Loading...
04-101130City orP/Jera1 Way Cotamus:ity Development Services 33530 1 st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: PUGH Project Address: 1119 SW 333RD 5} Mechanical Permit #:04 -101130 0 ME Project Description: Gas furnace and water heater changeout Inspection request line: 253.835.3050 Parcel Number: 926495 0740 Owner Applicant Contractor James E Pugh & Sandra Y Pugh WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO 1119 SW 333RD ST 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199 98023-5320 (206)282-4700 Mechanical Valuation..........................................4167 Over the Counter Permit...................................... Yes Mechanical Fixtures L Description Quantity DescriptionQuantity I DescriptionQuantity Furnaces PERMIT EXPIRES October 13, 2004. Permit issued on April 16, 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 orCe., Date: l ` �' 4 APR -14-;2004 07:33 Cn FROM: t� �ECEl" cm o• i V C �.J Federal way �MOAf ERMIT APPLIC Fw 06ce Vee only: The following is T0:12536614129 (9t-00�13v COMMUNITY DEVELOPMENT SERVIC 3=0 FIRST WAY SOUM • PO BOX 9 \ FEDERAL WAY, WA 9eo63.971e 1TV1� 2SJ-661-I I IS- FAX: 2SJ-661.1119 10.1.. nrunllyderrd, ,— will not be accented. Please SITE ADDRESS: III C4 Sl -u /3 ((33 � f SUITE/APT & i1 ASSESSOR'S TAX/PARCEL M: L Z "iq 5 ©? lv SQUARE FOOTAGE OF LOT: LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1) or TYPE OF PERMIT (This application): ❑ BUILDING D PLUMBING XMECHANICAL /if LITION 4 ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYM PROJECT DES IO o de detailed d ption o work "ncl ed on th" rmit l . V I Q..r Q p -CIA QryRt /uE PROJECT NAME (Name of Business/Owner Last Name): U L] PEOPLE WFORDIATION PROPERTY OWNER CONTRACTOR LENDER pt hepe.d V.I.. s {5,0,001 APPLICANT: NAME: l I t q! 3 3 f (; SY ) H�'1 MAI NG ADDRESS (STREET ADORES? : CITY, STATE, ZIP Gt nu -S U 7--Q 1� '� -14-64-? MA14E f� ' / la WiAum V •` -f COMPANY OFFICE PHONE: (zgl� alc-4- l KJ MAILING A� Sr �ET� �D i• � � r�JYrly ` .STAT . Z � � � C CELL PHONE: - `I CITY OF F0 W� �U SS E NVMBER/ EXPIRATION DATE: Z133� /�JC�J Q (AX NUMBER: - - EXPIRATION CANTRACrORS REGISTRATION NUMBER: DATE: (coPy or card wegc&cd with each •ppUcatlou) !!�/l 1 S l S 17 Lo,Q _ 2 / � / a NAME: DAYTIME PHONE: ) MAILING ADDRESS (STREET ADDRESS;(: CITY, STATE, ZIP NAME: c/ COMPANY OFFICE PHONE: MAILING ADDRESS (STREET ADDRESS(: CITY, STATE, ZIP EVENING PHONE: RELATIONSHIP TO PROJECT: 0Architect O Tenant O Other (Describe] FAX NUMBER'- UMBER'❑ ( - CONTACT PERSON FOR THIS PROJECT: ❑ProE-MAIL ADDRESS: Property OwnerXE-tractor ❑ Applicant DETAMED BUILDING INFORMATION EXISTING USE: PROPOSED USE: EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK: SPRINKLERED BUILDING? O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: O YES O NO WATER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE O TACOMA ❑ PRIVATE ('WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC) RPR -14-2004 07:34 FROM: .4-D o 61-x TO:12536614129 P.6 2 rwY 47 AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT EVAPORATIVE COOLERSSSBQS o REPAIR o TENANT IMPROVEMENT FIRST c_w.p _ BOILERS COMPRESSORS FIREPLACE INSERTS FURNACES SECOND DUCTS GAS PIPE OUTLETS a NO THIRD a YES a NO UP/SEPA/SU? a YES BATHTUBS FOURTH WATER CLOSETS rroaeq DISHWASHERS SINKS ADDITIONAL FLOORS (DESCRIBE) GAS PIPE OUTLETS SUMPS RAINWATER SYS DECK (COVERED?) URINALS HOSE BIBBS LAVS pa iu_w stat GARAGE/ CARPORT ELECTRIC WATER HEATERS HOW MANY FLOORS? TOTAL. DUSTWo TOTALPROPOSED TOTAL 00STWa nim PROPOSISn •NEWHOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ect. Do not inclu( Indicate number of each type of fixture that is to be installed or relocateom MECIZAA7CAL Value of Mechanical Work ' --AIR HANDLING UNITS EVAPORATIVE COOLERSSSBQS o REPAIR o TENANT IMPROVEMENT FANS c_w.p _ BOILERS COMPRESSORS FIREPLACE INSERTS FURNACES RANGES _ C4S WATER HEATERS DUCTS GAS PIPE OUTLETS a NO PLUMBING a YES a NO UP/SEPA/SU? a YES BATHTUBS SHOWERS WATER CLOSETS rroaeq DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYS WASHING MACHINES URINALS HOSE BIBBS LAVS pa iu_w stat VACUUM BREAKERS ELECTRIC WATER HEATERS 71SCLAIMF.RISlrNATi1RE RLC to remain. REFRIG. SYSTEMS WOODSTOVES MISC (Describe( MISC (Describe) I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorised by the owner of the above premises to perform 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 claim), 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 officer and empta , upon the accura of the information supplied to the City as a part[off this application NAME/TITLE: DATE: ! / (Signature) (Title) , RELATIONSHIP TO PROJECT: ❑ Property O o Applicant ❑ Contractor p Architect ❑ FOR,OFFICE USE,ONLY.. -..: > x. o NEW IO ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? ` ' % . d YES o NO BASIC PLAN? o YES o NO ZONING CHANGE OF USE? o YES a NO NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES o NO PLATTED LOT? DYES ONO DEMO PERMIT REQUIRED? o YES o NO Ituileurt i0:; Jartu.e _ 1, .I,:i:-1 Page 2 MAR -29-2004 07:45 FROM: TO:12536614129 P.2 COFfA/VM1Y OEVF,I,OF►?/j1Vr SE,PV7CEJ 33530 FlRST WAY EOUVI " F0 WX 9 711 B fm Im FEDERAL WAY, WA 911067.9718 Federal wayPERMIT APPLICATION 't`�""""'A"`�"'2' F_oriu-Cor FW, MIC Number: / 1 - 1 1 - The following is required information -an incomplete application will not be accepted. Please print lcoibltr (in ink) or tune. SITE ADDRESS: I" 1 �S^U) 3 3.3 ra SOy ASSESR'S TAX[PARCEL fl: Y�_'Z ?-S6? �OSQUAIW FOOTAGE OF 1,07- SUITE/APT OT SUITE/APT 6 LEGAL DESCRIPTION leg: Aare Estates, Lot 7/ (Attach separate pays&r lengthy legal desorWtion) TYPE OF PERMIT (This tapplicatlan): O BUMDEiG O FLU MING AMECEIANICAL o DEMOLITION D ELECTRICAL O ENGINEERUP1 D VIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Protide detailed desaiption of work induded on this permit ortluk PROPERTY OWNER: CONTRACTOR LENDER APPLICANT: NAME: PRIMARY MOMF; gh 25SA EZ 111f �SLcJ 53.3""'- SF ATE. P NAME COMPANY OFFICE. PHONE: Al LI DR $T,P WA /' /d CELL PH ONE Crrf OP FEDERAL WAY auSINm CENSE NUM EZPMT[Off DATE: FAX NUMBER: NTRACrpRS R60iSIFATION hhUMilEll:� � � EXPIRATION DATE: loopy *feud sgalsd �& f � V" such f"u"t:oal �. - -- / / NAME: DAYTIME PHONE: ( MMUNO ADDRESS PTRLLr ADDRESS;I: COY. $TATE, ZIP NAME: CCOMP4NY t OFFICE FOR& - q7Ob IAAUAN IsrKeEr a REssl: . ST, PWA AD000 ��% `v / RELATIONSHU'TO PRWJEC r: FAX NUMBER: O Ardsitect t7 Tenant Othcr (Desaibej CONTACT PERSON FOR TRIS PROJECT: p Property Othlnet Contractor ❑ Applicant T MAIL ADDRESS. FMSTING USE: PROPOSED USE: EXISTING ASSESSED/APPRAISED VALUE $ VALINE OF PROPOSED WORK: $ SPRINKLERED BUILDING? o YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: D YES WATER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE O TACOMA Q PRIVATE (WELL) SEWER SERVICE PROVIDER: U LAKERAVEN r] HIGHLINE 0 PRIVATE (SEPTIC] o NO { MAR -29-2004 07:45 FROM: TO:12536614129 P.3 J ,33?'J AREA DESCRIPTION MsTDIa SQ. FT. PROPOSED OOSED S . FT. TOTAL BASEMENT MISC (Describe) GAB WATER HEATERS o NO FIRST MISC (Deacri" DPJNIONG FOUNTAINS a NO SECOND a YES n NO HOSE BLBBS a NO THIRD O V S ONO Dunn PERMIT REQUIRED? o YES o NO FOURTH ADD17IONAL FLOORS (DESCRIBE) DECK(COVEREDI) GARAGE/CARPORT HOW MANY FLOORS? +oracaT+sn TOT.LLvao+osm UMAL=asnXGWW aoio® • NEW HOMES ONLY" NUMBER OF BEDROOMS: ES (MATED SELLING PRICE: $ ndicate number of each type of G=m that is to be installed or relocated as part of this project. Do not include eidstt l; Itxtures to remain. MECRAMCAL Value ojMechameat Work $a AIR HANDUNG UNITS BBQS BOILERS QOM PRESSORS DUCTS PLUMBING SATHTUOS I-Tra/sb—,c ft" DISHWASHERS OAS PIPE OUTLETS WASHING MACHINES LAVS pkth— sla EVAPORATIVE COOLERS PANS �— FIREPLACE INSERTS --� FURNACES GAS PIPE OUTLETS SHOWERS SINKS SUMPS URINALS VACUUM BREAKBRS CTAS LOGS ReM- o. SYSTEM3 HOODSIC..--d.4 WOODSTOVES RANGES MISC (Describe) GAB WATER HEATERS o NO WATER CLOSETS Irrko MISC (Deacri" DPJNIONG FOUNTAINS a NO RAINWATER SYS a YES n NO HOSE BLBBS a NO LLI=RIC WATER HEATERS O V S ONO I certft under penarty of perjury that the Ir{ farmation furnished by me is true and earrect to the best of mg l�nourledW. aced further, that I am authorised bV the owner of the above premises to perform the mark for which the permit application is made: I jhrther agree to hold harmless the City of Acderal Way as to any claim (including costs, expenses. and attorneys' fees incurred in the investigation and defense of such claim, .ohleh ►nay be made by any person, including the undersigned, and filed against the city of ),"oderal Way, but only where such claim arises out of the rclian of the city, including its officers and employees, upon the accuracy of the Worm sUoR supplied to the City as a part of th app cation. NAME/TITLE: J ! 1��5 � }JA?E: RELATIONSHIP TO PROJECT: O Property O"er D Applicant Contractor a Architect O 7;t'7 -7 -20 3 ZAP FOR OFFLCE USE ONLY: o NEW o ADDITION BUELDWO SHEU ONLY? a ALTERATION a YES c NO o REPAIR o TENANT IWROVEMEKT BASIC PLAN? - _- a YES o NO ZOIING DESIGNATION: CIUNGE OF USE? a YES a NO NEW ADDRESS REp gD? a YES n NO UP/SEPA/SU? a YES a NO PLATTED LOT? O V S ONO Dunn PERMIT REQUIRED? o YES o NO