01-103757 City of Federal Way
Community Development Services Mechanical Permit #:01 - 103757 - 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: ENGEL
Project Address: 1906 SW 307TH 5-r Parcel Number: 770380 0210
Project Description: HVAC-Replacing existing gas furnace
Owner Applicant Contractor
Willa Dean Engel ALL SEASONS INC-ELECTRICAL ALL SEASONS INC-ELECTRICAL
1906 SW 307TH ST ALL SEASONS INC ALL SEASONS INC
FEDERAL WAY WA
98023-3440 (253)879-9144
Mechanical Valuation 1800 Over the Counter Permit Yes
Mechanical Fixtures
L ::Description 1i` 3 _J Quantity 4 Description Quantity Description Quantity
Furnaces 1
PERMIT EXPIRES March 24,2002,IF NO WORK IS STARTED.
Permit issued on September 25,2001
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: may/ Date: 9.72_,57e( `
.. RECE,V ED BE A__ME fl CONSTRUCTION PERMIT APPLICATION
• EOE APPLICATION NUMBER: DLL, o.s 7 1--OD
are�� FAY ,0 a ; ,. Mt' 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
70 3V0 -6210
SITE ADDRESS: IgO(Q SU-) �4-4-11 ST ASSESSOR'S TAX/PARCEL#: 1 2- 2. 4 8 3 - 1 1 3 G
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING IJ MECHANICAL 0 DEMOLITION
0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
l
PROJECT DESCRIPTION(Provide detailed description):
p1fte2 ,et 6 ni G3QS -Gtrrace W1 100 K. t3TU C►AS ftteiV*Z---
PROJECT NAME: Gr"! C/1
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
W I Lt-4 0)661_, (213 ) g - s--
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
190ID (ad 307-4k) .,s-/- i kbc--e4U W Al 0)-A c78az3
CONTRACTOR: NAME: DAYTIME PHONE:
4u /AX _(2S3 )$a-9 - 9144-
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
Gil$ Ai. 4-1-1bNL.AAJD S-r TACoM4 iOA— 44? ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - (263)Sqci - 9143
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
AA L L SE 1 0 0 55 tP- / i ?- / Ot
APPLICANT: NAME: DAYTIME PHONE:
NI SIISNOS /#JC (255) 8q-9 - 9i
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER LTJ APPLICANT 0a CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: /'�� EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ j 3-0 0
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 ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
' **01MV RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ •
■ PROJECT FLOOR AREAS
_ FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL •
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
. AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) ____j__ FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) D 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)
■ 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,and
further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any daim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such dai • . •s out of the reliance of t�h atyinduding its officers and employees,upon the accuracy
of the information sup !+Hi ,j
In- "rite a na ,At?7a annlir finn. ////
fai
- ,o, _ 47
NAME/TITLE: "'or`s,7•+iG - `"----- r DATE:
❑ PROPERTY OWNER 0 APPLICANT •Efr NTRACTOR
R OFFICE USE'ONLY..•
fla1 ifi „. _L3 AbDITION . ❑-ALTERATION ._t iEP54IR` ENANT IN1PR l MENT
MENS lS CODE s j LOT S x
l I IC)E oATION . ii aI ILD'IIVG SHE.,OiVLY? XES - tiO
iota P OESIGNATION SAS LANI? 'a3 t'ES g® AVO
_SECTION' TOWNSHIP RANGE NEVI. D:)RESS REQUIRED? ❑Yl ❑ NO ;
;;,PLAITED LOT?,; ..❑ YES NO CHANGE OF USE? Li YES NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129