03-104891r 7 or- „
City of Federal Way
Connhunity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: JONES
Project Address: 3741 SW 332ND PI
Project Description: Remove and replace gas furnace
Mechanical Permit #: 03 - 104891 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 109961 0880
Owner
Applicant
Contractor
Craig L Jones & Kathi L Jones
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
3741 SW 332ND PL
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
h4t�p9d1yaluation..........................................3860
Over the Counter Permit.
.(-2p6)•282,470&....••••Yes
Mechanical Fixtures
Furnaces 1
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: `t v n Date: 3 l 3
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RECEIV EQ
CONSTRUCTION PERMIT APPLICATION
CITY OF �.�..� -� } 8 200 j PPUCATION NUMBER: `; - L — - (✓ l�'l
Federal Way PPLICATION NUMBER: _ _ - _ _ _ - L -
CITY IL FEDERAL WAY APPLICATION NUMBER:
BUILDING DEP'(. —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.. •
SITE ADDRESS: ✓ I I v`'�� ��� ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT•• •
TYPE OF PROJECT (This application): ❑ BUILDING o PLUMBING MECHANICAL O DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
- ■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT.
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DAY]'TMEPHQNE:
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MAILING ADDRESS (STTREE7 ADDRESS; LFV.
STATE
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EVENING PHONE' -
CrrY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
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EXPIRATION DATE: ,
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PHONE:
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❑ ARCHITECT ❑ TENANT OTHER ( D
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ' o APPLICANTCi
ONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS:
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE O TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN In HIGHLINE ❑ PRIVATE (SEPTIC)
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"NEW'RESIDENTIALCONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
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ESTIMATED SELLING PRICE:
L■ PROJECT FLOOR AREAS
9,7q) 332 A1 --J
FLOOR
BASEMENT
EXISTING S FT.
.
PROPOSED SQ. 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) GAS LOG(S) REFRIG. SYSTEM(S)
BOILERS FRANGES) WOODSTOVE(S)
E) FIREPLACE INSERT(S) RANGE(S) MISC. ( �
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: O ELECTRIC YGAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) FOUNTAIN(S)
RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC.
INTERCEPTOR(S) SUMP(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 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 claim arises out of the reliance of the city, Including Its officers and employees, upon the accu
of the information supplied to the city as a part of this application. racyp�
NAME/TITLE: DATE:
❑ PROPERTY OWNER o APPLICANT EECONTRACTOR
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COMMUNITY DEVELOPMENT SERVICES - 33530 FiRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 2S3-661-4000 • FAX: 253-661-4129
www.dbgdcderalvvay.com
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