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03-102857City of Federal Way Community Development Services Mechanical Permit #: 03 -102857 - 00 - ME 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: KOMINE Project Address: 29600 3RD Project Description: Installing gas furnace Parcel Number: 186270 0300 Owner Applicant Contractor Komine Yoko WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO 29600 3RD AVE S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199 98003-3665 (206) 282-4700 Mechanical Valuation..........................................2369 Over the Counter Permit......................................Yes Mechanical Fixtures Description Quanti Description Quantity 'Description Quanti Furnaces PERMIT EXPIRES January 11, 2004. Permit issued on July 15, 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 Wa . r - Owner or agent: Date: Re d4� I /Z� 0 Alq / cz�� a - 4/ - <D ') C C--,-) 10 CONSTRUCTION PERMIT APPLICATION CIT V of �.� APPLICATION NUMBER: - LU= - rJl� Federal Way JUL 112093 APPLICATION NUMBER: - _ _ _ - _ ((; F FEDERCALTWAY PPLICATION NUMBER: _ - — _ _ - _ 'The Tolrlcr WW4"K?d Information —Please print (in Ink) or type" Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. G%PROPERTY C •. • SITE ADDRESS: (/ l lJ�/ ( 1 �/�•--" ASSESSOR'S TAX/PARCEL #:�Cp L 0 - O ©v LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): N PROJECT If4FORMATI6N TYPE OF PR03ECT (This application): o BUILDING O PLUMBING '�(tECHANICAL O DEMOLITION O ELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: PEOPLE• • PROPERTY OWNER: NAME:v` MAILING A15DRESS (STREET ADOA CONTRACTOR: NAME: ►_T121111O Kra WAY ofcard 0W` 0`6 0 9124ArV 3Co 11 a i (Core 7�EVENING PH 7 I FAX NUMBB w(-lT_E�9goCC(,) cpae) RELATIONSHIP TO PROJECT: - F O ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): )ME' I - I DATE: / I(," / p5' )NE: 77 �G— 1 )ME, E-MAIL ADDRESS: -� CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT KONTRACTOR I • • •INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ --� SPRINKLERED BUILDING? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: O LAKEHAVEN o HIGHLINE SEWER SERVICE PROVIDER: ❑ LAKEHAVEN O HIGHLINE Z'd G2IbZ99€S2T:01 O TACOMA 0 PRIVATE (WELL) ❑ PRIVATE (SEPTIC) : wodA 00 : oo €oo2- T T --1nr **NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ .. ■ PROSECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNIT(S) BBQ(S) BOILER(S) COMPRESSOR(S) DUCT(S) BATHTUB(S) DISHWASHER(S) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTOR(S) Indicate number of each type of fixture MECHANICAL EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) FAN(S) HOOD(S) WOODSTOVE(S) FIREPLACE INSERTS) RANGE(S) MISC. ( ) Z FURNACE(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC bAS PLUMBING LAVATORY(S) URINAL(S) WATER HEATER(S) RAINWATER SYS. VACUUM BREAKER(S) 0 ELECTRIC o GAS SHOWER(S) WASH MACHINE OUTLET SINK(S) WATER CLOSET(S) MISC. ( ) SUMP(S) 1TgCl-AIMFR1SIGNATIIRF Rtr1 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 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 su lied t e city as a part of this application. �% NAME/TITLE: cG DATE; / 0 PROPERTY OWNER 0 APPLICANT CONTRACTOR voltm, FOR. OFFICEMSEONLY: , . ...: .. .. -..�.. ,... :sO:NEWi. .�t,..O�ADDITION i��,:3v; k0 ALTEi`tATION;,��.,.;0_REPAIRQ.=�,� ..�I7,TENANT-If+1PROVEMENT� r4 �: 4�,:. CENSUS: CODE SLOT SIM'M,;91y "ate' : ,VRA 3 P+. ..,. r.:.�eKdv' l?I i .__ . .-.. .e.�....y :ZONING; "bESIGNATION, Y „ � s _, ; t -r% ,.y - -rW BUILDING SHELL ONLY7J+ :COMP PLANDESIGNATIO(P 1' ?k s '»r?�s; T SASICP#LAN?.�:�'% 0O4YES'_-"-'o O�"' r *A ?A SECTION s70WtlSHIP 'Rq[�iGE"fa ;IVEIA/:ADDRESS RE UIRED?? " .o YES Fro NO `PLATTEDtLOT?" "0 YES � b�'a_NO F��'"�Y ' �7:r `.CHANGE OF USE? ►.,..; p YES * `?fl NO COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661.4000 • FAX: Z53-661-4129 www.dtYpfrederAlway.com t7•d G2TbT99€S2T:01 :140dd 00:00 2002-TT-nnf