02-100421City unity Development Services Federal Way
mmun
CoMechanical Permit #: 02 - 100421 - 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: WAGNER
Project Address: 1005 SW 316TH (� 1 Parcel Number: 555730 0240
Project Description: HVAC - Changeout gas furnace
Owner
Applicant
Contractor
Daniel Ray & Laurie Kay Wagner
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
1005 SW 316TH PL
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-4534
(206) 282-4700
Mechanical Valuation..........................................2000
Description Qtaanti
Furnaces 1
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
PERMIT EXPIRES July 31, 2002, IF NO WORK IS STARTED.
Permit issued on February 1, 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 a ent: Date: l ��
JAN -29-02 13:14 FROM-NORTHWEST-CASSIMAR 206-374-0634 T-251 P-01/04 0-764
tiYE��FIL PLICATTON NUMBER: - b _
LICATION NUMBER:
PPLICATION NUMBER:
*M4 following is required Information — Please print (in ink) or type �
se'"te: Electrical, Fire Prevention Systems and Engineering Permits may require a separato application.
SITE ADDRESS; ,—Iwo = `- (� 51 ASSESSORS TAX/PARCEL 7C: SS S -7 30
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT XNFDev&
TYPE OF PROJECT (This aF Plication): CJ BUILDING ❑ PLUMBING �[ECHANICAL ❑ DEMOLITION—
IJ
ELECTRICAL 13ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description);-OJUti,`45� O j lz4 j9 4, A /n a — `
PROTECT NAME -
PROPERTY O WNER:
CONTRACTOR;
APPLICANT:
XIA6 I�J&4
ADDRESS: CITY, STATE. YIP):
ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): FAX NUrtsER
CONTACT PERSON FOR Tli IS PROJECT: ❑ PROPERTY OWNER 0 APPLICANTN7'RACTOR 94WL ADDRM:
EXISTING USE:
PROPOSED USE; EXISTING BUILDING ASSESSED/APPRAISED VALUATION r
�^ PROPOSED VALUATION FOR IMPROVEMENTS: * Oe v 6., db
SPRINKLERED BUILDING? ❑ YRS O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER; 13 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
JAN -29-02 13:14 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-251 P.02/04 F-764
OF
ESTIMATED SELLING PRICE:
N PRO]ECT FLOOR AREAS
FILM R
DCISTmNQ EQ. FT.
PROPOSED S% FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLIVIG UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOODS) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.
�^ COMPRESSOit(S) FURNACES)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE., Q ELECTRIC If DAS
PLUMBING
CATHTUB(S) LAVATORY(S) URINAL(S)
DISHWASHER(S) RAINWATER SYS. .,. VACUUM BREAKER(S)
DRINKING F+DUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S)
INTERCEPTOR(S) SUMP(S)
3I5CLAIMER/SIGNATURE BLC
- WATER HEATERS)
0 ELECTRIC ❑ GAS
I certify under, penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, ani
further, that I am auth3ri=ed by the owner of the above premises to perform the work for whirls 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 th,
Investigation and deferisevFatr im), whi be made by any person, including the undersigned, and filed against the City o
Federal Way, but onlyrovhere such d a(ii a of the reliance of the city, including its officers and employees, upon the aecurac
of tate information supplied to the d riga pa f this application.
NAME/TITLE: _
Q PROPERTY OWNER.
APPLICANT
DATE: //,)- L', Z
COMMUNrrY DEV= MSa SOtV10ES - 33S30 F[RST WAY SO(Ml -P.O. BOX 9716 • FEDERAL WAY, WA 9fJ0G3 9718.253 61 SOoo •FAX: ?53�,G1� 129