02-100210r
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: GEORGE
Project Address: 2740 SW 315TH Jt
Mechanical Permit #: 02 -100210 - 00 - ME
Project Description: MECH - Install fireplace insert with gas piping
Inspection request line: 253.835.3050
Parcel Number: 150330 0090
Owner
Applicant
Contractor
Henry F & Kathleen George III
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
2740 SW 315TH ST
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-7832
(206)282-4700
Mechanical Valuation..........................................3000 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quantit Description IQuantit Description Quanti
Fireplace Inserts Number of Gas Outlets 1
PERMIT EXPIRES July 16, 2002, IF NO WORK IS STARTED.
Permit issued on January 17, 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/bvill be in accordance wit theaws, rules and regulations of the State of Washington and
the City of Federal Way.// KI
'Owner or agen 1 !. r Date:
• ,v(.&-Cq
a CONSTRUCTION PERMIT APPLICATION
PPLICATION NUMBER: 04- Q d- 2- L Q- 00
PPLICATION NUMBER:
PPLICATION NUMBER:
**The following is required information — Please print (in ink) or type** i
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: / l b SIiU 3 f5 54- ASSESSOR'S TAX/PARCEL #: d 3 30 - Q p 9�
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBINGMECHANICAL 11 DEMOLITION
11 ELECTRICAL 11ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
.•INFORMATION
PROPERTYOWNER: NAME:
t'-'eT1fZ&gin/ epe6j�7
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
(97vo 5W ars *L 5+
CONTRACTOR:
114021,
UAT 1IML MUM:
( 253) cf') 7
NAM '
APPLICANT:
DAYTIME PHONE:
F -SC o
(WHO's -8,4 -yZou
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): � � � �
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LI E NUMBER:
FAX NUMBER:
CONTRACTOR5 REGISTRATION NUMBER: � � � � I � � 0 � � _
EXPIRATION DATE: 162 -
x
APPLICANT: NAME:1A� DAYTIME PHONE:
UV FS CO ( -
MAILING ADDRESS (STREET ADDRESS; 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
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)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 11 PRIVATE (SEPTIC)
:SIOENTIAL CONSTRUCTION ONLY"
NUMBER OFSEDR0OMS: ESTIMATED SELLING PRICE:
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S) XGAS
GAS PIPE OUTLETS) HEAT SOURCE: ❑ ELECTRIC
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S)
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S)
INTERCEPTOR(S) SUMP(S)
ITSCLATMERIATGNATURE 13LC
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
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 o im), Which be made by any person, including the undersigned, and filed against the City of
Federal Way, but only where such d m arisef if
of the reliance of the city, including its officers and employees, upon the accuracy
of the information supplied to the d a pa this application.
NAME/TITLE:
GATE: / �Z'
❑ PROPERTY OWNER/ -,,M APPLICANT
COMMUNITY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL. WAY, WA 98063.9718 • 253-661-4000 • FAX: 253.661-4129