04-100454N
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Pb: 253.661.4000 Fax: 253.661.4129
Project Name: ARNOLD
Project Address: 3255 SW 325TH
Project Description: Gas to gas furnace chageout
Mechanical Permit #:04 - 100454 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 873190 1930
Owner
Applicant
Contractor
Bruce C Arnold
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
3255 SW 325TH ST
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-2500
1
1 (206)282-4700
Mechanical Valuation..........................................3253 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quantity Description Quantity Description ,Quantity
Furnaces � 1�
PERMIT EXPIRES August 11, 2004.
Permit issued on February 13, 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 ' ccordance with the laws, rules and regulations of the State of Washington and
the City of Federal Wa
Owner or agent: Date:
ill �l d � '
FEB -9-2004 08:13 FROM. TO:12536614129 P.5 � C
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y -_
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sl.�Iorutsr vAP stwTst • pD eox 97,t
�j, ftaWtAL WAY, RA 99063.9718
Federal Wayys�1.11IS•FAk2S.%":.II4U
Pgl�MIT APPLICATION �...;.w�.A<,. . ,
a -roto« V- Only- l -
FW File Nuiiubt:r.
The
-an
will not be
SITE ADDRESS: Z SS' S Lem -3
ASSESSOR'S TAX/PARCEL #: (6 _L 3 1'l 0-19-30 SQUARE FOOTAGE OF LOT:
APT #
LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1)
(Atfach separate page Jur lengthy legal description)
TYPE OF PERMIT (Tbis application); O BUILDING D PLUMBING MECHA UCAL D DEMOLITION
O ELECTRICAL D ENGINBERINer O ftZM PREVENTION SYSTEM
PROJECT DESCALtMON (PrOlride detailed deser(ption ojwork included an this permit Only).
VANfrol DO
■ PEOPLE INFORMATION
•
CONTRACTOR:
LENDER:
n. r -r -.w T4-. ts.mol
APPLICANT:
or
PRAAR
�ocC HON3E?
- 7
MA1LI WC ADDRBSS (S'rR6:Fr Z ADDRESS;I� � (,Try rr T6, yip
Lo S Z C/J`�/lY`'L�1
TKO
COMPANY
OFFICEHONE: -
OFFICE PHONE:
AW D
, UOTMT ',
-
CELL PH ONE: I
CITY O AY B SH �uCz s K "BER' n%
(EXPIRATION. DATE:
FAX NUM ER
CDNTRACrOR'J REGISTRATION NU"BER
Lv19' ! 15-7 LOQ
EXPIRATION HATE:
/ _z_/
(t*" OS --d f"fthrd wlta ta41h,PFIlCA:1. j
650-0
NAME:
DAYnMe Pltoas:
MAIUNn ADDRLU (SIRECr ADDRESS- ; CITY. STATE 7AP
NAME:
MAILINO ADDRESS iS= ADDRF.S -
COMPANY
OFFICEHONE: -
CRY, SPATE,
EVENING PHONE:
J1TI NSHIP TO PROJECr:
O Architect O Tenant O Other (DesenbeA)
-
CONTACT PERSON FOR TMS PROJECT: O Property Owner Contractor O Applicant &JWloADDRFS&
EXISTING USE: PROPOSED U8F_
EMSTUFG ASSESSED/APPRAISED VALUE VALtTE OF PROPOSED WORHL $
SPRINKLERED BUILDING? O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: O YES O NO
WATER SERVICE PROVIDER O LAKEHAVEN D HIGMLINE D TACOMA D PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN O HIGfiLDIE D PRIVATE (SEPTIC)
FEB -9-2004 08:13 FROM: TO:12536614129 P.6
PROJECT..
AREA DESCRIPTION
MUSTMG, - FT.
PROPOSED .TFT.
TOTAL
BASEMENT
WOODSTOVES
MISC (Dteenbe)
FIREPLACE INSERTS
1RP.
RANGES
FIRST
FURNACES
"S WATER HEATERS
ONO
SECOND
o YES O NO
tJP/$EPA/SU? n YES
SHOWERS
THIRD
MISC (Describe)
SINKS
DRINKING FOUNTAINS
FOURTH
SUMPS
)WPiWATER SYS
ADOTTIONAL FLOORS )DESCRIBE)
HOSE SIBBS
VACUVM BREAKERS
DECK(COVERED?)
4
GARAGE/CARPORT
HOW MANY FIAORS?
soTALOQSfMo
TWALP r4M=
TMAL EXINUM0 RM PWV0d=
cQrrareTG`T1 CF.i11Nn PRICE: S
(••NEWHOAf S0NLr" NUMBER uP aeur<ai iMS. may••• ••-•--- - -
Indicate number of each type of fixture that is to be instMed or relocated as past of this project. Do not
MECSAMCAL Z .
Value of Mechanical Work
-AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
IaqPt: t
BAT11TU0S I.cTun/s)--C M
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHIRES
LAVS IeNh Sk*
existing fixtures to remain.
EVAPORA,nve COOLERS
GAS ZAGS
REFRiO. SYSTEMS
HOODS
WOODSTOVES
MISC (Dteenbe)
FIREPLACE INSERTS
1RP.
RANGES
ZONIiQ(3 DESIGNATION:
FURNACES
"S WATER HEATERS
ONO
OAS RPE OUTLETS
o YES O NO
tJP/$EPA/SU? n YES
SHOWERS
WATER CLOSETS (r.a.y
MISC (Describe)
SINKS
DRINKING FOUNTAINS
SUMPS
)WPiWATER SYS
URINALS
HOSE SIBBS
VACUVM BREAKERS
bLT=IUC WATER HEATERS
4
I certify under penalty of pe that the information jurn{shea by me is true and Dor tact to th* wst of ntr
knowledge, and further, that I am aut ised by the Domer• of the, above premises to perforin the work for which the costs, expens� and
application is made. I further agree to hold harrreicsa the City of Federal Wow as to made Bey Fessc{�
attorneys' fees Incurred in the investigation and defense of such claw, which may
he undersigned, and filed against Gtitl/ Qthe
f Federal Way, but only Cohere such claim arises out of the rettanes of the city,
{nc[udtng its oJjteers enlpio s, upon the curacy aj the information supplieit to i%�e city as a P of a�pPTieat{on
DATE: ���
HAtMjTITLE:
RELATIONSHIP TO PkOWSCr. PROWSO Property Owner
ttu1G
Contractor 't a ArchitecC • O
i`OR OPFIC>v„U�Ia-017I; ' ,.
o: NEW ^ ' O ADDITION
4 ALTERATIONo
REPAIR D TENANT IMPROVEMENT
BUILTJIIi(}SSELL ONLY?
D YES o 00
BASIC PLAN? a YES
p NO
ZONIiQ(3 DESIGNATION:
CHANGE OF Ilse? o YES
ONO
NELY ADDRESS REQUIRED?
o YES O NO
tJP/$EPA/SU? n YES
a NO
PLATTED LOT?
o YES a NO
DEMO PERAAT REQUIRED? o YES
o NO
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