04-100039City 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: WITTMAN Pte/
Project Address: 32703 30TH SW
Project Description: Gas to gas water heater changeout
Mechanical Permit #:04 - 100039 - 00 - NSE
Inspection request line: 253.835.3050
Parcel Number: 951090 0540
Owner
Applicant
Contractor
Curt W Wittman
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
32703 30TH AVE SW
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-2763
1
1 (206)282-4700
Mechanical Valuation..........................................600.00 Over the Counter Permit...................................... Yes
PERMIT EXPIRES July 6, 2004.
Permit issued on January 8, 2004
1 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 A4�f
Owner or agent: Date:
N
REGLiVED
CONSTRUCTION P MI APPLIQTION
CITY OF '` ¢ .-'r PPLICATION NUMBER: - -
Feder I Way ; ` t r �! uy {APPLICATION NUMBER: — — — — — — — — — —
rs 'E'APPLICATION NUMBER:
`-The following is required information — Please print (in ink) or type**
Please note, Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: S J ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION Olf SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): O BUILDING O PLUMBING MECHANICAL O DEMOLITION
❑ ELECTRICAL o ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIO (Provide detailed description):
'
PROJECT NAME: to Ia n
PEOPLE• •
PROPERTY OWNER: NAME: DAYTIME PHONE•
I MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
CONTRACTOR:
ruagur_IZ11A
,N;;11E:
W.L
C
DAYTIME PHONE: ;
) 482- 7ml
MAILING ADDRESS (STREg ADDRESS: cr7.
STATE. -Z
_ \
ENING PHONE:
CITY OF FEDERAL WAY BUSINESS UCEN5E
NUMBER:
FAX NUMBER:
iCONTRACTORS REGISTRATION NUMBER:
WLn c, H
EXPIRATION DATE:
i 6-5
NAME: ` i DAYTIME PHONE:
(0*) Z82- -Y70
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, P): EVENING PHONE: i
RELATION5HIP TO PROJECT: FAX NUMBER:
O ARCHITECT o TENANT'OTHER ( DESCRIBE):,ar ( )
CONTACT PERSON FOR THIS PROJECT: O PROPERTY OWNER ❑APPLICANT CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSEDIAPPRAISED VALUATION $
PROPOSED USE:
PROPOSED VALUATION FOR IMPROVEMENTS: S 6 L&D
SPRINKLERED BUILDING? O YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: O YES O NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN O HIGHLINE O TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: D LAKEHAVEN O HIGHLINE O PRIVATE (SEPTIC)
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**NEW RESIDEI
NUMBE
BASEMEI
FIRST
SECOND
THIRD
FOURTH
OTHER F
DECK
GARAGE
AIR
BA
GAS
I cerl
further, that I
further agree
Investigation
Federal Way, I
of the Informa
NAME/TITLE:
o PROPERTY
IAL CONSTRUCTION ONLY* *
OFBEDROOMS:
TOTAL:
W ffy-r7'a k -A 3274 3
ESTIMATED SELLING PRICE: S-
FT.
under penalty of perjury that the Information furnished by me Is true and correct to the best of my knowledge, and
authorized by the owner of the above premises to perform the work for which the permit application Is made. I
cold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees Incurred In the
defense of such claim), which may be made by any person, including the undersigned, and filed against the City of
only where such claim arises out of the reliance of the city, Including Its officers and employees, upon the accuracy
i supplied to the city as a part of this application.
E DATE: _ C / O '7►
ER a APPLICANT
y to
E1N�AI D1TI0(Y�ALFERAZION,
Indicate number of each type of fixture
SCE SUS CODE
,
�`LOT,�SIZE _ r ��gqr�x-.� .
MECHANICAL
B. Ill)INGcS EIlONLSRO;IC1 fV0 -L n%Y,R.fy
ZY
ZY
r
LING UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEMS)
OF �'`fl"`NO�z<'�w,__r
FAN(S)
HOOD(S)
WOOD OVE(S)
1
FIREPLACE INSERTS)
RANGE(S)
MISC.
SOR(S)
FURNACE(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC GAS
PLUMBING
S
;S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
HER(S)
RAINWATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
3 FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
OUTLET(S)
SINK(S)
WATER CLOSET(S)
MISC. ( 1
TOR(S)
SUMP(S)
under penalty of perjury that the Information furnished by me Is true and correct to the best of my knowledge, and
authorized by the owner of the above premises to perform the work for which the permit application Is made. I
cold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees Incurred In the
defense of such claim), which may be made by any person, including the undersigned, and filed against the City of
only where such claim arises out of the reliance of the city, Including Its officers and employees, upon the accuracy
i supplied to the city as a part of this application.
E DATE: _ C / O '7►
ER a APPLICANT
y to
E1N�AI D1TI0(Y�ALFERAZION,
;REP , ANTaIMPROYEMEIYT.;`
SCE SUS CODE
,
�`LOT,�SIZE _ r ��gqr�x-.� .
AZO INI bESIGztiNATIO
B. Ill)INGcS EIlONLSRO;IC1 fV0 -L n%Y,R.fy
ZY
ZY
r
[3�YES b NO�' �,•
: ,fie _ ,. • _�
E ONrRmr
$� _ F PN
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P TTEOLOT7�".U'7E5'wo
O�N[) r "GRANGE
OF �'`fl"`NO�z<'�w,__r
COMMUN DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 2S3-661-4000 • FAX: 253-661-4129
www. d tmffedera Iway. com
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