03-104890.,r _ y
City of Federal Way
Con>rnunity Development Services Mechanical Permit #: 03 -104890 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Pb: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: WENDT eel
Project Address: 31122 36TH SW Parcel Number: 058755 0200
Project Description: Remove and replace gas furnace
I:
Owner
Applicant
Contractor
John S Wendt & Mary A Wendt
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
31122 36TH AVE SW
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
l ipsyaluation..........................................5713
Over the Counter Permit.
.(206)•282.4700••••••••Yes
PERMIT EXPIRES April 28, 2004.
Permit issued on October 31, 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: 66 Date:
l
RECEIVE® CONSTRU
CTION PERMIT APPLICATION
CITU OF �/ r T 2 8 1 00,3 PPLICATION NUMBER: �% -I _ G j,' -
Federal Way PPLICATION NUMBER:
CITY OF FEDERAL WAY APPLICATION NUMBER: - -
BUILDING DEPT. — — — —
=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: SLI l/Z 73CQ i•` 5�J ASSESSOR'S TAX/PARCEL #: t�67� -OZ��
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT•• •
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
o ELECTRICAL O ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (P id detailed description):
Gary tv eup 4-�-)rYtzne-,
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME::`' � U � �J �^ �/ /
I �✓6GG %i Z (STREET
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CONTRACTOR:
APPLICANT:
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DAYTIME PHONE:
! 452 _
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MAILING ADDRESS ( RF ADDRESS; , STATE, ZIP .
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l/iC•,J1
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EVENING PHONE:
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CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:
H 1
7 ? I
I EXPIRATION DATE: / Q
(copy of card required) 1/LLS
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NAME:
DAYTIME RHONE:
MAILING ADDRESS (STREETADDRESS; CRY, STATE, P):
� EVENING PHONE: _
iYYV�c.- I
RELATIONSHIP TO PROJECT. FAX NUMBER:
O ARCHITECT ❑ TENANT 'OTHER ( DESCRIBE): ; }
I
j E-MAIL ADDRESS: l
CONTACT PERSON FOR THIS PROJECT: D PROPERTY OWNER o APPLICANT
EXISTING USE: 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 O TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN O HIGHLINE ❑ PRIVATE (SEPTIC)
IL'd 62Tt7T99ZS2T:01 :WOdd ZE:60 €002-82-130
RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
■ PROJECT FLOOR AREAS
FLOOR
BASEMENT
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
FIRST
FIXTURES
Indicate number of each type of fixture
-
SECOND
AIR HANDLING UN S)
BOILS
THIRD
GAS LOG(S)
REFRIG. SYSTEM(S)
BOILER(S)
COMPRESSOR(S)
FOURTH
RANGE(S)
fWIOODSTOVE(S) ,
DUCTS)
OTHER FLOORS (DESCRIBE)
HEAT SOURCE:
11 ELECTRIC ❑GAS
DECK
BATHTUB(S)
DISHWASHERS)
GARAGE
HOW MANY FLOORS?
URINAL(S)
VACUUM BREAKER(S)
WATER HEATER(S)
DRINKING FOUNTAIN(S)
TOTAL:
WASH MACHINE OUTLET
a ELECTRIC o GAS
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
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 attomeys' 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 arises out of the reliance of the city, Including its officers and employees, upon the accuracy
of the Informations plied to tfi ty as a part of this apQ�tion. &20-7703205DATE;
NAME/TITLE: o �J
❑ PROPERTY NER 1❑ APPLICANT ❑ aTRACTOR
Sob 457/3j
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661.4129
8'd 60TbT992S6T:01 :woaA 82:60 z002-82-130
FIXTURES
Indicate number of each type of fixture
-
- MECHANICAL
AIR HANDLING UN S)
BOILS
EVAPORATIVE LER(S)
FAN(S)
GAS LOG(S)
REFRIG. SYSTEM(S)
BOILER(S)
COMPRESSOR(S)
FIREPLACE INSE T 5
O
FURNACES)
RANGE(S)
fWIOODSTOVE(S) ,
DUCTS)
GAS PIPE O ET(S)
HEAT SOURCE:
11 ELECTRIC ❑GAS
PLUMBING
BATHTUB(S)
DISHWASHERS)
LAVATORY(S)
RAINWATER SYS.
URINAL(S)
VACUUM BREAKER(S)
WATER HEATER(S)
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
a ELECTRIC o GAS
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
SINKS)
SUMP(S)
WATER CLOSETS)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. I
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attomeys' 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 arises out of the reliance of the city, Including its officers and employees, upon the accuracy
of the Informations plied to tfi ty as a part of this apQ�tion. &20-7703205DATE;
NAME/TITLE: o �J
❑ PROPERTY NER 1❑ APPLICANT ❑ aTRACTOR
Sob 457/3j
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661.4129
8'd 60TbT992S6T:01 :woaA 82:60 z002-82-130