The URL can be used to link to this page

01-103986 City of Federal Way Mechanical Permit #:01 - 103986 - 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: BROOKS Project Address: 28656 11TH'S-APG'S Parcel Number: 515296 0580 Project Description: HVAC-Installing new gas fireplace in new location and stubbing out gas outlet for future gas BBQ Owner Applicant Contractor Daniel E Brooks VALLEY FURNACE INC VALLEY FURNACE INC 28656 11TH AVE S 7818 RIVER RDE 7818 RIVER RD E FEDERAL WAY WA PUYALLUP,WA PUYALLUP,WA 98003-3139 98371 (253)848-3517 /0/440// /1''✓ 'eR. Mechanical Valuation 2590 Over the Counter Permit Yes Mechanical Fixtures Description Quantity i','Descrption m,, Quantity Description " ,' Quantity rireplace Inserts 1 Number of Gas Outlets 2 PERMIT EXPIRES April 13,2002,IF NO WORK IS STARTED. Permit issued on October 15,2001 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 lWI�Way. c Owner or agent: C � J L� �� Date: 16 - / 5-O / ;l11 -ec 4 c011 øAi 7/7 . 53-c,6 r- 41/Zy RCELDur.o" .COMMUNITY DEVELOPMENT DEPARTMENT CONSTRUCTION PERMIT APPLICATION APPLICATION NUMBER: - [Q o q z6_ - co VV i CI 15 2041 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 SITE ADDRESS: ,2$10540 - /1*4 ii-w_ S ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION • TYPE OF PROJECT(This application): 0 BUILDING ❑ PLUMBING X MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): 3�51 �S r� p abets - — s P PROJECT NAME: ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: -be-Wk-6r-t5 es (a53) 54�(o - 5037 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): Too 3 `2710 549 — i 1 'I /4--Us-f,t^ /4-/4--Us-f, ou 5 , I , DAYTIME PHONE: CONTRACTOR: NAME: V u 1 VL.�>A,a..,*._�►� (a53 ) .3-47 -3577 MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 7818 'Luer -Zcl k , Pu,jc-((,-,7o , Lc)P 9?37/ ( ) - , CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: o20 © O - 1 v_ L 1( ,A d - o U (253 ) 14? - 57/0 CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) VAL L E F r 1 (0 1 IZ to /,) / .2 (o / 0 I DAYTIME PHONE: APPLICANT: NAME: \JO- F VL —1--0---4.--- (as3 ) 'Pi? - 35 /7 MAIUNG ADDRESS(S7RE(FT ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 7$18 ---R LAW -i2-.a g ; Pc..-3 lL.w `P , W ll $ 3 7/ ( ) - RELATIONSHIP TO PROJECT: ) FAX NUMBER: ❑ ARCHITECT ❑ TENANT X OTHER(DESCRIBE): ff V (,- (- .4--r (p 5 3 ) ?I/T - 5-7 /O E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ g 59.0,00 SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) **NEW 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) RANGES) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ 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 claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE: ---e)CN A.,.. J �A,� G Cr �19-I DATE: /6// ❑ PROPERTY OWNER ❑ APPLICANT 'CONTRACTOR FOR OFFICE USE ONLY: ❑ NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR ❑ TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? 0 YES ❑ NO CHANGE OF USE? ❑ YES 0 NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129