03-104724City of Federal Way
Community Development Services Mechanical Permit #: 03 -104724 - 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: CONWAY
Project Address: 2134 SW 317TH P1 Parcel Number: 394550 0040
Project Description: Installing 2 fireplace inserts with associated gas piping and stubbing out gas range
Owner
Applicant
Contractor
Helen L Conway
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
2134 SW 317TH PL
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
I4gdMitqAf/aluation.......................................... 55001
Over the Counter Permit.
.(206)•282-4700......•• Yes
Mechanical Fixtures
Qescri tion Quanti Description " ` Quantity Description Quanti
Fireplace Inserts ���2� Ranges 1 Gas Piping 99
PERMIT EXPIRES April 14, 2004.
Permit issued on October 17, 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 to`/ 7C %
Owner or agent: Date:
,490' 11V14tt
OCT X 6 2003 CONSTRUCTION PERMIT APPLI TION
CITY OF
Federal Wayw%�� Y �� �'EU�F��,L WAY APPLICATION NUMBER: - -
BUILDING DEPT. APPLICATION NUMBER:
APPLICATION 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.
PROPERTY•. •
i�
SITE ADDRESS: �T y ✓ I 1"M M ASSESSOR'S TAX/PARCEL
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY);
PROJECT• •
TYPE OF PROJECT (This application): O BUILDING o PLUMBING MECHANICAL ❑ DEMOLITION
o ELECTRICAL ❑ ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME: t �eh (�i07nwA 7
PEOPLE•• •
PROPERTY OWNER: NAME, 1 DOv Me PHONE:
CONTRACTOR:
APPLICANT:
4 -al -Pm Co n 41A q
MAIUNG ADDRESS (STREET ADDRESS; CITY, STATE, ZIP);
:2-1-34 SW 31 _7 � >Fea e r1( toc, Ltii9
q 802
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W
DAYTIME PRONE:
i
1
' J`
-
7 I
MAILING'�AjDDhRJLSS ( RE ADDRESS; ,STATE. Z1P), jy/�
L
EVENING PHONE:
CITY OF FEDERAL WAY B1157NES5 LICENSE NUMBER:
FAX NUMBER)
CONTRACTORS REGISTRATION NUMBER:
0 R -
S H[ �'� S D
L EXPtRAT10N %ATE:
cmPY a Gia reqs)
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Q
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NAME:
DAYTIME PHONE:
EVENING PHONE:
� �
-
MAIUNNG,,A,ADDIIRE''SS (STREET ADDRESS; CIP, STATE, P):
�'✓Y!� fid'
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT `OTHER ( DESCRIBE):
FAX NUMBER:
'
CONTACT PERSON FOR THIS PROJECT: D PROPERTY OWNER CI APPLICANT YCONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN
SEWER SERVICE PROVIDER: o LAKEHAVEN
2'd G2Tt7T992S2T:01
-PROPOSED VALUATION FOR IMPROVEMENTS: $
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES o NO
O HIGHLINE O TACOMA O PRIVATE (WELL)
o HIGHLINE o PRIVATE (SEPTIC)
:WodA TT:TT 2002 -ST -100
t/- Z Fov "tact k Co 2 r3 q s -w 3 17!'N
*NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
FLOOR
BASEMENT
MaSTING.SQ. FT.
PROPOSED SO. FT.
TOTAL
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S)
BGAS LOG(S) REFRIG. SYSTEM(S)
BOILER(S) ILS FAN(S) HOOD(S)
MS) WOODSTOVE(S)
FIREPLACE INSERT(S) RANGE(S) MISC.
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC )GAS
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HEATER(S)
0 ELECTRIC 0 GAS
It 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 whEch 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 .the
Investigation and defense of such claim), which may be made by any person, Including the undersigned, and eyed against the City of
Federal Way, but only where such claim arises out of the reliance of tfie dty, lnduding Its officers and employees, upon the accuracy
of the Information applied t e city as a part of this application. / /
NAME/TITLE: �, j� C / 5-L d
DATE:
0 PROPERTY OWNER 0 APPLICANT 0 NTRACTOR
�0 10 V&lue'- (' rA '�r, -5--od , ---
ODMMUNTIY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718.253.661.9000 • FAX: 253.661-4129
b'd 62T0T992S2T:01 :WO�JJ TT:TT 2002 -SZ -130