02-100163t
City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: RINERA
Project Address: 4926 SW 327TH
I
I r
Mechanical Permit #:02 -100163 - 00 - ME .
Project Description: MECH - Install one fireplace insert with gas piping
Inspection request line: 253.835.3050
Parcel Number: 873219 0960
Owner
Applicant
Contractor
RAFAEL RINERA
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
4926 SW 327TH PL
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA 98023
SEATTLE WA 98199
SEATTLE WA 98199
(206) 282-4700
Mechanical Valuation..........................................1500
Over the Counter Permit......................................Yes
Mechanical Fixtures
Description- f ""'"'9' Quantity -Description Quantity "' eF Description Quantity
Fireplace Inserts I Gas Piping
PERMIT EXPIRES July 14, 2002, IF NO WORK IS STARTED.
Permit issued on January 15, 2002
I hereby certify that the abov information is correct and that the construction on the above described property and
the occupancy and the use 11 be in accordance with the ws, rules and regulations of the State of Washington and
the City of Federal Way. J
Owner or agent:--/ Date: —�
lam, 3- z7- oZ �cJ
1
IAN -14-02 11:47 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-150 P.01/02 F-596
t-U14.zo 1 r%u%_ I iviY I I -I %I ,.. .... — .... .
ack-aON Num
OMON NUMBER-
PLICATION IqUMBE.R.
**The following is required information —Please print (in ink) or type**
Please note: ElectriCal, Fire Prevention Systems and Engineerins Permits may require a Separate application.
SITE ADDRESS: P) ASSESSOR'S TAX/PARCEL #: g 3 071 `i - 0 `) 6 0
LEGAL DESCRIPTION OF SU EJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This apT lication): I ❑ BUILDING ❑ PLUMBING J�PMECHANICAL ❑ DEMOt-MON
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
•f it S7 41 l �'1 f � 4r r � �.S�r'F
PRO]ECT DESCRIPTION (Provide detailed description):
PROJECT NAME: / PJ tiL(4
PROPERTY OWNER: I NAME 12 R -pet a. I
q ct 2 -
CONTRACTOR: I "^"167
W l; S L a
APPLICANT:
2P00
CITY OF FEDERAL
RELMONSHIP TO PR4
❑ ARCHITECT
9
M, STATE, ZIP):
2 3- 41-1—
0TY, STATE, ZIP):
I�_
NUM88R:
s
(2s)r)Cb 1 - 347y
(2eb ) 2.P4 - y}ua
FAX NUMBER:
)
c.)I 0L /1b /oZ'
ADDRESS; QTY, STATE, ZIP): EVLNING PHONE:
(
FAX NUMBER:
❑ TENANT ❑ OTHER ( MCRIBE): ( _�-
CONTACT PERSON FOR THIS PROJECT: Q PROPERTY OWNER D APPLICANT POCONTRACTOR
EXISTING USE:
s Fid- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 1 � U O
PROPOSED USE: I PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILOXN(D? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN Q HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 11 PRXVATE (SEPTIC)
JAN -14-02 11:47
FROM-NORTHWEST-CASSIMAR
nNj.ZWUCn0N ONLY**
206-374-0834
ESTIMATED SELL.LiVG PRICE:
T-150 P.02/02 F-596
AIR HANDLIN-33 UNIT(S)
66Q(S)
80ILER(S)
COMPRESSORS)
oua(5)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOC(S) _ REFRIG. SYSTEM(S)
FAN(S)
HOOD(S) _ WOODSTOVE(S)
FIREPLACE INSERT(S) RANGES) MXSC. (�
FURNACE(S) HEAT SOURCE: ❑ELECTRIC GAS
GAS PIPE OUTLET(S)
PLUMBING
BATHTUB(S) �_ LAVATORY(S) uRINAL(S)
DISHTUB(S) (S) RAIN WATER SYS. '� vACEJUM RREAKER(S)
DRINIUNG FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OU FLET(S) SINK(S) WATER CLOSETS)
INTERCEPTOR(S) SUMP(S)
_ WATER HEATER(S)
❑ELE CTRXC Q GAS
rued by the owner of the above premises to nder penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
I certify uperform the work for which the permit application is made. I
furtt►er, that I ant ndec
further agree to hold h;Irmless the City of Federal Way as to any daim (including costs, expenses, and attorneys" fees incurred In the
Investigation and defense of suds dalm)r which may be made by any person, Inducing 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 the city as a patt of this application.
NAME/T1Ti.EP��Y _ _ �
11PROP //OWNER
❑ APPLICANT k31ONTRACTOR
DATE:
MMMUNITY DEV OMeNT SMVI� - 33530 FIRST wAY SOUTH • P.O. Boy • RDERAL, WAY, WA 96063-9)18 • �53461�000 • FAx: 2$3-6614129