01-102622 City or Federal Way
Comn�nity Development Services Mechanical Permit #:01 - 102622 - 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: MKRTYCHYAN
Project Address: 32025 2NDSW Parcel Number: 926490 0250
Pve
Project Description: MEC-Furnace replacement
Owner Applicant Contractor
KARNE MKRTYCHYAN NORTHWEST PERMIT WASHINGTON ENERGY SERVICES CO
32025 2ND AVE SW 2320 1ST AVE SUITE 250 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023 SEATTLE WA 98121 SEATTLE,WA
• (206)282-4700
,c3;41/ rass
Mechanical Valuation 2800 Over the Counter Permit Yes
Mechanical Fixtures •
Description . Quantity a . Description Quantity Description ,Quantity
Furnaces 1
PERMIT EXPIRES January 5,2002,IF NO WORK IS STARTED.
Permit issued on July 9,2001
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: _ I \ Cly Date: --7 cl r I
JUL-02-01 12:01 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-704 P.01/02 F-292
ava �
AY
jr1EJ !ZFn_ APPLICATION NUMBER: a L - La t Ze -.44
�' '" ` APPLICATION NUMBER: _ _
ON APPLICATION APPLICATION NUMBER: _ _ - ; ,^ — - —
1,"FTtie following is required Information—Please print(in ink)or typer*
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
.
) ■ •PROPERTY
ROPERTY INFORMATION
SITE DDRESS:c.SX —. Arg ,.,,0 ASSESSOR'S TAX/PARCEL#:9.Q-CP
(49 O 0,---,5C)()
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): _
;..-.2-:_/' ' - .. - - ._ ■: PROJECT INFORMATION
TYPE OF PROJECT(This application): - ❑ BUILDING 0 PLUMBING 'ECHANICAL ❑ DEMOLITION
• 0 ELECTRICAL 0 ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): _
PROJECT NAME: r1 )C�I - •
- R PEOPLEINFORMATION
?ROPERTY OWNER:
PIAME: ns2.... Mt- DAVTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;cm,STATE,ZIP):
CONTRACTOR: HAAs: � r, e Vim' I DAYTIME Q
MAILING ADDRESS(STREET DDRCSS;CITY.STA WT); I +WEMIM64110NE: "
a .i *'LIJ , (aa0) - g`l,
!MY OF FEDERAL WAY TUSI FSS LICENSE NU i1.CR: FAX NUMBER;
- - ( )
, '-1 EON OA
_OMTRACTORS REGISTRATION NVMOCR JCPIM J g. L 1 0 c c C / / _ o..)__APPLICANT: -NAME: 1Y DAYTIME PHONE: -
MAILING SS(S1 RIA T A 6Rt-SS;<11Y.STA11:,2tP): ��- --- LLVCNtNG N10NC:
REL.T1Ot19 1P 10 PROJECT: FAX NUMO£R:
❑ ARCHITECT ❑ TENANT 0 OTHER(DESCRIBE): (
EMAIL ADDRESS;
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT il#CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: __ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ /�_
PROPOSED USE: _ _ PROPOSED VALUATION FOR IMPROVEMENTS: $ c n)
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLUNE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN Q HIGHLINE 0 PRIVATE(SEPTIC)
JUL-02-01 12:01 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-704 P.02/02 F-292
**NEW RES10ENT1AL c0 Ns'kul.1 wt.•,`•._. > /1 l �U
. NUMBER OF BEDROOMS: _ .
l/ E�7IMATCD SELLCNG PRICE:
111.1111111111 .
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ.FT. PROPOSED S•.FT. TOTAL
BASEMENT
-
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
4 — �—
' DECK
s GARAGE
3 HOW MANY FLOORS? -- _
a TOTAL:
,l
1111110111.
1` . Indicate number of each type of fixture
MECHANICAL
4.` EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(
_ Q(S)NDLGNG UNiT(S) FAN(S) HOOD(S) MLSCDSTO� VE(S)
BES-A. • BOILER(S) FIREPLACE INSERT(S) RANGES)
COMPRESS.:R(S)
DUCT(S) _ FURNACE(S) HEAT SOURCE: ❑ ELECTRIC 0 GASGAS PIPE OUTLET(S)
PLUMBING
_ pISHWASIAStH1ER(S) RAIN WATER SYS.
LAVATORY(S) URINALS) WATER HEATER(
i �) VACUUM BREAKER(S) Q ELECTRIC 0 GAS
. _�_
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET MISE,( —
, GAS PIPE OUTLET(S) SINKS) WATER CLOSEc(S)
, INTERCEPTOR(S) SUMP(S)
• -. ■ 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 I am authorized by the owner of the above premises to perform the work far Whi the permit application
s Incurred made.
further agree to hold harmless the City of Federal Way as to any claim(includincludinggt,ex enss,and undersigned,and filed against the Cin
investigation and defense of such daim),which may be made by any p
Federal Way,but only where such claim arises out of the reliance of the City,including its officers and employees,upon the accur
of the information suppliedac2_0c,to the city as a part of ths application.
NAME/TITLE: ___C
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❑ PROPERTY OWNER 0 APPLICANT )4ONTRACTOR
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COMMUNCEY DEVELOPMENT SCRAMS•33530 FIRST WAY sown'•P.O,BOX 9718•PEDCRAL WAY,wn 9ao63-sna-253.461-4000•fAX:233-661-4129