04-100411City 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: NGOC-DIEPQ\
Project Address: 31807 10TAW
Project Description: Gas to gas furnace replacement
Mechanical Permit #:04 -100411 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 555730 0430
Owner
Applicant
Contractor
Diep T Hua Ngoc
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
31807 10TH PL SW
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-4702
1 (206)282-4700
Mechanical Valuation..........................................5798 Over the Counter Permit...................................... Yes
Mechanical Fixtures
Description Quanti Description Quantity Description
Furnaces
PERMIT EXPIRES August 3, 2004.
Permit issued on February 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 Federal Way,
L
Owner or gent: `tel Date:
FEB -5-2004 07:35 FROM:
T0: 12536614129 P.3
n�
CONSTRUCTION PERMIT APPLICATION
CITY OF 0../ VPPLICKTION
PLICATION NUMBER: - _Federal Way PLICATION NUMBER; 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,
PROPERTY INFORMATION
SITE ADDRESS: --2(� / 1.U`�'' // ` S `-'� ASSESSOR'S TAX/PARCEL #: 545 -7 -3,0Z) 1 3 Q
LEGAL DESCRIPTION OF SUi"ECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
IN PROJECT INFORMATION
TYPE OF PROJECT (This application): o BUILDING O PLUMBING 'MECHANICAL o DEMOLITION
O ELECTRICAL t3 ENGINEERING p FIRE PREVENTION SYSTEM
PR03ECT DESCRIPTION (Provide detailed description):
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
PEOPLE INFORMATION
NAW: 1 V.,1"t v"UNt-
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o ARCHITECT O TENANT J•OTHER ( DESCR
CONTACT PERSON FOR THIS PRO]ECT: O PROPERTY OWNER O APPLICANT YCONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSEDIAPPRAISED VALUATION '
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? a YES O NO FIRE SUPPRESSION SYSTEM PROPOSE R Q IRED: a YES O NO
WATER SERVICE PROVIDER: O LAKEHAVEN O HIGHLINE O TACOMA v PRIVATE (WELL)
SEWER SERVICE PROVIDER: O LAKEHAVEN O HIGHLINE 0 PRIVATE (SEPTIC)
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o ARCHITECT O TENANT J•OTHER ( DESCR
CONTACT PERSON FOR THIS PRO]ECT: O PROPERTY OWNER O APPLICANT YCONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSEDIAPPRAISED VALUATION '
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? a YES O NO FIRE SUPPRESSION SYSTEM PROPOSE R Q IRED: a YES O NO
WATER SERVICE PROVIDER: O LAKEHAVEN O HIGHLINE O TACOMA v PRIVATE (WELL)
SEWER SERVICE PROVIDER: O LAKEHAVEN O HIGHLINE 0 PRIVATE (SEPTIC)
FEB -5-2004 07:36 FROM:
TO:12536614129 P.4
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
AIR HANDLING UNITS)
FIRST
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
SECOND
HOOD(S)
WOODSTOVE(S)
BOILERS)
THIRD
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FOURTH
DUCT(S)
OTHER FLOORS (DESCRIBE)
HEAT SOURCE:
❑ ELECTRIC / GAS
DECK
BATHTUB(S)
GARAGE
HOW MANY FLOORS?
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
TOTAL:
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
JISCLAIMFR/STGNATIIRF RLC
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 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 attomeys' 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 Information sup lied to tfi ty as a part of this ap lication.
Z� /G
NAME/TITLE: DATE: `
❑ PROPERTY OWNER ❑ APPLICANT C NTRACTOR
FOfCFFICE U 9 E.'WE WAN I
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COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH - PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253.661-4000 • FAX: 253.661-4129
www.dtvaffederalway.cDm
FIXTURES
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
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINKS)
WATER CLOSET(S)
MISC.( )
INTERCEPTORS)
SUMP(S)
JISCLAIMFR/STGNATIIRF RLC
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 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 attomeys' 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 Information sup lied to tfi ty as a part of this ap lication.
Z� /G
NAME/TITLE: DATE: `
❑ PROPERTY OWNER ❑ APPLICANT C NTRACTOR
FOfCFFICE U 9 E.'WE WAN I
„I EyV ffpAD,DI130NgAµL7Eu` TIOn *3TENAIyT.MP..ROVEMENT
RA ; N :REM �J�. , r.
r,CE SUS~CODE .(LOT
wONING DESIGfdA7i0 x RAja
r
WEN
10,55"o
No:,'>-_
- -- - ., rte,
COMP PLAN DESIGIy%11TOI�, _ � ' w BArSIC•I�LAf` oxYES �,5 1`h(O "'tr
ray.,.....-
SECTIOfV`'�'4V�I$HIP�'�`Rlw�.NEWApDRESS%R :�;` MF ,
IJIRED? , a YESoxl�RNO +~
PLATTEDYOT?:o;X#*SNO,f# ..''.FtCiIANGE�OFIJSE2�'F,CM'� YES. �` `� J'�" wr
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH - PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253.661-4000 • FAX: 253.661-4129
www.dtvaffederalway.cDm