04-100040City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:04 - 100040 - 00 - ME
Project Name: GRAF �\
Project Address: 33236 2ND SW
Project Description: Installing new fireplace insert with associated gas piping.
Inspection request line: 253.835.3050
Parcel Number: 729800 0120
Owner
Applicant
Contractor
Robin G Graf & Michele S Graf
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
33236 2ND PL SW
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-6161
1
1 (206)282-4700
Mechanical Valuation..........................................4429 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Fireplace Inserts
PERMIT EXPIRES July 6, 2004.
Permit issued on January 8, 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 W
Owner or agent: V-�6 Date: I [ IU
IZI -oti -C\A�
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CONSTRUMON PE M T APPLICATION
CITY OF
APPLICATION NUMBER: -
Federal Way ,E `APPLICATION NUMBER:
PPLICKnON NUMBER: - -
*'The followrllib1!ceia4ai Ieiformation —Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: 3?) ASSESSOR'S TAX/PARCEL Jt: —7 �- 4 Z-
0- d
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): O BUILDING O PLUMBING MECHANICAL O DEMOLITION
O ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
Irl nra
1332 3 Lo 2?-"
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rq4r7j
I DAYTIME PHONE:
�-
MAILING ADDRESS (STRE ADDRESS; .STATE. ZIP . �
EVENING PHONE' -
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER:
n8
i FAX NUMBER:
CONTRACTOR'S REGISTRATIONNUMBER:
Lc� SZ�Afl
1 -EXPIRATION DATE:
I 9 1419,3 s�
(cVY of card reqtdmd)
NAME: DA`IT1ME PHONE:
MAAIIUN^G,,..''
ADDD(STREETS(STREETADDRESS; CITY, STATE, IP): EVENING PHONE!
RELATIONSHIP TO PROJECT: ! FAX NUM
0 ARCHITECT 0 TENANT VOTHER ( DESCRIBE): 3 -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: O PROPERTY OWNER o APPLICANT YCONTRACTOR [
DETAILED BUILDING INFORMATION
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: S `'"1
O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: O LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
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•'NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PROJECT FLOOR AREAS
FLOOR
EXISTING . FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
COMPaPLAN'DES. GNl1'TIQ hT�`��BdSIG;PUN
[ItrYES go.RON
r �TOftN1�fSH)��RAfE���
FIRST
xPLATTED;LOT?If4}ES�CtIA
GE
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ^GAS
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
31SCLAIMERISIGNATLIRF RI -C
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
I certify under penalty of perjury that the Information fumished by me is true and correct to the best of my knowledge, and
further, that I am authorized 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 officers and employees, upon the accuracy
of the Informations plied to the city
aas as part of this application. l
NAME/TITLE: v r I 1 DATE: _ / t-0
❑ PROPERTY OWNER ❑ APPLICANT ❑ ONTRACTOR
�o (� V&
FOR OFFICE USEiONLY(+'
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO 80X 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.c tvafredera1way.com
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if-ENSUS
COMPaPLAN'DES. GNl1'TIQ hT�`��BdSIG;PUN
[ItrYES go.RON
r �TOftN1�fSH)��RAfE���
SEW ADO_,RESS fiE UIRED?Q"YE,o�NO
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COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO 80X 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.c tvafredera1way.com
t%'d 62TtT992S2T:01 :WOdA SZ:6T b002 -9 -NUC