04-101128City of Federal Way
Comm ,nity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:04 -101128 - 00 - ME
Inspection request line: 253.835.3050
Project Name: SAENZ ?/
Project Address: 30560 6TH SW Parcel Number: 178880 0880
Project Description: Gas furnace changeout
Owner
Applicant
Contractor
Richard E Saenz & Myra A Saenz
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
17804 81ST ST E
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
BONNEY LAKE WA
SEATTLE WA 98199
SEATTLE WA 98199
98390-7024
(206) 282-4700
Mechanical Valuation..........................................3567 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quanti Description Quanti DescriptionQuan t
Furnaces
PERMIT EXPIRES September 29, 2004.
Permit issued on April 2, 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 Federal Way
Owner oragent: Date: C
C/
MAR -29-2004 07:46 FROM:
#r -4'
un of
Federal Way
TO:12536614129 P.4
COMMWIrIT DevFW PMIINr SERVICES
37530 AIRST WA Y SOIfr1I - PO BOX 97! ff
FEDERAL WAY, WA 980639718
PERMIT APPLICATION �tt�11I,"`-`i5166, •IPS
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FW File Ftumbt:T:
Thr following is rsquired information - an
will not be
TD;
SITE ADDRESS: 3 0 5Lo 0 LO, �t} LTJ SUITE/APT A
ASSESSOR'S TAX/PARCEL 1: 17 ¢ ll -Z� - 63 CA Q SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION leg: Acme Estates, Lot lJ
(Attach separate pagefor lengthy legal desaiplfory
PROJMT INFOMIATION
TYPE OF PERMIT (This application): O BUILDING O PLUMBING jjIZM WHAMCAL 0 DEMOLITION
o ELECTRICAL o ENGINEERING O IRE PREVENTION SYSTEM
PROJECT DESCRIPTION (ProWde detailed description of work included on
PROJECT
PROPERTY
OWNER:
CONTRACTOR:
LENDER:
APPLICANT
or
NAME:-PTUMARY
COMPANY
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NAME: DAYTIME PHONE:
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RE T! NSHIPtO PROJECT:
0 ArcWtect 0 Tenant Ather (Desaibex
FAX NUMBER:
CONTACT PERSON FOR THIS PROJECT: O Property Owner rvhnntractor 0 Applicant E-MAIL ADDRESS:
EXISTING USE:
PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLF.RED BUILDING? a YES a NO FIRE SUPPRESSION ta'YSTZM PROPOSED/REQUMED?: O 'YES O NO f
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE O TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER U LAKEHAVEN rl HIGHLINE 13 PRIVATE (SEPTIC)
MAR -29-2004 07:46 FROM:
TO:12536614129 P.5
AREA DESCRIPTION
EMSTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
[iASEMEIYT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBC)
DECK (COVERED?) _
GARAGE/CARPORT
HOW MANY FLOORS?
em.Y. ZXLW GAND rltoraMP
"NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
ndicate number of each type of fixture that is to be installed or relocated as part of thfs project_ M not include tadstlng 1lxtures to remain.
NECJL4
CAL
Ve Mechancmt Work a to,*.
. '
AIR HANDLING UNITS EVAPORATIVE COOLERS QAS LOGS REFR10. SYSTEM3
DDQS PA145 HOODSWOODSTOVES
- BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
_COMPRESSORS � FURNACES GAS WATER HEATERS
DUCE OAS PIPE OUTt.BTS
PLUM13ING
BATHTUBS I.rrneist—, c-m.to SHOWERS WATER CLOSE MISC (Describe)
DISI1WA3HERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATeR SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS p *..est VACUUM BREAKERS I:LZCrRIC WATER HEATERS
I certify under penalty of perjury that the to armation furnished by me is true and eorreet to the best of my
knowledge, and further, that I ars aautherfeed by the owner of the above premises to perform the work for which the permit
appiicatton is made. I f urther agree to hold harmless the City of Federal Way as to any claim (including casts, expenses, and
attorneys' fees incurred in the investigation and defense of such claim/, which may be made bg 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 cttg,
tneludireg its officers and ernp_Z-" C;�wiqoj_A
uport the accuraeg of the information pUcd to the c� ofity ae a his application.
*AME/TITLE: DATE:
fslyuturq v rlidel
RELATIONSHIP TO PROJECT: a Property wncr D Applicant KcOntractor
O Architect o _
YI-5- 770 -3 2 JW
FOR OFFICE USE ONLY:
D NEW o ADDITION_ o ALTERATION D REPAIR o TENANT VdPRDVEbIENT
BUILDIWO SHELL ONLY? a YES a NO BASIC PLAN? � � o YES o NO
ZONING DESIGNATION: CHANGE OF USE? o YES ONO
NEW ADDRESS REQUIRED? o YES n NO UP/S£PAJSa? D YES ONO
PLATTED IAT? OYES ONO DEMO PERMIT REQUIRED? a YES ONO
I -�'.(� Page 2 r