02-102319City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
I
Mechanical Permit #:02 - 102319 - 00 - ME
Inspection request line: 253.835.3050
Project Name: NELSON OJZ/
Project Address: 34419 30TH SW Parcel Number: 797200 0050
Project Description: MECH - Installing new fireplace insert w/ 10' gas piping
Owner
Applicant
Contractor
Denise Nelson
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
34419 30TH AVE SW
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-3019
(206) 282-4700
Mechanical Valuation..........................................2500
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Desc 7ptlan ti + tion, ; Qt12iflfl `'
P
Fireplace Inserts I Gas Piping 11 10
PERMIT EXPIRES December 3, 2002, IF NO WORK IS STARTED.
Permit issued on June 6, 2002
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:
Mechanical rough -in:
Gas pipe:
FINAL MECHANICAL: P ,
Date:
Date:
Date: 10 - & t
r
J4N-04-02 12:1--r- V ���F� FROM-cnsSl��cE`vE� 206-374-0634 T-029 P.O1/02 F-076 me -
PLICATION NUMBER: - T ,777•
PLICATION NUMBER: • -
JUN O 5- PPCCATIONU - _
N Mt3�R: I
"The WMID9 f3W4AWOlbYrmation - Please print (in Ink) or type*
BUILDING DEPT. i
Please note: I:Ipebieal, Fre Prevention Systems and Engineering permits may require,p agparate application.
SITE ADDRESS: -3441 c) ASSESSOR'S TAX/PARCEL #. -7,
�-14 � SAJ
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): �
TYPE OF ?ROJECr (This ariplicatlon):
PROJECT DESCRIPTION' `(Providedotage
i^5 lll��.
PROJECT NAME:
PROPER OWNER: NAME
NAI1.1
CONTRA OR: NAME
�-"
SSC
wvuNG AooaEss rsruE�E
❑ BUILDING ❑ PLUMBING MECHANICAL QEMOLITION
❑ ELECTRICAL E3ENGINEERING❑ FIRE PREVENTIONJSYSTEM
.description):
-4 ! t. -b f nx-L n CD
ES CIO
L�IA.RCHITECC ❑ TENANT C3 OTHER (
Zov
// ! � � EVFlHiNG PHONE:
PAX NUMOFR: -
emIMT10N DATE:
(�•S"1 0 C. �/� 162—
PERSON
62
PERSON FORTHiIS PROTECT: O PROPERTYOWNER (:]APPLICANT
i EVENING PHONE:
FAX NUMW ^�
R
I
EXISTIN USE: EXISTING BUILDING ASSESSEDJAPPRAISE'VA L A,' � o $-
PROPOS OUSE: PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKL ZRED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM pROpOSEl7/REQUIRED: ❑ YES 0 NO
WATERSERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE,(WPLL)
SEWERS ERVICE PROVIDEit: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
3
i
I
JUN -04-02 12:14 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-029 P.02/02 F-076
FLOOR •
WaVING S . FT.
PROPOSED Sq. Fr.
TOTAL
tiASE;Mf.IYT
FANS)
�� FIREPLACE INSERT(S)
HOOD(S) W
RANGE(S) M
DODSTOVE(S)
C. (
FIRST
.,.,,.�._
SC -GOND
_ GAS PIPE OUTLE(S)
HEAT SOURCE: ❑ ELECTRI
❑ 6AS
THIRb i
l
BATHTUB(;)
FOURTH
URINAL(S)
ATER HEATER(S)
DISHWAS�ER(S)
OTHER FLOG (DE:SCR 50)
, VACUUM BREAKER($) 13 ELECT
0 QAS
RMWKING
DFOUNTAIN(S) SHOWER(S)
DECK
!
i•
GAS PIPE lJ1'IMr(S)
SINK(S)
GARAGE
HOW MANY FL,60R4?
c.
IN'TERCEPTORIm
SUMP(S)
TOTAL:
Indicate number of each type of fixture
MECHANICAL.
AIR HANDdNG UNI•T(S)
E:YApOItA m Coom(S)GAS
RG.
SYSTEM(;)
BOILER(S)!
FANS)
�� FIREPLACE INSERT(S)
HOOD(S) W
RANGE(S) M
DODSTOVE(S)
C. (
COMPRESSOR(l;)
.,.,,.�._
DUCT(S)
_ GAS PIPE OUTLE(S)
HEAT SOURCE: ❑ ELECTRI
❑ 6AS
PLUMBING
l
BATHTUB(;)
ter,.- UIYATORY(S)
URINAL(S)
ATER HEATER(S)
DISHWAS�ER(S)
RAIN WATER SYS.
, VACUUM BREAKER($) 13 ELECT
0 QAS
RMWKING
DFOUNTAIN(S) SHOWER(S)
WASH MACHINE OUTLET
i•
GAS PIPE lJ1'IMr(S)
SINK(S)
WAFER CLOSET(S) M
c.
IN'TERCEPTORIm
SUMP(S)
I certify ander penalty of perjury that the Information furnished by me Is true and correct to the best of y knowieidg% and
further, that t am authec-Ixed by the owner of the above promises to perform the Work for which the permit appli tion is made. I
further agree too holc� harness the City of Federal Way as to any daim (including costs, expenses, and attorneys' incuftd In the
kriatigaUan and def enso-of fm), Which be made by any person, Including the undeNgned, and filed galnst the qty of
Federal Way, but onl lets Such d ati�es o of the reliance of the city, Including Its officers and employees, pon tho-accuracy
of the Infotmation sUpplIed to the d ppa pa f this application.
NAMg/i1TLE: DATE:. Z
C] PROPL4t Y OWNIR% APPLICANT MNTRACrOR
COMMUNITY L)EY LAPI4MM SMWCeS • 33530 FMT WAY WuTii • P.O. BOX 9718 • FOMM WAY, WA 98063-9718 . ZM- M • I AX, 253-66:-4129
I