03-100712City Federal Way
Community Development Services Mechanical Permit #:03 - 100712 - 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: BROWN
Project Address: 30634 3RD ISW
Project Description: Gas furnace and piping
Parcel Number: 556000 0510
Owner,
Applicant
Contractor
R M Brown
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
30634 3RD AVE SW
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-3909
(206) 282-4700
Mechanical Valuation..........................................5880 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Qescrrptrorr +✓ f n t °ti
..,
I Furreces �l —] Gas Piping
PERMIT EXPIRES August 18, 2003.
Permit issued on February 19, 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. �7 /(�
Owner or agent: Date: 6 C I -- 0,�
3/�1�03
�r�
02/113&/2003 19:41 3609452091 NWPERMIT PAGE 13
*"*Fe- CONSTRUCTION PERMIT APPLICATION
Of KFR-
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**The fdkwgng is mquhed lafvrmation— Pieewe Print (In Ink) ortype**'
Please Pala: ElectFk;a4 Pilar Prevention GyA mr, and Fn9kmorin9 Its mmy mquixe a xopmrate applimtkm.
SITE ADDRESS: 30634 3RD AVE SW A'SSESSOR^S TM PARCEL #: S 5 8 0 0 0— - 0 5 1 0
LEGAL DESCR[PTION OF SUWECT PROPERTY (ATTACH 59PARATE DFXCR[PTlON IF LENGTHY):
PROJECTINFORMATION
TYpE OF PRONCT (This appliottvak a BUILDING = PLUMBING n MtCHANIM a DEMOLITION
in ELECTRICAL ENGINEERING r3 FIRE PREVENTION SYSTEM
GAS WAIL TO GAS FURNACE 70 MBTU & PIPING TO FURNACE
PROPERTY OMER;
CONTRACTOR:
APPLICANT:
PCOPLE MfORMATIOMY
We.,
RICHARD RROWN
DAYTIME PHONE:
(263) 839 X997
MAILINM, ONES ET AC00.N CITY', sr"zpP
30534 3RD AVE SW
NAME_•
UYTIME PHONE:
WESCO
(206 ) 282 4700
' (S IVtEf ARXUA CTI Y, SPATE, ):
EVENING PHONE:
2800 THORNDYKE AVE W SEATTLE 98199
( ) -
C[(YOP 6DElMWAYW81NMLKEMENV48CK-
PAXNUM8EA;
j aWnXAC 0R'5 W007ATM MMM;
W A$ H! E S 9 9 0 C W
02 126 /03
(cwv orwra mwwo
� RICHARD BROWN pkYfME PH
OW.
( ,253)83 83
9 3597
130634 3RD AVE SW ( ) -
I fM Tp M= NUMME
Mi ARCHITFCT I TENANT 1 OTHER ( OESGRIPEN
coNTACF PER50p EOR THIS PROJECT: ❑ PROPERTY OWNER = APPLKANT 0 CONTRACTOR
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVZM PROVEDE R,
DFiAILED BUILDING INFC)R MATIDN
EXISTING BUILDING ASSESSWIALPPRAISED V/LLUATION �
PROPOSED VALUATION FOR IMPROVEMENTS: $ 5880.00
„1 YES u NO FIRE SUPPRESSION SYSTEM PROPOSEDI'REQUIRED. L_ YES -f NO
n LAKEHAVEN n HDGHURE n TACOMA - PRIVATE (WELL)
n l.AI rmvr:N 3 HI6HLIN1` 13 PRIVATE (SEPTIC)
102/19/2003 19:41 3609452091 NWPERMIT PAGE 12
*NEW RESIDENTIAL CONSTRUCTION ONLY'n•
NUMBER OF BEDROOMS: ESFIMATED SELLING PRLCE S
PROJECT FLORR AREA
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. Ft.
TOTAL
BASEMENT
Indicate number of each type of fixture
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FIRST
ALR HANDLINS UNITS)
SECOND
GADS LOGS)
Rl FRIG, SYSTEMS)
BBQ(S)
THIRD
HOODS)
WOOOSTOYE(S)
anwo F t r.q)
FOURTH
waNtaxre)
War- f�R
i
OTHER FLOORS (DESCRME)
our -TEN) 1
DECK
HEAT SOURCE:
:1 ELECTRIC C GAS
GARA6E
6ATHTUB(S)
HOW MANY I:LOOR67
URINALS)
WATER HI:ATER(5)
0ISHWA hWf!9) ,..
TOTALt 1
'•�iwaLsvr-.i�2 fr.' :a moo:: �: •:;'�%'�: ��: �': ��: •�:•%:•% .:l" •�•:r ::�•':'��•:: r..: �::�::.:: •: 'i,;:s::.;;.
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Indicate number of each type of fixture
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MECHANICAL
ALR HANDLINS UNITS)
EVAPORATLV6 COOLERS)
GADS LOGS)
Rl FRIG, SYSTEMS)
BBQ(S)
FAN(S)
HOODS)
WOOOSTOYE(S)
anwo F t r.q)
FTwon ae:F T1ICF"s)
waNtaxre)
War- f�R
C014PRESSOR(S)
FURNACES)
our -TEN) 1
GAS PWE OUTLETS)
HEAT SOURCE:
:1 ELECTRIC C GAS
PLUMBIN6
6ATHTUB(S)
LAVATORY(S)
URINALS)
WATER HI:ATER(5)
0ISHWA hWf!9) ,..
RAIN NMATENtSYB.
VACUUM 6RFJU(Eit(s)
pECTttJ[C a GA5
UKAXKLn6 MURTAW tW)
anvarrA(Z)
WAM auwtalcFIc vvtLnl
QAS PIPE OUTLET(S)
SiNK(S)
WAT19t CLOSET(B)
XXTERCEPTOR(S)
SUM P(S)
I certify under penaky of perjury that iso inhwmetWin famkIwd by me b true' and cowed to tore bast of my knowhtdge, and
further, that Iain autborked by the ownerof the above pm mhmw to perform tine wark far which the pavmit application ft made. i
flrtticeragree to hatd harmkwz the My of Federal Way as to any cMbn (Nrduding ate, pcpenses, and atlFerneya' fees incurred b tree
1tr1+e: duction and ddense of such dalm), whleh may be made by any parson, including the undersigned, and fled against that City of
Federal Way, but only Where s kn aFbes out of the mUanca of the cry, lndudbrg its officers aced empbVeas, upon the aaurraey
of the Infatm fte sup ty as a pati of U& appikatbn.
NAME/T[TLE` DATA 02112103
U PROPERTY OWNED_ -j APPLIMPT u CONTRACTOR
WK -MAWS ukONEAIF
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COMMUKTY DEVELOPMENT SERVAL ES • 33530 FIRST WAY SCNTH - PO BOK 97M • FEDERAL NAY, WA 9%YP"718.751-fi&HUX1. WI : 253-01-41S
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