03-104892Project Name: MACLAREN
Project Address: 36128 3RDS, Parcel Number: 113780 0090
Project Description: Remove and replace gas furnace
Owner
Applicant
City of Federal Way
Mechanical Permit #: 03 - 104892 - 00 - ME
Community Development Services
WASHINGTON ENERGY SERVICES CO
33530 1st Way S
2800 THORNDYKE AVE W
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Inspection request line: 253.835.3050
Project Name: MACLAREN
Project Address: 36128 3RDS, Parcel Number: 113780 0090
Project Description: Remove and replace gas furnace
Owner
Applicant
Contractor
Kenneth C Maclaren
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
36128 3RD PL S
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
l4gC1UpjVkyaluation ..........................................4271
1Over the Counter Permit.
.(206).282-470a•.••••.•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 C
Owner or agent: dA- Date:
' RECEIVED rAe,-
$ 200 ,� CONSTRUCTION PERMIT APPLICATION
CITY OF APPLICATION NUMBER: Y
J
Cx
Federal Way CITY OF FEDERAL WAY PPUCATION NUMBER: _
BUILDING DEPT, APPUCATION 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: 3(DI L0 :3/ -C -p P1 _S ASSESSOR'S TAX/PARCEL #: 1 0 -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT• •
TYPE OF PROJECT (This application): O BUILDING O PLUMBING MECHANICAL o DEMOLITION
O ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
h
PROJECT
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
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'AADDRESS (STREET ADDRESS; CITY, STATE, �1P); EVENING PHONE:
-Sa4tA-,- P --j ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER: '
O ARCHITECT 0 TENANT XOTHER ( DESCRISE):ak,i--b
CONTACT PERSON FOR THIS PROJECT: D PROPERTY OWNER o APPLICANT CONTRACTOR L
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION g
PROPOSED USE:
PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED; ❑ YES ❑ NO
WATER SERVICE PROVIDER. O LAKEHAVEN 0 HIGHLINE o TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
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"NEW -RESIDENTIAL CONSTRUCTION ONLY"'
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
IN PROJECT FLOOR AREAS
BASEMENT FLOOR
EXISTING SQ. FT.
PROPOSED . FT.
TOTAL
FIRST
FIREPLACE INSERT(S)
FURNACE(S)
HOOD(S)
RANGE(S)
WOODSMIS, (— )
SECOND
GAS PIPE OUTLET(S)
HEAT SOURCE:
'X
❑ ELECTRIC [(GAS
``
THIRD
PLUMBING
FOURTH
LAVATORY(S)
RAIN WATER SYS.
URINAL(S)
VACUUM BREAKER(S)
WATER HEATER(5)
ELECTRIC
OTHER FLOORS (DESCRIBE)
SHOWER(S)
WASH MACHINE OUTLET
❑ o GAS
DECK
SINKS)
SUMP(S)
WATER CLOSET(S)
misc.( )
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S)
BBQ(S)
EVAPORATIVE COOLER(S)
FAN(S)
GAS LOG(S)
EFRIG. SYSTEM
REFRIG. SYSTEM(S)
BOILERS)
COMPRESSOR(S)
FIREPLACE INSERT(S)
FURNACE(S)
HOOD(S)
RANGE(S)
WOODSMIS, (— )
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
'X
❑ ELECTRIC [(GAS
``
PLUMBING
BATHTUB(S)
DISHWASHER(S)
LAVATORY(S)
RAIN WATER SYS.
URINAL(S)
VACUUM BREAKER(S)
WATER HEATER(5)
ELECTRIC
DRINKING FOUNTAINS)
G FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
❑ o GAS
GAS PIPE T (5)
INTERCEPTORS) ORS)
SINKS)
SUMP(S)
WATER CLOSET(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. 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 accuracy
of the Information s pelted to the dty as a part of this application.
NAMEITITLE: Ab5_477ORM)DATE.- J012 -710S
O PROPERTY OWNER ❑ APPLICANT CONTRACTOR/i?Q
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COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4124
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