01-100886 City of Federal Way
Community Development Services
Mechanical Permit #:01 - 100886 - 00 - ME
n
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: CANNON (7\
Project Address: 31646 8TH SW Parcel Number: 555731 0030
Project Description: MEC-Replace existing gas line from meter to water heater
Owner Applicant Contractor
Francis W&Frederica Cannon NONE PAT'S PLUMBING INC
2520 S 286TH ST P.O.BOX 426,KENT WA 98035
FEDERAL WAY WA
98003-3323 NONE (253)854-4080
Mechanical Valuation 900 Over the Counter Permit Yes
Mechanical Fixtures
Description '. Quahtity Description , Quantity Description Quantity .
Gas Piping 30
PERMIT EXPIRES September 2,2001,IF NO WORK IS STARTED.
Permit issued on March 6,2001
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:
iy .L Date: -S/ j
; ` 1
caw, CONSTRUCTION PERMIT APPLICATION
`r7IN, ► APPLICATION NUMBER: !2 1 — 10660 -/
APPLICATION NUMBER: —
A ' p 5 ?Fr , APPLICATION NUMBER: —**The following is required information—Please print(in ink)or type**
1111 t' 6r. ,AL.WHY
Please note: Electrical, FireKILLINiclitiViiems and Engineering permits may require a separate application.
p � / „f' • PROPERTY INFORMATION
'J''
SITE ADDRESS: 3/696 'L acc -`Q 1 ` SESSOR'S TAX/PARCEL #:
DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
LEGAL )
r: • • PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICALENGINEERING❑ FFIRE PREVENTION SYSTEM
PROJECT DESCRIPTI (Provide detailed description): Ree/Cit e eK/53)4).77 6'43 4-4e (/2
rn�e r wa. - i' 4
PROJECT NAME: ( ii'uii 19-r1”
• PEOPLE INFORMATION
PROPERTY OWNER: NAME:c�++�� DAYTIME PHONE:
(�(.tt'IQ1f Torn ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): �/ (W7 w
_5,61/6 S S � `�C,/ 9
CONTRACTOR: NAME: DAYTIME PHONE:
P( !'S f 2 i b i.it (200) f9/ - DEP/
MAILING ADDRESS(STREET ADDR 5;C ff��E, IP EVENING PHONE:
�c9 A;1; 41$ ��/�_p�' l��>(�'B7) 7.9(- Yc
CITY OF FEDERAL WAY BUSINESS UC NUMBER: - �� � � �� V FAX NUMBER: - I
CONTRACTOR'S REGISTRATION NUMBER: ZEXPIRATION DATE:
(copy of card required) c 7 3 30_
APPLICANT: NAME: DAYTIME PHONE:
. ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT k CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $X go
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
1
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PRO3ECT 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) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GA .-•
I li(k. 1J I ✓ 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 su plied o the city as a part of this application.
NAME/TITLE: itz_ DATE:
0-5/06 /
❑ PROPERTY OWNER ❑ APPLIC T ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES El NO
COMP PLAN DESIGNATION BASIC PLAN? Cl YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES El NO CHANGE OF USE? ❑ 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