01-104692 City of Federal Way Mechanical Permit #:01 - 104692 - 00 - ME
Community 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: BALL
Project Address: 828 S 299TH pi Parcel Number: 515160 0185
Project Description: MECH-Furnace changeout in existing residence.
Owner Applicant Contractor
Neil J&Laurie J Ball Neil J&Laurie J Ball Neil J&Laurie J Ball
828 S 299TH PL 828 S 299TH PL 828 S 299TH PL
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-3749 98003-3749 (253)839-6387
Mechanical Valuation 2739 Over the Counter Permit Yes
Mechanical Fixtures
,-*D'escriritio h may? . Quantity Descr plidnr' li q "Cuai tity 'Quan'titj
Furnaces
PERMIT EXPIRES June 5,2002,IF NO WORK IS STARTED.
Permit issued on December 7,2001
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: Date: '2/ /0
NPi o
Flit A/I ,/01,1) I 4171
r
ar.or �_ CONSTRUCTION PERMIT APPLICATION
$ ' "—RECEIVED APPLICATION NUMBER: Q - ('� yz -�
APPLICATION NUMBER: - _ _
DEC 0 7 2001 APPLICATION NUMBER _ _ _ - - _ _
**The following is required information-Please print(in ink)or type**
•Gi fY.OF FEDERAL WAY
Please note: Electrical,11114R$ystems and Engineering permits may require a separate application.
- - • �= �PROPERTY INFORMATION - `. - -
SITE ADDRESS: g225 Ucq 74-4- Pe._ ASSESSOR'S TAX/PARCEL#: ,c �j'1v - _d/Pr
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
: • 71•PROJECT INFORMAITCN - _
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING OM 0 DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING■ • • • ENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): ApkiCe A, i 71 (4 9415 Ar44466-
(--itk,
kew VA/f-
}�/3
�t• -
PROJECT NAME: cila✓IL� >ftCQ .4-LL
r ,• v >;PEOPLE INFORMATION .
PROPERTY OWNER: NAV// / // DAYTIME PHONE:
N l (ac*> ) 501 -014-
MAILING ADDRESS L QTY/$TATE,Z��,V"v".-G V V y WA- qkv
CONTRACTOR: NAMEJ/btt (/J / // DAYTIME PHONE: -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PH)ONE:
(25; )851 -6ssCITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of mrd required) / /
APPLICANT: NAit1 L' I ( DAYTIME PHONE:
-
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT $OTHER(DESCRIBE):(WALL/— ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: K ROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
- I::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) a
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
7 ...�
**NEW RESIDENTIAL CONSTRUCTION ONLY**
0 NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
. II • PROSECT FLOOR AREAS
FLOOR EXISTING SQ.FT, PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
-
THIRD
FOURTH
-
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number
MECof eachHANICAL type of fixture /,d 23 �`v
D
AIR HANDLING UNITS) EVAPORA GAS LOGS)
REFG.SYSTEMS)
BBQ(S) FANS) HOODS) WOODSTOVE(S)
BOILERS) FIREPLACE INSERTS) RANGES) MISC.( )
COMPRESSORS) _F FURNACE(S)
DUCTS) GAS PIPE OUTLETS) HEAT SOURCE: ID ELECTRIC GAS
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATERS)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSETS) MISC.( )
INTERCEPTOR(S) SUMP(S)
%1: 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 Cityof 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 daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information plied to the dty as ar paa/rt of this application. /�,,
NAME/TITLE:
Are/id-L`( DATE: (°t�- l
PROPERTY 0 NER ❑ APPLICANT ❑ CONTRACTOR
•
:FOR OFFICE=USETONL(
�0 NEW: ADDITION ; ❑ 11LTERATION
fl,REPAIR .. 0 TENANTTMPROVEMENT 1
0 CENSUS CODE:s 'i 'LOT;SIZE :� ._"` . . .u ;:
49'''''''''''.
ONING DESIGNATION BUILDING SHELL ONLY? a❑YES ❑ NO
xCOMPPLAN DESIGNATION BASIC=PLAN?- - 'YES [1 NO -
ECTION _ TOWNSHIP RANGE NEW,ADDRESS REQUIRED? ❑'YES ❑ NO
4 PLATTED LOTS ❑YES NO CHANGE OF-USES-, ; ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH••PC BOX 9718 ••FEDERAL WAY,WA 98063 9718•253-661 4000-FAX:2S3-661-4129