01-101140 City of Federal Way
Community Development Services Mechanical Permit #:01 - 101140 - 00 - ME
33530 1st Way S 1
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: �lar✓
ROBINSON "
Project Address: 32914 47TH SW Parcel Number: 802950 0550
Project Description: MECH-Gas furnace replacement in existing single family residence.
Owner Applicant Contractor
Patrick T Robinson Patrick T Robinson Patrick T Robinson
32914 47TH AVE SW 32914 47TH AVE SW 32914 47TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-3211 98023-3211
Mechanical Valuation 1900 Over the Counter Permit Yes
Mechanical Fixtures
Description '1Quantity « °'Description Quantity Description Quantit
Lurnaces 1
PERMIT EXPIRES September 19,2001,IF NO WORK IS STARTED.
Permit issued on March 23,2001
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 Federalay. f
Owner or agent: Date: 3 l 2) /6
f o— 3- a i 4-c"-) Ate-G.A. •,,_ p /<
CiT•Of CONSTRUCTION PERMIT APPLICATION
VV — MAR 23 2001 APPLICATION NUMBER: 6 ( - 7 ''/ ( rrT?77 - D0-/
,iiv of -ED RAL WAY APPLICATION NUMBER: _( - Q/ / -Cb-tZ
BUILDING DEPT. 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: 32_911+ Y.7 T' 4V 'S k-) ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
r_ ■ PROJECT INFORMATION -
TYPE OF PROJECT(This application): El BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION/ SYSTEM
�
PROJECT DESCRIPTION(Provide det 'led description): AAC5I, E Lt S'�'t, L7_9 iI+r 'C
/414 �
pVwciw r 5 Z Tc> e-- f ram... r
l81-rQ 1� d-�-• C41 r• I -S i s RI
j),/,--e 42k21C-j& &-y ALM
PROJECT NAME: (OhIVSOIJ
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: ``� DAYTIME PHONE:
- �P-6l vUS 11ti (Z-pk ) 6s3 - '3$8.s
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
3z-c't 44 > Ali SL-
NAME: DAYTIME PHONE:
CONTRACTOR:
S4iA ( )
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS UCE S NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: , iii. , EXPIRATION DATE:
(copy of card required) •w) I/T�II / /
APPLICANT: NAME: --- DAYTIME PHONE: -
t `J
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
(73 ) 67 -t - 3/6£
RELATIONSHIP TO PROJECT: FAX NUMBER:
li
❑ ARCHITECT irTENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT:OPROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $4 t QOC7 1/ l
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
-**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
IN PRO.IECT 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.( -Pi)IA/" q
COMPRESSOR(S) ]--V.- FURNACE(S) / ,V. /4-1e CISP, w,
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: V-7-- \ ) 1 _ DATE: Z 3 — O '
ROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES El NO
a SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES f=1NO
PLATTED LOT? ❑ YES ❑ 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