03-102923'City of Federal Way Mechanical Permit #: 03 -102923 - 00 - ME
Community Development Services 0136, 13 L/_J,L /
_'3530 1st Way S /j
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: NELLENBACH
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Project Address: 30002 30TH�SW Parcel Number: 416660 0350
Project Description: Install (2) bathroom exhaust fans and associated duct work to existing residence, subject to field
inspection.
Owner
Applicant
Contractor
Stefan J Nellenbach & Vicki L Nellenbach
DAINES ELECTRICAL SERVICE LLC
DAINES ELECTRICAL SERVICE LLC
30002 30TH AVE SW
PO BOX 5255
PO BOX 5255
FEDERAL WAY WA
SPANAWAY WA 98387
SPANAWAY WA 98387
98023-2318
(253) 875-2503
Mechanical Valuation.........................................720
Over the Counter Permit......................................Yes
Mechanical Fixtures
,0eg 41 QuaO fest tt�ir�#' isarI�
Fans 2
PERMIT EXPIRES January 12, 2004.
Permit issued on July 16, 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.
Owner or agent: D Date: %
Nd
J
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): o !WLDING o PLUMBING?rDEMOLITION
tLECTRICAL ■ 17A imi
PROJECT LDW ON (Provide detaiM description): 2
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PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
VC) (30y 4ZI5s
RELATIONSHIP TO PROJECP
o ARCHITECT ❑ TENANT
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER
09�--08/
FAA III MOCK:
( DESCRIBE): Q ,1rag1,J 6r -95-3)S`7-5-6 / 7�
// E-MAIL ADDRESS:
*10;PL.ICANT W16NTRACTOR knAl 9; -q 5�5& PG✓fhlrwi
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE (WELL)
CmmD CCDVif C DDAVTnac. m 1 A"UAVCN n 4Tf-1941 TNC n DpTVATC /CCOTT!`A
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DAYTIME PHONE:
)87vim i-5-0
(STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
;F (')IJ 9
Zr3 )9.1
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: bF
FAX NUMBER:
CONTRACTORS RE TION NUMBER:
10 S
EXPIRATION DATE:
/
(copy of card required)
14194wt%�
VC) (30y 4ZI5s
RELATIONSHIP TO PROJECP
o ARCHITECT ❑ TENANT
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER
09�--08/
FAA III MOCK:
( DESCRIBE): Q ,1rag1,J 6r -95-3)S`7-5-6 / 7�
// E-MAIL ADDRESS:
*10;PL.ICANT W16NTRACTOR knAl 9; -q 5�5& PG✓fhlrwi
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE (WELL)
CmmD CCDVif C DDAVTnac. m 1 A"UAVCN n 4Tf-1941 TNC n DpTVATC /CCOTT!`A
i
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**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SEANG PRICE:
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
FIXTURES
Indicate number of each type of fixture
MECHANICAL # -72,0-
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD($) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC.
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATERS)
DISHWASHER(S) -RAINWATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET($) MISC. ( 1
INTERCEPTORS) SUMP(S)
DISCLAIMER/ SIGNATURE BLOCK
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 ares out of the reliance of the city, including its officers and employees, upon the accuracy
of the informations led to the city as a part of this application. r�
NAME/TITLE: + D DATE:
o PROPERTY OWNER p -9f PLICANT G-COWT-RACTOR
FOR OFFICE 4SE ONLY;
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