04-100541City 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: FULLER
Project Address: 28815 8TH $ AVt S
Project Description: Gas furnace installation
Mechanical Permit #:04 - 100541 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 515292 0160
Owner
Applicant
Contractor
William S Fuller
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
28815 8TH AVE S
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98003-3701
(206)282-4700
Mechanical Valuation..........................................6382 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quanti Description Quantity Description I Quantity
Furnaces
PERMIT EXPIRES August 18, 2004.
Permit issued on February 20, 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 arrdance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.,,
Owner or agent: "-A Date: 712 O
Mechanical rough -in:
Gas pipe:
FINAL MECHANICAL: /ov1
�
Date
Date
Date
FEB -18-2004 08:40 FROM: TO:12536614129 P.5
EDtUltuulan tlJivELopllEA7 sFl1YICES
/ atsao %rASr wwr srrmr • so Box •7It
arr os FEDERAL WAY, wA VMW-97111
Federal way ;, g Z004PERMIT APPLICATION MI"
�wuwrifunrfrttemin„ry �,
IASL - L D D t2 C- L) Q
The afflu wing is iced in orrnation-an {neo lete Ucation will not be accepted. Please print Ic ib2 (in ink) or
SITE ADDRESS: i�AVEye S' SUITE/APT t
ASSESSOR'S TAX/PARCEL #.5j 52-q?,U - L 4eV SQUARE FOOTAGE OF LOT:.
LEGAL DESCRIPTION JL -.g.: Anne Estates, Lot I)
(Attadl Seporate pagefor Lengthy legal description)
•• •- •
TYPE OF PERMIT (This application): o BUMDING O PLUMBING XNECHANiCAL O DEMOLITION
O ELECTRICAL a ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed destr3ption of work included an this p�ernu,',t onlyk
20, CM
�-
PROJECT NAME (Name ojBusiness/OwnerLast 1JanL4: �—(J ��
•• •• •
PROPERTY
OWNER-
CONTRACTOR:
WNER
CONTRACTOR:
LENDER
APPLICANT:
NANIe:� l �(� t�• � �U �( -e.r' �S-3� 70i
MANJND ADDRY.SS ISTREaT ADDRBSS;I:My SfAT91 zip
ZEQ 1!5 F Y'11 OWE- s ren LA -0 -LI
IL.rA�
QQUPANY
OFFICE P" ONE: -
OCE! PHONE:
(v 1 -CJ
MAl1.IN0 ADORP
EVENING PHONE:
(
REUITIONSHIPTO PROJECr:
o Architect o Tenant o Other /Desc ibex
RHONE;
CRY OF F&DEW WAY BUSIN= UC NUN IBER:
EMVAInCN DA
FAX NUMBER:
oOt+rRACTORS Am1bTRwnON NUMUFAL-
WAS t S1r?Low
EXPIRATION DATEzi�..T.•�.�.�,.1
/ -2-1
_�...,L.r.�.►�..1
NAME: DAYTHAS PHONE;
MAID-XG ADUMMS jSM9T ADDREW4: , STATE, ZIP ,
NAME: cc,�vv `
NPANY
OFFICE P" ONE: -
MAIUNG ADDRESS ISTREET ADDRESS):
CRY, STATE, ZIP
EVENING PHONE:
(
REUITIONSHIPTO PROJECr:
o Architect o Tenant o Other /Desc ibex
FAX NUMBER:
CONTACT PERSON FOR THIS PROJECT: O Property Owner Contractor 17 Applicant e -MAD. ADDR683:
EXISTLNG USE: PROPOSED Z75E:
E3aSTMG ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK-, $
SPRINKLERED BUILDING? D YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES O NO
WATER SERVICE P&OVTDM— O LAKEHAVEH O HIGHLTNB O TACOMA O PRIVATE (WELLI
SEWER SERVICE PROVIDER: 0 LAKEHAVEP O HIGFILTNE n PRIVATE (SEi'TTCI
FEB -18-2004 08:41 FROM:
TO:12536614129
1.1
P.6
AP.EA DESCRIPTION EXISTING SO. FT. I PROPOSED SO. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
7vrwt tx+*w WTAL ..ao.o:m tvrN. mastma u+D pao.wco
How MANY FLOORS?
cor.eweTRrl CRL I.ING PRICE: $
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include
AMCNAMCAL
Value of Mechanical Work $ �C
-AIR HANDLING UNITS
BBOS
BOILERS
__MI61PRESSOlRS
DUC'T3
PLUMSINO
BATHTUBS I..n.srse. c. &.l
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVE (a.*...s sb*
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
-FURNACES
OAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUYM BREAKERS
OAS LOGS
HOODS�eaA
RANGES _
oba WATER HEATERS
WATER CIASETS a•a 9 --
DRINKING FOUNTAINS
R,AINWA I KX SYS
HOSE BIBBS
F XCTRIC WATER HEATERS
futures to remain.
REFRIO. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Deaatibe)
I ce Vfy underpenatty of perjury that the trI/ormclltonfur*uh<a by me is true ar.d cornett to the best of -9
knowledge, and further: that I ant astliorimd by the ownev of the above PremiSes to perform the roork for which the permit
application is made. I further agree to hold harottess the City of Federal Way as to any claim (including east,, expenses, and
attorneys'Dees incurred to the investlgallon and defense of such claim/, which —9 be made by any person, including the
unAcrsigned. and- ited against the City of Irederat Wath trot ortty where such etatrn arises out of the reliance of the city,
including its office4j&znat1,r,4
mplo a the neeumey ej he {nferrnatioa Supp to the atty as a part of this Apptication.
NAME/TITLE: �- W DATE: 8 •
(Ttticl�
RELATIONSH [W TO PROJECT o Property Own' O Applicant Contractor L] Architccb O
>OFFICE,ITE_OId,Y c,
q HEW G ADDI tION
o ALTERATION
a R,EPAIii a TENAIIT' [MPRL?YEMEIFT
BITII t]IIiG; SEM.L ONLY?
o YES o NO
51C vL
8AAN?
D YES
o NO
?ANINd_OESI0RA:TION:
CitAl GE OF USE?
o YES
o NO
Nk'W ADDRESS REQUIRED?
n YES o NO
VP/SEPA/SQ?
o YE
a NO
PL ATTED IAT?
OYES o NO
DEma PERMIT Pin5u RED?
O YES
D NO
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