01-103476 ay
City Community Development Services Federal WCommunityConMechanical Permit #:01 - 103476 - 00 - ME
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: BRANDT
Project Address: 2045 S 301ST el Parcel Number: 798290 0210
Project Description: MECH-Changeout gas furnace and some new ductwork for existing single family residence.
Owner Applicant Contractor
Mark K Brandt GATEWAY HEATING&AIR CONDITIO GATEWAY HEATING&AIR CONDITIO
2045 S 301ST PL GATEWAY HEATING&AIR CONDITIO GATEWAY HEATING&AIR CONDITIO
FEDERAL WAY WA 3802 AUBURN WAY N 3802 AUBURN WAY N
98003-4262 AUBURN WA 98002 (253)931-0610
Mechanical Valuation 2660 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Ducts 1 Furnaces 1
PERMIT EXPIRES March 4,2002,IF NO WORK IS STARTED.
Permit issued on September 5,2001
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 Fede . - �L/(/!
Owner or agent: Date: S O(
r--// „
Mc.�� • 1 t' ' - 6 // /0 - /0 s
• .41
_ RECEIVED
at
CONSTRUCTION PERMIT APPLICATION
•r.or r-
APPLICATION NUMBER: D I_ - i' 4 (i- Da-1111
APPLICATION NUMBER: - -
c;i i v LW hEL)E AL VVAY APPLICATION 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.
. r\ • PROPERTY INFORMATION .
SITE ADDRESS: T! V I ST P 4 ASSESSOR'S TAX/PARCEL #a g z 2-90 O a.,/ a
W(\-t? $C(33 - -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- • PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING JIMECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJE •ESCRIPTION(Provide detailed description): - ,[°Oh. 0`� I .. a i • ° ,0'j�..!�1"!,/ i'/r,%-�/;�
AV&4l til Ari.1'/_75 (7,'c/t ii011O tri.i'0;,1, :'eip��',g',1i.0'7..;'
PROJECT NAME: M RI dt 4 0 1 2_45
' ■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
rn1pp � ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE ZIP):
p g 5 5D. 13-t- P E_ vft-L Y cil=03
CONTRACTOR: ni: '
DAYTIME PHONE:
(A - Pk7 $ HI c a �
( )C 1 -GIP O
MAILING ADDRESS(STREET ADDR -i.AicS;CITY,STATE,ZIP): �� -� EVENING PHONE:
zboa A'c & ?jJ (, -) ti. Sv��2 301 1L (? ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
1 q - (17_ 10_5 - c BIR (253) wq -0(40
0
CONTRACTOR'S REGISTRATION NUMBER: //�` (� �1 /�' EXPIRATIONQDATE:-2_0
(�`�(
(copy of card required) ,.Y / � l 0-1) Z5 v U / `-_ / `- c 3
APPLICANT: NAME: DAYTIME PHONE:
Coy 1-( 7-(4)G 44. RIC (-25- )0 / -06/0
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ft*/wed() EVENING PHONE:
'31 $C),9 flu.2,0A) LOW 4). ' uiT3O) wo98aoa (- ) -
RELATIONSHIP TO PROJECT: /� FAX NUMBER:
❑ ARCHITECT 0 TENANT MOTHER(DESCRIBE): ( —lreflOOR--- ( )SD(f - 00/60
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: $ Z.&WL
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
. I.
**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:
• - t:'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 CI.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(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 informa.tion'syPplie to th city as a part of this application.
,I✓ (.- DATE: 9 - 5 - 0 /
NAME/TITLE: 1
❑ PROPERTY OW ER CIAPPLICA T CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
_CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES 0 NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLAITED LOT? 0 YES ❑ NO _ CHANGE OF USE? ❑ YES 0 NO
CCMr a INrTY nFVFI OPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718-FEDERAL WAY.WA 98063-9718•253-661-4000•FAX'253-661-4129