01-103532 City°`Federal Way Mechanical Permit #:01 - 103532 - 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: TROUT
Project Address: 1228 SW 326TH P1 Parcel Number: 926494 0350
Project Description: MEC-Replqace 75,000 btu gas furnace.
Owner Applicant Contractor
Robert H&Ellen L Trout NORTHWEST PERMIT UNITED AIR COMFORT INC
1228 SW 326TH PL 2320 1ST AVE SUITE 250 5819 ANDREWS WAY N
FEDERAL WAY WA SEATTLE WA 98121 FT LAUDERDALE FL 33309
98023-4916 (206)575-9128
Mechanical Valuation 2300 Over the Counter Permit Yes
Mechanical Fixtures
, Description 'Quantity Description (Quantity Description Quantity
Furnaces 1
PERMIT EXPIRES March 18,2002,IF NO WORK IS STARTED.
Permit issued on September 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. 1 r(�
Owner or agent:a Q di V Lam— Date: ( l 1 `-' I
c SEP-t0-01 12:19 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-189 P.01/03 F-035
= '� •MM •PLICATION NUMBER: • _ - .. r_ _ x-` _ -
� 71:� • • • CATION NUMBER: - • -,. _ '�
• CAnON NUMBER: '‘F.!•_ :.:.., -
•
**The following is required information-Please print(in ink)or type=s es, ( S-1-1
p�
Please note: Electrical,pre Prevention Systems and Engineering permits may require a sapardta aPcatbn.
■ PROPERTY INFORMATION (J {�
�^ ASSESSOR'S TAX/PARCEL#:90 `9 l -13350
SITE ADDRESS: (�� �� � '-
• LEGAL DESCRIPTION OF SUi37ECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): .
. ■ PROJECT INFORMATION .
TYPE OF pR03ECT(This application): 0 BUILDING Q ENGINEERINGU FIRE PREVENTION DEMOLITION ON
0• ELECTRICAL
. .PRO]ECT DESCRIPTION(Provide detailed description): , -/..I.0 f —150! i 41.4/411,
; I
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:0 PR_ _
� O3ECTNAME:
_- ■ PEOPLE INFORMATION ^
PROPERTY OWNER: ,^
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NAA:uIr xISY ADDFESS(J J�`�`J �r .-�
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�'OFFEDERALWIY ( )
00P TAACrOeS REGISTRATION NUMEISt: ma c_o l'�L •I ��
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- DAYTIME fM10NF:
APPLICANT: KAP le O(
(IDLING MlleNN:L1FK ADDRESSADDR6S;CITY,STATE.ZIP); •( ) -
`FAX NUKE/ •
RELATIONSHIP III PROEM -
❑ ARCHTCECV 0 TENANT 0 OTHER(DESCRIBE): _ ( Avoaess:
QONYACi•PERSON FOR THIS PROMO': 0 PROPERlY OWNER 0 APPLICANT
lircONTRACTOR
I DETAILED BUILDING INFORMATION
r9 _ EXISTING BUILDING ASSESSED/APPRAISED VALUATION S
EXISTING USE: , 7�TS� .
PROPOSED USE: , PROPOSED VALUATION FOR IMPROVEMENTS
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES, 0 NC
WATER SERVICE PROVIDER: Cl LAKEHAVEN .0 HIGHLINE 0 TACOMA 0 PRIVATE(WELT)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGULINE 0 PRIVATE(SEPTIC)
SEP- 0-01 12:19 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-189 P.02/03 F-035
ssNEW RESIDENTIAL CON STRuL f atm um-•
' NUMBER OF BEDFLOOMS: ESTIMATED SELLING PRICE: $ yar=.! te a
. I PROJECT FLOOR AREAS
FLOOR EXISTING SQ FT. PROPOSED - .FT. TOTAL
BASEMENT
FIRST •
SECOND
• THIRD -
FOUItTH
OTHER FLOORS(C ESCRIBE)
DECK
GARAGE
How MANY FLOORS?
TOTAL:
1111.111.11111111 • FIXTURES
Indicate number of each type of fixture
MECHANICAL
` EVAPORATIVE COOLER(S) GAS LOG(S) REFEt>GG.SYSTEM(S)
AIR HANDLING UNIT(S) _..— FAN(S) HOODS) -. - W00DSTOVE(S)
�� BOSS) FIREPLACE INSERT(S) . RANGE(S) — MISC.(..----
l'
—
r CDMPRESSOIt(S) FURNACE(S) HEAT SOURCE:[� ELECTRIC • [7 GAS
' .T(y.) GAS PIPE OUTLET(E)
PLUMBING
BATt,AVATORY(S) URINALS) �-- WATER HEATER(S)
DISH ASH RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS
_.DRINKING F - SHOWER(S) WASH MACHINE OUTLET
GAS FOUNTAIN(S) SINK(S) WATER CLOSET(S) MISC.(�
GAS PIPE Olt'f[.Er{5) SUMP(S)
, ^� INT RtCEPTOR(S)
■ DISCLAIMER/SIGNATURE BLOCK
I certify tinder penalty of perjury that the Information furnished by me Is bile and correct to the best of my knowledge.
an
further,that I am autt iorixed by the owner of the above premises to perform the work forowhichpermit application fees ins M
further agree to hold harmless the City of Federal Way as to any daim(including casts, against In e
th
Investigation and defexhse of such claim),which may be made by any person,Induding the undersigned,and filed the the City a
Federal Way,but only where such daim arises out of the reliance of the city,including its officers and employees,upon
of the Information swotted to the dty as a part o!this application.
NANE/11TLI:: G;
Ca V ' DATE:: �Io0I
0 PROPERTY OWNER 0 APPLICANT )'CONTRACTOR
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GOt4MUNET(DEVtLOP T=vices-33530 FUST WAY SOUTH•P.O.BOK 9718•FINAL WAY,WA 98063-9718.2534614000•FAX:253461-4129