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01-104428 City of Federal Way Mechanical Permit #:01 - 104428 - 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: CLARK Project Address: 619 S 331ST Pt Parcel Number: 132140 0340 Project Description: MEC-Install gas piping to new gas range. Owner Applicant Contractor Richard S&Margaret H Clark BRENNAN HEATING CO INC BRENNAN HEATING CO INC 619 S 331 ST PL 4601 S 134TH PL 4601 S 134TH PL FEDERAL WAY WA 2904 128TH AVE SE(BELLEVUE) 2904 128TH AVE SE(BELLEVUE) 98003-5903 TUKWILA WA 98168 (206)248-7900 Mechanical Valuation 565.76 Over the Counter Permit Yes Mechanical Fixtures ;i©esc`i'ittoh Quanti °'DescripttoWV 'gyp,,,mlQuanl ty Descri tion p �,�Qiantitjr Ranges 1 Gas Piping 1 PERMIT EXPIRES May 18,2002,IF NO WORK IS STARTED. Permit issued on November 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 ccordance with the laws,rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: // r / 0 r ri htf ) ) i/ 7i / 74` / g i 03/03/01 THU 10:20 FAX 2536619/28 C. s OF FEDERAL WAY ogp= 1002 r ` = .* RECEIVED alloy CONSTRUCTION PERMIT APPLICATION . FryNay 1 q 2001 'PPLICA'rION NUMBER: g.L _ ,f• Q x��p ( PPLICATION NUMBER: UI i Y OF FEDERAL WAY 'PLICATION NUMBER: - _ - BUILDING DEPT. **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. +q Q - I PROPERTY INFORMATION X SITE ADDRESS: (p` 33 J i ST 7 X ASSESSOR'S TAX/PARCEL#: LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): Si « AM—� ■ PROJECT INFORMATION )(TYPE OF PROJECT(This application): C/ BUILDING ❑PI•PLUMEING MECHANICAL ❑ DEMOLITION `' 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): go A ' 4'! ,. A Ii AM-a— • PROJECT NAME: l r.-1L. ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: --' NEI `I ' CL.A l?1� (ks3) tdo t - 3`7 34 MA I R, '( '7 :i *,STATE.ZIP): Cott, `a' 35 1 ST r L, E& u U1/49-Ai U)S C12003 . CONTRACTOR: NAME:� EN�a� NEA )Nt _ oAYIM[Pt�N[: _ OT _ - ( )_ aLk8' - r7 6Z.)-1 -`C(, l sJ(�TRlC: - `�L BTU 4-:/,J 1 C t, f t i E i(�4 E�e�INQ iHpNE: - QTY Of F[DEPAL WAY BUSINESS LUC[NS[NUMBER: FAX NUMBER: '/(� ( a c,) oa`Cb ' x7966 . CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: R 0d t4C. 0r1r7 kii L 03/ / O -- 1 X APPLICANT: NAHE: OAYTIMFPMONE: Q.� J'Jc ! Fl A-n tii� (c)t)6)ads -`?CtOO MAIUN4 Atoms(.STRUT ADORES; ,STATE,ZIP): EVENING PHONE: 4(0O? 3 tit, "M ao I i-e- OR £WO ( ) •LA"ONSHIPTo P*O EgT: FAX NUMBER: ❑ ARCHITECT 0 TENANT \XOTHER(DESCRIBE):C .F CTS ( ) € i- ' - x)51)4 Etw� L AODRL - CONTACT PERSON FOR THIS PROJECT': 0 PROPERTY OWNER 0 APPLICANT CONTRACTOR ■ DETAILED BUILDING INFORMATION EX/STING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ XC5c,s' ?(a SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: CI LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) 03/08701 THU 10:21 FAX 2336614128 CITY OF FEDERAL WAY 42]003 � 1 ••NEW RESIDENTIAL CONSTRUCTION ONLY*• NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ 11I. 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: 111111111111111111111111111111111111111111111EIMMEMBISIMMINEEMINM Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) . EBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) COMPRESSOR(5) FIREPLACE INSERT(S) RANGE(5) FURNACE(S) MISE.(_ _) DUCT(S) 1 GA5 PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC GAS PLUMBING • BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 GAS DRINKING FOUNTAIN(S) SHOWER(5) WASH MACHINE OUTLET GAS PIPs OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTORS) SUMP(S) • DISCLAIMER/SIGNATUREBLOCK 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 promises 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 su• claim arises out of the reliance of the city,including its officers and employees,upon the accuracy of the informatio su•• d to City as a part of this application. J �, � I NAME/TITLE: "'� / 4 DATE; / /l /9CJ / 0 PROPERTY 4ir ' - :e APPLICANT 0 CONTRACTOR FOR OFF/CE USE ONLY: I 0 NEW 0 ADDITION ❑ ALTERATION 0 REPAIR ❑ TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES 0 NO COMP PLAN DESIGNATION _ BASIC PLAN? 0 YESO NO SECTION TOWNSHIP RANGE 0 YES 0 NO � NEW ADDRESS REQUIRED? PLATTED LOT? 0 YES 0 NO CHANGE OF USE? 0 YES 0 NO COMMUNITY OEVELOPMENT SERVICES•3J530 FIRST WAY SCNLTH.0 A ncix RM.FFl I ThI uiev 14/e ABMO A'144,. 004