01-103388 City of acaeral way Mechanical Permit #:01 - 103388 - 00 - ME
r�:ommunity 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: BOWELL
Project Address: 30235 24TH"SW Parcel Number: 893750 0030
Project Description: MECH-Install approx 110 feet of gas piping only. Boiler or any other mechanical work under separate
permit
Owner Applicant Contractor
Robert A&Sheri L Bowell A&R PLUMBING A&R PLUMBING
30235 24TH AVE SW 1719 S 232ND 1719 S 232ND
FEDERAL WAY WA DES MOINES WA 98198 DES MOINES WA 98198
98023-2345 (206)779-3506
j LI r4/ ��
Mechanical Valuation 850 Over the Counter Permit Yes
Mechanical Fixtures
Description',' -]Quantity) 'Description (Quantity Description IQuantityl
Gas Piping 110
PERMIT EXPIRES February 24,2002,IF NO WORK IS STARTED.
Permit issued on August 28,2001
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 W
Owner or agent: asa " 'P Date:
�-� -°1
1
, «TMS . CEIVEO CONSTRUCTION PERMIT APPLICATION
uv RYA- APPLICATION NUMBER: OL - .1033f g: -00-'iI
AUf1 2 8 2001 APPLICATION NUMBER: _ _ _ _ _ _ _ _ - _
APPLICATION NUMBER: -
CITY OF FEDERAL WAY
**ThAelltakiiiiIPARTwired information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
mummilimiwoommoisminSITE ADDRESS: 3°2,35 cJ C AV& L1 ASSESSOR'S TAX/PARCEL#: 9 /q
3 7,5 - 0030
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
I
TYPE OF PROJECT(This application): 0 BUILDING ❑ PLUMBING MECHANICAL 0 DEMOLITION
0 ELECTRICAL ❑ ENGINEERINNGO FIREBPREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): ��.- '-` _�� F `-`,,1 � 0 ( -t 45}'Z'
< PBle1/22/6 o Al /
f
PROJECT NAME: 73-81,41-1e2-11-------
PROPERTY
3-v W1-------
PROPERTY OWNER: NAME b ���� DAYTIME j oN7 7 •-•a y
c 57
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
30 2-35— ale -72A-A 1/4C 1
CONTRACTOR: NAM DAYTIME PHONE:
/9441,61N6.- (,M& ) 777 - 35-0
EVENING PHONE:
/7/et DRESS(STREET 5e ADORES$,✓�•CITY,STATF. ..DS3 of_,v 1 3 id)
` �12/! Y (Axe
V)O -.35-04-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
f't -P b(z-f fatal - - ( ) -
CONTRACTOR'S REGISTRA ON NUMw EXPIRATION DATE:
e► I�T 4 Xd 1,5PIP 07 l O' - /0002,
APPLICANT: NAME: DAYTIME PHONE: -
4 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
t. RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT Ir4 CONTRACTOR
A
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ "
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑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
- a' ! 8
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) 1\D I MISC.(4M PIPIA4. )
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)
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(induding 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 claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information suppl' : o the d s a part of this application.
NAME/TITLE: � DATE: �` _O
❑ PROPERTY OWNER ❑ APPLI NT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
NEW ▪' ❑ADDITION ❑ ALTERATION - '` ❑REPAIR - ❑TENANT IMPROVEMENT
CENSU&.CODE: :. "LOT SIZE
ZONING DESIGNATION, BUILDING SHELL ONLY? ,'.1=1 YES ❑ NO
COMP PL"AN DESIGNATION BASIC P..LAN? ..:'. ❑YES ❑ NO
;.SECTION • TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑:NO
.PLATTED`LOT? ❑ YES ❑NO CHANGE',OF USE?. LI YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129