02-100149City of Federal Way
Community Development Services
33530 Ist Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:02 -100149 - 00 - ME
Inspection request line: 253.835.3050
Project Name: GUTIERREZ Ql
Project Address: 33211 37TH SW Parcel Number: 109961 0910
Project Description: HVAC - Installing new gas furnace and water heater with assoc. gas piping
Owner
Applicant
Contractor
Juan M & Bertha A Gutierrez
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
33211 37TH PL SW
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-2959
(206) 282-4700
Mechanical Valuation..........................................6000
Over the Counter Permit......................................Yes
Mechanical Fixtures
Description Qtanti D i'° ` °'Description Quantl ;i;.Descri tion" ' ''' '_ :. Quanti
Furnaces
I hereby certify that the above
the occupancy and the use wi
the City of FederaLWa3(
PERMIT EXPIRES July 10, 2002, IF NO WORK IS STARTED.
Pe t issued on January 11, 2002
lrmation is corrth the construction on the above described property and
in acco tl e ais, rule regulations of the State of Washington and
Owner or age4 \� Ei� ///l d / Date: /r` ( �
0
JAN -10-02 20:31 FROM -NOR' RETT064)
JAN I
206-374-0834 T-138 P.03/05 F-574 r
PPLIC1ATION NUMBER: - L
PPLICATION NUMBER:
�� r yr ";�„� vvHY LICATION NUMB�R: -
g iLLp ING DEPT. - - -
•'RTlseoilouving is required Information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: -_�-� J� �li I/� ASSESSOR'S TAX/PARCEL #: O Q( (p - 0 Ct
LEGAL. DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
•
TYPE OF PROJECT (This application): ❑ BUILDING IkOPLUMBING MECHANICAL ❑ DEMOLITION
r 'K-LECi'RICAL ❑ ENGINEERINGO FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
c -1 AALIdZAL 14 QA
PRO3ECT' NAME.,
r ; PEOPLE INFORMA77ON
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: —
VV e c -.-y _
ADDRESS (9nWE1' ADDREss. CRY, STATE, ZIP):
RfUlTlattS 5 To mojEGT: FAX NUMO R.
❑ ARcHrr:CT 13TENANT ❑ OTHER ( DESCRIBE): ( _
CONTACT PERSON FOR TKS PROJECT: 17 PROPERTY OWNER
^` aAmu vac: ��/�`.' EXISTING BUILDING ASSESSED/APPRAISED VALUATION f_.._
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
0 LAKEHAVEN O HIGHLINE 0 PRIVATE (SEPTIC)
AN -10-02
MUMBER OF BEDROOM Ss ESTIMATED SELLING PRICE:
20:31 FROM-NORTHWEST-CASSIMAR
206-374-0834 T-138 P.04/05 F-574
N PROJECT FLOOR AREAS .
FLOOR
EUSTING S . FT.
PROPOSED . FT.
TOTAL
EASEMENT
FAN(S)
HOOD(S)
WOODSTOVE(S)
FIRST
FIREPLACE INSERT(S)
RANGE(S)
Misc.(
SECOND
FURNACE(S)
THIRD
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC GAS
FOURTH
PLUMBING
OTHER FLOORS (DINCRIBE)
LAVATORY(S)
URIM(S)
WATER HFATER(S)
DECK
RAIN WATER SYS.
VACUUM BREAKERS)
❑ ELECTRIC GAS
GARAGE
HOW MANY FLOORS?
SHOWER(S) �
WASH MACHINE OUTLET
TOTAL:
SINK(S)
WATER CLOSET(S)
MISC. [
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.(
OOMPRFSSORM
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC GAS
PLUMBING
BATHTUBS)
LAVATORY(S)
URIM(S)
WATER HFATER(S)
DISHWASHERS)
RAIN WATER SYS.
VACUUM BREAKERS)
❑ ELECTRIC GAS
., DRINKING FOUJHTAIN(S)
SHOWER(S) �
WASH MACHINE OUTLET
GAS PIPE OUrU7(S)
SINK(S)
WATER CLOSET(S)
MISC. [
INTERCEPTOR(.-)
SUMPS)
DISCLAIMER /SIGNATURE RLC
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 ant authorked by the owner of the above premises to perform the work for which the permit application Is made. I
further agree to hold hamiless the City of Federal Way as to any dalm (Including costs, expenses, and attorneys' fees Incurred In the
Investigation and defense int), which be made by any person, including the undersigned, and filed against the City of
Federal Way, but only "4 re suds d arises o of the reliance of the dty, including Its officers and employees, upon the accuracy
of the information supplleJ to the d a pa f this application.
NAMEITITLE: DATE:
Q PROPERTY OWNER APPLICANT OONTRACTOR
COMMUNITY DEVE.OPM@MT SWVI(SS • 33530 FIRST WAY SOMIN - P.O. BOX 9718 - FEDERAL WAY, WA 960G3971a - 253-66a—i000 - FAX: 253661.4129