03-102218r
City of Federal Way
Community Development Services Mechanical Permit #:03 -102218 - 00 - ME
33530 1st Way S
Federal Way, WA 9$003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: SYRON
Project Address: 32108 14TH SW Parcel Number: 010450 0020
Project Description: Gas to gas furnace changeout
Owner
Applicant
Contractor
Monica E Syron
WASHINGTON ENERGY SERVICES CO (Gen
WASHINGTON ENERGY SERVICES CO (Gen
32108 14TH AVE SW
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-5529
1 (206) 282-4700
Mechanical Valuation..........................................3369
Over the Counter Permit......................................Yes
Mechanical Fixtures
tett ` x . C}e . � esc t tici
Furnaces 1
PERMIT EXPIRES November 30, 2003.
Permit issued on June 3, 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 _'n accordance with the laws, rules and regulations of the State of Washington and
the City of Federal ay.
`�'l i
Owner or agent. Date:
REC 1\JED
aTw OF
Federal Wayuiv o p�Y 19 2003
CONSTRUCTION PER T 8PPLICATION
EL*�
ICATIONNUMBER: - I'Y% CAT -10N NUMBER: -
CITY OFfi i�EDER ALWAYPE CATION NUMDER: If1iGB3ntOnnadOn — Plasma Print (in ink) or type* «
Plasm note: EledMcal, Fire Pnwantlon Syatemi and Englneerin0 PO"Iti may require IA reparate application.
LEGAL DESCRIPTION OF SU53ECT PROPERTY (ATTACH SEPARATV DtWJUPTION IF LENGTHY):
TYPE OF PROJECT (Thla application): O BUILDING Q PLU14SING IlCRI/tNiCAL PREVENTIo DEMOLITION
A ELECTRICAL o ENGINElRING kC3 RE ON SYSTEMA
PROJECT DESCRIPTION (Provide detailed description):
PROPERTY OWNER:
CONTRACTOR:
APPLICANTI
CONTACT 3 IMSON
■ 1'1?0.1L(_ r TN OW-1ATION oil
NAME:AYRME HONE; r'
Iq / 4fn 60q Lepel I (22-3
MAILING ADDRESS CFMEET ADDRESS- CITY, A ZIP): D ��
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DATnME PHONE:
( *)�lX�
MAILING ADDRESS (STREET ADDRESS; City, STATE, ZIP);
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EVENING PHONE:
CM Of FEDERAL WAY OV51NM UGENSE NUMBERS
PA% NUMBLR:
CONTRACTORS REGISTRATION NUMBER: S5
45:5_ D G
e111ATION DATE:
l Lo_—
NAME: '
DAYTIMEPHONE:
76D
MAULING ADDRESS (STREET ADD ; STATE, ZIP): v
EVENING `ONE:
_
RXATIONSHIP TO PROJECT:
FAX NUMB. _.._ .. __-
t, u,� :HXTICT u TENANT o OTHER ( DESCRIBE):
( ) -
----....,_ -••----�--. _. .._. ._..---..-..-----....
OG2 T41:!f :«I.,^-7FiT: J ori MtT�f O:;IR►9T:P: z A„T o CONTRACTOR
..E�MIJLADDRE55:
S'Pfly ft driesd ly, May '21- 20V3 11K(6TW)) E:<: T I:NI 0k' f-1AT10N
EXISTING USEi
PROPOSED USEi
EXIbTING BUILDING ASSESSED/APPRAISED VALUATION $ p -
PROPOSED VALUATION FOR IMPROVEMENTS: ll_ h3 1
SPRINKLERED BUILDING? o YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES n NO
WATER SERVICE PROVIDER: o LAKEHAVEN O HIONLINE
SEWER SERVICE PROVZDERI a LAKENAVEN O HIOHLtNE
zo -d 2-8L-2 tlZil SZt
c TACOMA n PRIVATE (WELL)
O PRIVATE (SEPTIC)
ZZIIg wo 8tp:90 £00Z -0£ -AEW
i okopma K OF IffirMATT- D SRUJNG PRICE:
r -� • -- - _� _ .._..__ _ .
SRamp
� OTHlR PL.00a �) !
TOTAL,
Indicate number of each type of f tore
MICHANICAL
— AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOGS) REFRIG. SYSTEM(S)
i DWS) FAN(S) HOODS) WOGOSTOMS)
pOILaR($) FIRIPLACIK INSERT(S) RANGE($) MISC. [ )
,,,_ COMPRESSOR(:) FURNAM(S) XQAS
DUCTS) GAS PIPE OUTLETE :S) HTSOC RCE: 0 ELECTRIC
PLUMBING
BATHTUd(Ka) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(s) —RAIN WATER SYS. _VACUUM BREAKER(S) O ELECTRIC R GAS
DRINKING FOUNTAIN(S) SHOWER(S) � WASH MACHINE OUTLET
GAS PIPs OUTLETS) SINK(S) ,-� WATER CLOSETS) MISC. ( )
INTERCEPTORS) SUMPCS)
I corthV under penalty of perjury that the Informaton furnished by robe Is true and correct to the test of my knowledge, and
further, that I Kam nwthorlaed by the owner of the above promises to psi fbrnh the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any daim (Including cestr, wtperwas, and attorneys' fees Incurred In the
investigation and defense of such dolm), which may be made by any person, Including the undereloned, and filed against the City of
Federal Way/ but only where rich !Balm arises out of the reliance of the city, Including Its offk e!s sr+d eml-40yees, upon the accuracy
of the Mefenh mon a 041sd.40 the FAty ss A PFrt of tnlu rapplicatlrr
NAMR/T1TLLr DATE; � „_, ✓
C�
0 PROPKIRTYOWNER 0i6PLICANT 0 C CTOR
VA IuA-, hA, 3
l �:i Ainanom_ _ _z_?a,I.X:E"k,' S„` .Z. [7 It®PiY a NK1KT z M'ENT --
,i.QW,VLAN DXSIGNATION
TOWNSHIP N c TES o NO
:a. Eli 00' CN r 13YEP o NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY 9DUfTM a PO SO'X 9725 • FEDERAL WAY, WA 08063.9718 x 253-651-4000 • PAX; 293-681.4129
£0'd Zzna w" 6t.: 90 £00Z-0£-A"w