03-102063City of Federal Rey
Community Developinent Services Mechanical Permit #: 03 -102063 - 00 - ME
el
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: SEARCY
Project Address: 4803 SW 329TH WAY Parcel Number: 802950 0380
Project Description: Gas to gas furnace changeout
Owner
Applicant
Contractor
Robert R Searcy & Bobbie J Searcy
WASHINGTON ENERGY SERVICES CO (Gen
WASHINGTON ENERGY SERVICES CO (Gen
4803 SW 329TH WAY
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-3320
(206) 282-4700
Mechanical Valuation..........................................4442 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
rFurnaces 1'
PERMIT EXPIRES November 17, 2003.
Permit issued on May 21, 2003
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.
Date:
Owner or agent: �/ ✓� Zl dj?
, CONSTRUCTION P RMIT PL TION ,
C(YY OF �� PPLICATION NUMBER:
Federal Way PPLICATION NUMBER: - _ -
PPLICATION 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.
ASSESSOR'S TAX/PARCEL #: kD
LEGAL DESCRIPTION Of SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application)-. o BUILDING u PLUMBING YMECHANICAL n DEMOLITION
L] ELECTRICAL Li ENGINEERING Ca FIRE PREVENTION SYSTEM
PROJECT DE CRIPTION (Proved detailed descri Ion):
115- ��t
w
PROJECT NAME.
PEOPLE• •
PROPERTY OWNER' NAMr - - - 0AY7'1ME VNONr:
r� _ � ► (ZS3)93,? -
MAI NG ADDRESS (STREET ADDRESS; CITY,ZIV): � � � �� _
CONTRACTOR: NAME: DAYTIME PHONE: -�
MAILING AUDRIiS`5' (�ST/ L.,R�EET ADDRkS$; CITY, STATE, Z111): EVENING 11HONr:
L QEW SCS d -G /IC/� `KJ 'r& /I.G
CITY OF PCDERAL WAY GUSINESS LICENSE NUMOL-k: TFAX NUMUR:
CON111ACYOR'S REGISTRATION NUMDCR: - - - - - _ - _ I UP16010N DATE:
( �•�,tiyulr�i, f.(1 S Q O C"LtJj Z / .. « / DS 1
NAME; TYTIME DNONF:
APPLICANT: R
__�a�dic�
MAILING ADDRESS (STREI 1 A6-DR-F-7-IY, TATE, ZIPY CVCNING PHONE:
lq-.j Cox
RELATIONSHIP 10 PROICCT:1 I FAX NUMBER: /
n ARCHITECT o TENANT u OTHER ( DESCRIBE):yY�GE:{�i�
L_ _ -
EMAIL ADDRESS;
I
CONTACT PERSON FOR THIS PROJECT; U PROPERTY OWNER AAPPLICANT 1_1 CONTRACTOR �
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS; $��-1y -
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES C:) NO
WATER SERVICE PROVIDER: C] LAKEHAVEN O HIGHLINE o TACOMA O PRIVATE (WELL) '
SEWER SERVICE PROVIDER: n LAKEHAVEN O HIGHLINE
ze•d 2-812 tlztl sz�
C) PRIVATE (SEPTIC)
zzns we 0z:80 2eez-eaz-2-0w
?c� . �rf� a{ �.edoro/Ltloy �� • l7eU�erVl«J'
Tnap(- —rltg q.P-aw
V2 -r- r1-76- olVP
!D aAeo 5�- .20 - D 3
CaP
Told 2-812 vzv QZV zzna wd oz:so 20oz-oz-mew
IN PnoiLCT FLOOR ARVAb
Indicate number of each hype of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVL COOLERS) GAS LOGS) REFRIG. SYSTEM(S)
W(S) FAN1($) ROOD($) WOODSTOVE(S)
FIREPLACE INSERT(S) RANGES) MISC. ( 1
COMPRESSOR(S) FURNACE(S)
DUCT(s) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC GAS
PLUMBING
LAVATORY(S) URINAL(5) WATER HEATERS)
BATHTUB(S) �,,.. ^_� RAIN WATER SYS. �_. VACUUM BREAKERS) o ELECTRIC o GAS
DISHWASHER(S) SHOWERS) WASH MACHINE OUTLET
DRINKING FOUNTAIN(S)
am PIPE OUTLIERS) SINKS) WATER CLOSETS) MISC. INT91KEPTOR(S) $UMP($)
I certify under penalty of perjury that the Information furnished by me Is trig and correct to the best of my knowledge, and
further, that I atm autlhorih ed by the owner of the above premises to perform the work for which the Permit application Is made. I
hut1w 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 Information supplied to City as a part of this application.
DATE.
NAMs/TITLEh
A-
D PROPERTY OWNER ❑ APPLICANT �""ACTOK
COMMUNM DEVELOPMENT SCKVICES ■ 33530 FIRST WAY SOUTH • PO BOX 9715 • FEDERAL WAY, WA 980639711 •253-661-4000 • FAX: 253-6614 129 `
WNW dbWftdffAff&A=
20•d z8z2 tlzt. szb zzna W" iz:se 2eoz—oz—,I,dw