01-104318 1 r
City of Federal Way Mechanical Permit #:01 - 104318 - 00 - ME
Connnunity 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: BUCHANAN
Project Address: 801 S 310TH Pi Parcel Number: 081850 0010
Project Description: HVAC-Changing out gas water heater,installing new F/P insert with associated gas pipe
Owner Applicant Contractor
PAT BUCHANAN NORPAC HEATING&A/C INC NORPAC HEATING&A/C INC
801 S 310TH PL 3414 A ST SE SUITE 102 3414 A ST SE SUITE 102
FEDERAL WAY WA 98003 AUBURN WA 98002 AUBURN WA 98002
(253)931-0608
Mechanical Valuation 3000 Over the Counter Permit Yes
Mechanical Fixtures
Mir: Description (Quantity Description„k;i)iii h1k "IQuantity ;Description Quantity
Fireplace Inserts 1 Gas Piping 25 Number of Gas Outlets 2
PERMIT EXPIRES May 7,2002,IF NO WORK IS STARTED.
Permit issued on November 8,2001
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 y.
Owner or age . ect/Ap (�(31Date: 21/0. /0-T
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1e, CITel, CONSTRUC I ION PERMIT APPLICATION
Fr1E CE1VE® . APPLICATION NUMBER: — ' L' '—?.1 — (.)
uV FT)-r. — —
----,APPLICATION NUMBER: — ' —
NOV 0 8 2001 APPLICATION NUMBER: — —
Ua i 4iu
BuiLuarogrAvquired 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: SO' � I
\O ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• "' :" `.■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): a
O C (0 to ve'I S i_we . .6.r '� '� - �,�
( LLpTr -
PROJECT ?ilk)NAME:
• PEOPLE INFORMATION
PROPERTY OWNER: N ME DAYTIME PHONE:
0± \"'").
t L� (-25`b-52 j -moo
MAILING ADDc � EET ADDRESS;CITY,6T IP). �t .Q L \C� clay
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CONTRACTOR: NAME: be AYTIME PHONE: I
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( _5'13.- ho( oZ
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
- y Iy 10 1-- ( s, -931 _GGak
.
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\F��\FEDERAL WP\--
COACiO STRATTON NUMBER: — � — — EXPIRATION DATE: -
(copy of card required) NO / /
APPLICANT: NAME: DAYTIME PHONE:
MAILING ADDR STREE ADORES ;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 ❑ CONTRACTOR
- ■ DETAILED BUILDING INFORMATION . - . .
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 3r VD
0
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 El PRIVATE(SEPTIC)
•
**NEW RESIDENT'J►CONSTRUCTIONONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
11 PR07ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
.
._..■:•'per RES .. :: ;_ .• .-. ::.;-
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 ❑ 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)
= .11 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 informatio supplied to the city as a part of this application. �
NAME/TIT ,4 DATE: 1d
❑ PRO RTY OWNER PLICANT CONTRA OR
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 ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES Cl NO CHANGE OF USE? 0 YES 0 NO