04-100642City of Federal Way
Community Development Services Mechanical Permit #: 04 -100642 - 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: BUCKLEY K
Project Address: 635 SW 331ST Si' Parcel Number: 729803 0140
Project Description: Install gas fireplace insert and gas piping.
Owner
Applicant
Contractor
Elaine Y Kwon & JAMES BUCKLEY
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
635 SW 331ST ST
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-6173
(206)282-4700
Mechanical Valuation..........................................3045 Over the Counter Permit...................................... Yes
Mechanical Fixtures
___Description IQuantityI Description Quanti Description (Quantity
Fireplace Inserts S
1 Gas Piping
1
p
PERMIT EXPIRES September 1, 2004.
Permit issued on March 5, 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 accordance with the laws, rules and regulations of the State of Washington and
the City of FederalWay�Y�4 Owner or agent: Date:
�4 ec'�A I F7C it'\ a ( 0 (< -� , 2 6 , o C--,
FEB -24-2004 09:28 FROM:
T0: 12536614129
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1� (vv+roan utertor�ttarshRrn I
CITY 7T5.10 FIRS7'WAY SOugl • N to�:1 9:1H
Federal Way PERMIT APPLICATION FF.OF211 WAY, 4'•t 51 (Q 11a
1 :r L41i1l IS• ht\ :5�GG1117%
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the following it required ir+/orstte(tion an 1/tc0nWZctc application will not be accepted. please
SITZ ADDRESS: 3 5 ASSESSOR'S TAX/PARCEL Y:Z 24&—d3
LEGAL DESCRIPTION (cg Acme Estates, Lot 1) Z 2"I
SQUARE FOOTAGE OF LOT: (Attartt separate page for lcrngthy l0gal descnplron)
TYPE OF PERMIT [This application[: ❑ BUILDING U PLUMBING
MECHANICAL O DEMOLITION
rl rJ,ECPRtCAL l7 ENGINEERING`o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION fp,pVide detailed deSajOLion of work included on this permit oltitIp
S
PROJECT NAME
CONTRACTOR:
LENDEP-
(11 F ---d V.4—< &SAW)
UUnTACT PERSON FOR THIS PROJECT: p Property ownerContractor
EXISTING USE:
EXISTING ASSESSED/APPRAISED VALUE
SPRINIMEReD BUILDING? p YES a NO
WATER SERVICE PROVIDER; O LAKZljAVEN
O Applicant
_ PROPOSED USE:
VALUE OF PROPOSED WORK; $
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: O YES O NO
O HIGHLINE p TACOKA a PRIVATE (WELL)
SEWER SERVICE PROVIDER 13 LAKEHAVEN U HIGIILINE fl PRIVATE (SEPTIC)
or
FEB -24-2004 09:2B FROM: TO:12536614129 PA
PROJECT IFLOOR AREAS
..�nere+rr�Rr cv.c....run_ en z -r I rpnrasED So_ FT. TOTAL.
BASEMENT
REFRIG. SYSTEMS
MOODS p—..d4
WOODSTOVES
FIRST
MISC (Dewwibel
GAS WATER HEATERS
SECOND
MISC (Dcacribcl
DRINKING FOUNTAINS
090
T141RD
HOSE BIBBS
o NO
FOURTH
o YES D. NO
UP/St]?A/5117 o YES
o FO
ADDIT►ONAL FLOORS (DESCRIBE)
D YES G NO
DEMO PERMIT REQUIRED? o YES
o NO
DECK (COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOM COsIM
Toru. rROPWrd
,o+K nasrrw AMD raaays o
•'/vEW HOMES ONLY" HUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
idicate number of each type of fixture that is to 16c installed or relocated as part of this project. Do not include existing fixtures to remain.
A(SMVaechanical Work S�J_i_ _
AIIZ HANDLING UNITS
=- 9BQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
13ATHTIJBS (.r Tubish—v. amb.1
DISHWASHERS
GAS PIPE OUTLETS
WASHINO MACHINES
LAV', pu*.ra sba
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS mre ou rLGrs
SHOWERS
SINKS
SUMPS
URINAIs
VACUUM BREAKERS
OAS LAGS
REFRIG. SYSTEMS
MOODS p—..d4
WOODSTOVES
RANOES
MISC (Dewwibel
GAS WATER HEATERS
WATER CLOSE775 (r.ikq
MISC (Dcacribcl
DRINKING FOUNTAINS
090
RAINWATER SYS
HOSE BIBBS
o NO
EL=RIC WATER HEATERS
o YES D. NO
; 0 DISCLAIMER/ SIC, NATU RE BLOCK
I certify under penalty of Perjury that the inferrrratlon furnished by are Is trete and correct to the best of my
knowledge, and further, that I am authorised by the orator of the above premiss to per farm the uwrk for which the permit
opplication is made. I further agree to hold harmless the City of Federal Way as to any claim finctuding costs, expenses, and
attorneys' fees incurred in the investigation and defense of such cWFN, which may be made by any Person, i—fuding d -
undersigned, and flied against the City of Federal Way, but only wham such claim arises out of the rr(iaace of the city,
Including its officere and emp cs, upon the accuracy of the information supplied to the city as a part of this plication.
NAME/TITLE: ��rLf MdL DYYl7�" ri��J DATP- 6
RELATIONSFUP TO PROJECT: Q Property Owner a ApplicantContractor
D Architect O
1RdE-.'LliiCRJJfamGY• .
'
a KEW a AJADITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
;B,UII:bID1G SfIELL ONLY?
o YES ONO
BASIC PLAN? a YES
090
'ZONING DESIGNA"f`IOg
CHANGE OF USE? _ a YES
o NO
NEW ADDRESS REQUIRED?
o YES D. NO
UP/St]?A/5117 o YES
o FO
PLATTED LOT?
D YES G NO
DEMO PERMIT REQUIRED? o YES
o NO
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