■ PROJECT FLOOR AREAS
R.00Ft EXISTING SI,FT.
PROPOSED •.FT. TOTAL
UASEMENT
FIRST •
SECOND
• THIRD
upURTH
OCHER FLOORS(1)ESCRIBE)
• DECK
GARAGE
HOW MANY moor's? 1111111111111
TOTAL:
r. FIXTURES
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) —REFRIG.SYSTEMS:
AIR HANpLII LG UNIT(S) FAN(S) HOOD(S) WOODSTOYE(S)
. EOILER{S) FIREPLACE INSERT(S) -. RANGE(S) MTSC.(_
OOMPFURNACE(S)OUCT(S) SOR(S) GAS PIPE OUTLET(S) HEAT SOURCE: la ELECTRIC 0 GAs
DUGT(S)
PLUMBING
LAVATORY(S) URINAL(S) WATER u TER(S;
_ BATHTUB(5;!. RAIN WATER SYS. . VACUUM UREAKER(S) 0 ELECTRIC Q GAS
„DRINKING I OU SHOWERS) WASH MACHINE OUTLET
GAS
Lm.-r(s) (S� SINK(S) WATER CLOSET(S) — , MISC.
,D($) SUMP(S)
■ DISCLAIMER/SIGNATURE BLOCK
i certify candor penalty of perjury that the information furnished by me Is true and correct to the best of my knowlh eade.d a ias
further,that I am authorized by the owner of the above premises tto perform the work for which the permit applicationIncurred Inti
further agree to hold harmless the cay of Federal Way as to any daim(including costs,expenses,and attorneys'fees
investigation and defy hse of such daim),which may be made by any person,inducing the undersigned,and filed against the Oty
Federal Way,but only where such daim arises out of the reliance of the city,inducting its officers and employees,upon the aacura
of the information supplied to the city as a part of this application.
DATE: .J 4.-......e /y — (,/
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0 PR TY OWNER 0 APPLICANT CONTRACTOR
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03F /[1Y DEV Et°PHEW 56LVIces-3353o fTPST WAY 50(M1•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718.253461-4000•FAX:253-6614129