04-102279Y
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: KELLY
Mechanical Permit #:04 - 102279 - 00 - ME
Inspection request line: 253.835.3050
Project Address: 2828 SW 342ND s'r Parcel Number: 010921 0290
Project Description: Replace gas furnace; add 3 -ton air conditioning unit.
Owner
Applicant
Contractor
Todd W Kelly & Stefanie Marie Kelly
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
2828 SW 342ND ST
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-7742
(206) 282-4700
Mechanical Valuation..........................................8266 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description �QuantiDescriptionQtaantity Description �;Quantl f
Furnaces
,F1 - - -
PERMIT EXPIRES December 7, 2004.
Permit issued on June 10, 2004
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 ac dance with the laws, rules and regulations of the State of Washington and
the City of Federal WaVA. , ^
Owner or gent `l Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04 -102279 -00 -ME
Owner: WASHINGTON ENERGY SERVICES CO
Address: 2828 SW 342ND ST
FEDERAL WAY, WA 98023-7742
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
❑ Mechanical Rough -in (4165)
❑ Gas Piping (4125)
❑ Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By
Date :?//2 Q
JUH-4-2004 12:49 FROM: TO:1=35514129 P.5
COMMUNITY DEVEWPMEKr semcrs
cm Sc 33530 FIRST WAY SOVTN • PO MK 9718.
FEDERAL WAY, WA 98063-9718
Federal wayPERMIT APPLICATION 3�N6 jW FAX' 253-661-4 129
For OQia U� ONy. _
FW File Num _ 0 – \ Z 7
ber: 11
The following is required information -an incomplete application mill not be accepted. Please print legibly (in ink) or
SITE ADDRESS: g Z� �� Ll -2 S- SUITE/APT N
ASSESSOR'S TAX/PARCEL M: D— 1 0 q Z L - C lv SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.. Acme Estates, Got 1)
/Attach separate page for lengthy legal desorption)
PROJECTWFORMATION
TYPE OF PERMIT (This application): o BUILDING ❑ PLUMBING )(MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on thisermit ord
" 'n.
h
0
PROJECT NAME (Name of Business/Otuner Last Name):/ I
PEOPLE 1 • ' •
PROPERTY
NAME' PRIMARY PHONE:
ONER
CONTACTOR -
R
LENDER:
1Tf P—r--I VdI > $3,0001
APPLICANT:
ToDb �� c !
,
W
7l�S-
�MAILING ADDRESS ,iTREETADDRE( ry C ATE, 2 ��
NA 9 COMPANY OFFICE PRONE• _
�,( V ( zea- 7�
MAILING ADORE ST EET D S;): _ ,STAT , _ ELL PHONE:
Lf
CITY OF FEDE� W� BUSINESS E S�� NUMBER:EXPIRATION DATE:� FAX NUMBER--
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE=
(—Pr of c+r4 roq¢lrcd rieL uc6 •PPLLe>Uoa) �.. f -7 ? / .Z / d
NAME: /DAYTIME PHONE:
l
MNUNO ADDRESS )STREET ADDRESS;): CITY, STATE, ZIP
NAME:
COMPANY
OFFICE PHONE:
MAILING ADDRESS ISTREET ADDRESSI:
CITY, STATE, ZIP
EVENING PHONE:
RELATIONS}11PT0 PROJECT:
FAX NUMBER:
o Architect O Tenant ❑ Other (Describej.
( -
NAME: /DAYTIME PHONE:
l
MNUNO ADDRESS )STREET ADDRESS;): CITY, STATE, ZIP
NAME:
COMPANY
OFFICE PHONE:
MAILING ADDRESS ISTREET ADDRESSI:
CITY, STATE, ZIP
EVENING PHONE:
RELATIONS}11PT0 PROJECT:
FAX NUMBER:
o Architect O Tenant ❑ Other (Describej.
( -
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner Contractor ❑ AppIicant E-MAILADDRESS:
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $
SPRINKLERED BUILDING? ❑ YES p NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER O LAKEHAVEN
VALUE OF PROPOSED WORK: $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA O PRIVATE (WELL)
0 HIGHLINE O PRIVATE (SEPTIC)
9
JUN -4-2004 12:50 FROM:
■ PROJECT FLOOR AREAS
TO:12536614129 P.8
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
q REPAIR_ ;. o TENANT IMPROVEMENT
BUIIDurG SHELT,ONLY? "` b'YES a NO
FIRST
o YES
❑ NO
ZOIT.G DESIGNATION:
SECOND
❑ YES
a NO
NEW ADDRESS REQUIRED? a YES n NO
THIRD
❑ YES
a NO
-P !ATTED LOT? ❑ YES ONO
FOURTH
o YES
a NO
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL EXISTING
TOTAL PSOPos®
TOTAL t=TINO AND PROMSP.D
"NEW HOMES ONLY'`• NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include
A ECBANICAL 81-
Value of Mechanical Work $ d�
=-AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (u T.b/SAm. C..t )
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (B.m,m. sink
EVAPORATIVE COOLERS
FANS
� FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS(comma< )
RANGES
GAS WATER HEATERS
WATER CLOSETS rr.ii.1
DRINKING FOUNTAINS
RAINWATER SYS
HOSE BIBBS
ELECTRIC WATER HEATERS
JISCLATMFR/SIGNATURE BLC
fixtures to remain.
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of peryury that the information furnished by me is true and correct to the best of my
knowledge, and further, that I am autRorized by the owner of the above premises to per 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 of such claimj, which may be made by any person, including 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 enyfloyees, upon the acy of the information supplied to the city as a part of this application-
NAME/TITLE; `?Lr DATE:4
(Signature! (TitleI
RELATIONSHIP TO PROJECT: oPropertAm& ❑ Applicant contractor a Architect ❑
�2.i 72 0 32%x'
R�MKICE E».rONLY
o, ADDITION p ALTERATION
q REPAIR_ ;. o TENANT IMPROVEMENT
BUIIDurG SHELT,ONLY? "` b'YES a NO
BA$IC',PLAN?'_
o YES
❑ NO
ZOIT.G DESIGNATION:
CHANGE OF USE?
❑ YES
a NO
NEW ADDRESS REQUIRED? a YES n NO
UP/SEPA/SU?
❑ YES
a NO
-P !ATTED LOT? ❑ YES ONO
DEMO PERMIT REQUIRED?
o YES
a NO
I3ulleLn :i I OU - ,;< �'Ila Page 2