01-102541 of Federal Way
ity Development Services Mechanical Permit #:01 - 102141 -110 - ME
3530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661 4129 Inspection request line: 253.835.3050
Project Name: MCLEOD PVA
Project Address: 32223 11TH/SW Parcel Number: 926493 0560
Project Description: MEC-Changeout gas furnace. Revised 7/2/01 to include water heater replacement.
Owner Applicant Contractor
Bruce W&Joyce K McLeod NORTHWEST PERMIT WASHINGTON ENERGY SERVICES CO
32223 11TH AVE SW 2320 1ST AVE SUITE 250 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98121 SEATTLE,WA
98023-5553 (206)282-4700
Mechanical Valuation 3000 Over the Counter Permit Yes
Mechanical Fixtures
esCCJ t10 " QUari l
` 766ti pto " '
Q66Iti
Furnaces 1 AfrAtIftl W
I
PERMIT EXPIRES December 24,2001,IF NO WORK IS STARTED.
Permit issued on June 27,2001
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.Oer or agent: a.-0Cl(qfo
Date: l
C� 7�
/7/7/. 9 /1
/ ////
" JA-26-01 09:42 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-661 P.01/02 F-222
F„ tj �f ._ APPLICATION NUMBER: - 2 ZS 4L -,415
•
APPLICATION NUMBER: _ _ _ - _
et APPLICATION NUMBER: _ _ _ _ •
.;16 - -� - "
*"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 / ,� a 23 / r ,,
SITE ADDRESS: 3 ;)Q -3 - I 1 �" \ L ASSESSOR'S TAX/PARCEL # � W q 1 - 05cpi
LEGAL DESCRIPTION Oil SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- - - . . - - ^-.:.':-%"^- - M. PRO=ECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBINGECIiANICAL 0 DEMOLITION
• 0 ELECTRICAL 0 ENGINEERING0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): —
' PROJECT NAMEf, i A. ' IJ•
- - • - - - . '-.1 . PEOPLE INFORMATION
PROPERTY OWNER: 74144E> r( C- .. (AYI1ME Pi<Q ,l `
"1/AILING ADDRESS(Si RCCT ADDRESS;CI1Y,STATE,ZIP): �
_ Cit.03
CONTRACTOR: VAME: �� _ IW / L'�;/
VC--_S )DI) LIZ
• 1MUNG ADDRESS ET ADDRESS;cfrYu,Si1 ZIkQ
EV NLN(Th1ONE; }=j'i4-
• Q5360 - C� ;)Q kJ 1�1 ( "DSS -(0C9
ore OF FEDERAL WAY BUSINESS L10EN NUMBER: FF/AX NUMBER; -
_ - - (
CONTRACTOR'S REGISTRATION NUMDER: EXPIRATION DAT[:
GOA S N-=Es A 0 c 'g r aZy / 0
APPLICANT: ^NnnE:®` DAYTIME PHONE: _
hWUNGADDRESS(SIRCLT ADDRESS;CI1Y,STATE,ZIP): CVLNING PIIONL.
( )
•RELATIONSHIP TO PROJECT; fAX NUMBER:
❑ ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): (
• (•MAIL ADDRESS:
CONTACT PERSON Fi)R M/S PROJECT: 0 PROPERTY OWNER 0 APPLICANT )NTRACTOR
■ DETAILED BUILDING INFORMATION
47 .
EXISTING USE: 5
L4 EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE; _ PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ID TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
' JUN-26-01 09:42 FROM-NORTHWEST-CASS I IAAR 206-374-0834 T-661 P.02/02 F-222
06NEW RESIDENTIAL Ca NSTRUCTION ONLY' � .i-" 0 (J
'` NUMBER OF BEDROOMS: MATED SELL/NG PRICE:
11111111111.11111 - • PROSECT FLOOR AREAS
FLOC ft. EXISTING S .FT. PROPOSED SQ.FT. - TOTAL
BASEMENT -I
FIRST
SECOND
THIRD
FOURTH — __
't OTHER FLOORS (DESCRIBE)
K DECK M
1 GARAGE
i HOW MANY FLOORS? _
-
;, TOTAL:
v
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(
AIR HANDLING UN1T(S) 11000(S) WOODSTOVE(S)
4FAN(S)
j `�" BBQ(s) RANGE(S) Mlsc.c —
j FIREPLACE INSERT(S)
t COMPRESS)R(S) i FURNACES) HEAT SOURCE: 0 ELECTRIC7t4.AS
DUCT(S) GAS PIPE OUTLET(S)
PLUMBING
RATiiTUF3(;i)
LAVATORY(S) URINAL(S) WATER HEATER(
— DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) Q ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) . SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.
INTERCEPTOR(S) SUMP(S)
• -': a DISCLAIMER/SIGNATURE BLOCK • - -
I certify•
under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,
further,that X am aLLthorized by the owner of the above premiseg to perform the work for which the permit application Is made.
further agree to hold harmless the City of Federal Way as to any daim(induding casts,expenses,and attorneys'fees incurred In
Investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the Cit
Federal Way,but only where such daim arises Gut of the reliance of the dty,including its officers and employees,upon the accut
of the Information supplied to the city as a prt of phis application.
NAME/ :C - ci_9.J.y.--, c.)------, DATE! (.91210/6.1-----
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O)MMUNI Y OtNEWPMEHI SCRVICL•S•33530 FIRST WAY SOUhhi•P.O.BOX 9718-reDCRAL wAY,WA 980G3.9718-253.661-4000•FAX:253441-H21