03-105296City Federal Way
Community Development Services Mechanical Permit #: 03 -105296 - 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: MILLER
Project Address: 29404 7TH S P1 Parcel Number: 515250 0050
Project Description: Install fireplace insert
Owner
Applicant
Contractor
Ronald D Miller & Joanne Miller
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
29404 7TH PL S
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98003-3637
(206) 282-4700
Mechanical Valuation..........................................4009 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
„ G?4547pt� a ,
Fireplace Inserts 1
PERMIT EXPIRES June 1, 2004.
Permit issued on December 4, 2003
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 o age Date: 1<91
)Z11110]5 %il/
RECEIVED
L %
CONSTRUCTION PERMIT APPLICATION
CITY OF DEC 0 2 2003 PLICA -110N NUMBER: - -
Federal Way PPLICATION NUMBER:
CITY OF FEDERAL WAY PPLICATiON 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.
PROPERTY,. .
Tj
SITE ADDRESS: L/ l —I D ASSESSOR'S TAX/PARCEL #: �L 60 -
I QQ��
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT• •
TYPE OF PROJECT (This application): ❑ BUILDING o PLUMBING XMECHANICAL ❑ DEMOLITION
o ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME: w ` `zr
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
�E' � � /1
DAYTIME PHONE: -
MAILING ADDRESS ( RE ADDRESS;
,STATE. ZIP .
EVENING PHONE'
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER: I
CONTRACTORS REGISIRA'RON NUMBEIL•EXPIRATION
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5 �-1 1
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DATE:
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NAME; DAYTIME PHONE:
MAILING ADDRESS S ( � n ADDRESS; CITY, STATE, JP): 1 EVENING PHONE: _
RELATIONSHIP TTO-PR03ECCT�: i \FAX NUMBER:
❑ ARCHITECT o TENANT'OTHER ( DESCRIBE):CLf"
: C -MAIL AUUM:ZO; 1
1
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER O APPLICANT CONTRACTOR �
DETAILED BUILDING INFORMATION
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN O HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
S'd 62TbT992S2T:01
WOaA TT:La 2002-2-D3a
11M
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS:
J
ESTIMATED SELLING PRICE:
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
AIR HANDLING UNIT(S)
FIRST
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
BOILER(S)
SECOND
HOOD(S)
RANGE(S)
WOODSTOVE(S)
MIsc [ )
COMPRESSOR(S)
THIRD
DUCT(S)
FOURTH
HEAT SOURCE:
0 ELECTRIC YGAS
OTHER FLOORS (DESCRIBE)
BATHTUB(S)
DECK
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
GARAGE
HOW MANY FLOORS?
VACUUM BREAKER(S)
0 ELECTRIC o GAS
DRINKING FOUNTAIN(S)
TOTAL:
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
31SCLAIMEFZISIGNATURF RI r
I certify under penalty of perjury that the information furnished by me Is true and Cortect 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 tfi . city as a part of this application. I t
NAME/TITLE: 41I DATE:
0 PROPERTY OWNER o APPLICANT ❑ CO RAC717 R1
yktu,4,
COMMUNITY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH - PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129
www.cnypffederaWay.com
9'd G2TbT99ZS2T:01 :WOaJ TT:ZO 2002-2-930
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
BOILER(S)
FAN(S)
FIREPLACE INSERTS)
HOOD(S)
RANGE(S)
WOODSTOVE(S)
MIsc [ )
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
0 ELECTRIC YGAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
0 ELECTRIC o GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINKS)
WATER CLOSET(S)
misc.( )
INTERCEPTORS)
SUMP(S)
31SCLAIMEFZISIGNATURF RI r
I certify under penalty of perjury that the information furnished by me Is true and Cortect 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 tfi . city as a part of this application. I t
NAME/TITLE: 41I DATE:
0 PROPERTY OWNER o APPLICANT ❑ CO RAC717 R1
yktu,4,
COMMUNITY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH - PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129
www.cnypffederaWay.com
9'd G2TbT99ZS2T:01 :WOaJ TT:ZO 2002-2-930