03-104725City of Federal Way
Community Development Services Mechanical Permit #: 03 -104725 - 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: KIM
Project Address: 2828 SW 324TH Parcel Number: 873190 1470
Project Description: Replacing gas to gas furnace
Owner
Applicant
Contractor
Hyo Gon Kim & Young Hee Kim
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
2828 SW 324TH PL
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
1NgdpjiQk6laluation .......................................... 23631
Over the Counter Permit.
.(206)•282-4700 ........Yes
Mechanical Fixtures
Description Quanti Description Quantity
Description Quanti
Furnaces
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.
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Owner or agent: ` Date: 7
CONSTRUCTION PERMIT APPLICATION
CITY of �
LI
��� PPCATION NUMBER: = = M6Federal Way
F FEOERALWAY PPLICAMON NUMBER:
O
80 1L 4G OF T' 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.
PROPERTY INFORMATION
SITE ADDRESS: �2C� S '37) P I ASSESSOR'S TAX/ PARCEL #: �] 3 L
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE 13ESCRIPTION IF LENGTHY):
PROJECT•• •
TYPE OF PROJECT (This application): o BUILDING o PLUMBING MECHANICAL O DEMOLITION
O ELECTRICAL o ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
W_
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
1 cv km
m j DAFT' PHONE:
MAILING ADDRESS (STREET/ADDRESS, CITY, STATE, ZIP). [� - ��� � -j
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DAYTIME PHONE:
)4 82-
MAILING ADDRESS ( RE ADDRESS;
STATGGE, ZIP).
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/EVENING PHONE•
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
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EXP
EXPIRATION DATE: .
of cvd required)_
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APPLICANT: NAME:
�DAY'nME PI ION CC: �7
MAILING ADDRESS (STREET ADDRESS; CITY, STATF. P): EVENING PHONE:
RELATIONSHIP TO PROJECT:
o ARCHITECT ❑ TENANT LAOTHER ( DESCRIBE): [ F FAY NUMAFR: -
i E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: IJ PROPERTY OWNER O APPLICANT CONTRACTOR
DETAILED BUILDING 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: ❑ LAKEHAVEN O HIGHLINE O TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE ❑ PRIVATE (SEPTIC)
S'd 62TtT992S2T:01 :WObd ZT:TT 2002-ST-1DO
"*NEW RESIDENTIAL CONSTRUCTION ON
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
snalcate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) BBQ(S) FAN(S) HOODS REFRIG. SYSTEM(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) WOODSTOVE(S) ,
COMPRESSOR(S) Z FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE:
O ELECTRIC O GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKERa S) ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS RIPE OUTLET(S)
INTERCEPTOR(S) SINK(S) WATER CLOSETS)
SUMP(S) MISC.
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. 11
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 daim arises out of the reliance of the dty, Including Its officers and employees, upon the accuracy
of the Information su plied to th 'ty as a part of this appiica%Jti�1on.
NAME/TME: �4 �� V DATE: O/l O 3
0 PROPERTY OWNER 0 APPLICANT n rnww.
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9719.2S3-661-4000 • FAX: 253-661-4129
9'd 62TbT992S2T:01 :WONA €T:TT 2002-ST-1DO