03-1011050 T
City of Federal Way
Community Development Services Mechanical Permit #: 03 - 101105 - 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: MULLOY
Project Address: 562 SW 334TH CA Parcel Number: 729801 0340
Project Description: Install fireplace insert and gas piping
Owner
Applicant
Contractor
Charles D Mulloy & Kathleen K Mulloy
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
562 SW 334TH CT
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-6178
(206) 282-4700
Mechanical Valuation..........................................2317 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Fireplace Inserts 1 Gas Piping 1
PERMIT EXPIRES September 17, 2003.
Permit issued on March 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 a laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date:
-02
V, F-1- -- I
� /'�' t�- e; '�— / z10 3
03/20/2003 18:47 3609452091 NWPERMIT PAGE 04
PM4
CONSTRUCTION PERMIT APPLICATION
PPLICATION NUMBER:
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.
SITE ADDRESS; 562 SW 334TH CT, FEDERAL WAY WA 98023
ASSESSOR'S TAX/PARCEL, #: 7 2 9 8 0 1_ 0 3 4 0
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING 0 PLUMBING 0 MECHANICAL a DEMOLITION
❑ ELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):.INSTA FIREPLACE I NSF T - I ENNOX 17 Qj rAC PIPjN1 1 TO
INSERT 25'
PROPERTY OWNER. -
KATHLEEN MULLOY
562 SW 334TH CT, FEDERAL WAY WA 98023
253 )874 5998
CONTRACTOR: NAME: DAYTIME PHONE:
WESCO (206 ) 282 -4700
1;i+cLIN6 ADDRESS (gn—T -DR=, CITY, 5TATe, ZIP). EVENING PHONE:
2800 THORNDYKE AVE W, SEATTLE WA 98188
71 OF FEDERAL WAY BUSINE55 LICENSE NUMBER: FAX NUMBER;
CONTRACTOR'SREGjSTRpTIQN NUMBER: EXPIRATION DATE:
(copy of cerci required) WA S H I E S 9 9 0 C W 02 16 /05
APPLICANT: NAME: KATHLEEN MULLOY DAYTIME PHONE:
( 253 ) 874 - 5998
MAILING ADDRESS (STRET ADDRES5; CITY, STATE, ZIP); EVENING PHONE:
562 SW 334TH CT, FEDERAL WAY WA 98023 ( _
RELATION5MIP TO PROJKT: FAX NUMBER:
O ARCHITECT O TENANT ❑ OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR l
• •RUILDING rNroltMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 2317.50
SPRINKLERED BUILDING? LJ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: OYES q NO
WATER SERVICE PROVIDER: ❑ LAKI:HAVIN O HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: p LAKEHAVEN ❑ HIGHLINE In PRIVATE (SEPTIC)
03/20/2003 18:47 3609452091 NWPERMIT PAGE 01
"NEW RESIDENTIAL CONSTRUCTION ONLY*"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXIST.[NG S . FT.
PROPOSED Sq. FT.
TOTAL
BASEMENT
I LOT SIZE:
ZONING DESIGNATION:
AIR HANDLING UNITS)
FIRST
GAS LOG(S)
REFRIG, SYSTEM(S)
BBQ(S)
BOILERS)
SECOND
HOOD(S)
RANGE(S)
WOODSTOVE(S)
MISC.( )
COMPRESSOR(S)
THIRD
DUCT(S)
FOURTH
HEAT SOURCE:
O ELECTRIC O GAS
OTHER FLOORS (DESCRIBE)
SATHTUB(S)
DECK
URINAL(S)
WATER HEATER(S)
DISHWASHERS)
GARAGE
HOW MANY FLOORS?
VACUUM BREAKER(S)
0 ELECTRIC o GAS
DRINKING FOUNTAINS)
TOTAL:
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
rBLOCK
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 w re such im arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information sup a city as a part of this application.
NAME/TITLE; DATE: 03/20/03
p PROPERTY OWNER O APPLICANT O CONTRACTOR
FOR OFFICE USE ONLY:
FIXTURES
Indicate number of each type of fixture
❑ NEW O ADDITION O ALTERATION
O REPAIR ❑ TENANT IMPROVEMENT
MECHANICAL
I LOT SIZE:
ZONING DESIGNATION:
AIR HANDLING UNITS)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG, SYSTEM(S)
BBQ(S)
BOILERS)
FAN(S)
�— FIREPLACEINSERT(S)
HOOD(S)
RANGE(S)
WOODSTOVE(S)
MISC.( )
COMPRESSOR(S)
�— FURNACE(S)
DUCT(S)
1 GAS PIPE OUTLET(S)
HEAT SOURCE:
O ELECTRIC O GAS
PLUMBING
SATHTUB(S)
LAVATORY(S) —
URINAL(S)
WATER HEATER(S)
DISHWASHERS)
RAIN WATER SYS,
VACUUM BREAKER(S)
0 ELECTRIC o GAS
DRINKING FOUNTAINS)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINKS)
WATER CLOSET(S)
MISC. ( )
INTERCEPTOR(S)
SUMP(S)
rBLOCK
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 w re such im arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information sup a city as a part of this application.
NAME/TITLE; DATE: 03/20/03
p PROPERTY OWNER O APPLICANT O CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW O ADDITION O ALTERATION
O REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
I LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? DYES o NO
COMP PLAN DESIGNATION
BASIC' PLAN? O YES O NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES 0 NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? OYES O NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cltYoffederalway.com