03-105005City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: RICKETTS
Project Address: 5330 SW 315TH Si'
Project Description: Gas water heater changeout
Mechanical Permit #:03 -105005 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 321020 0050
Owner
Applicant
Contractor
Jeff Ricketts
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
5330 SW 315TH ST
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-2034
(206) 272-4700
Mechanical Valuation..........................................1000 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES May 19, 2004.
Permit issued on November 21, 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: Date:
' &ct�
CONSTRUCTION PERMIT APPLICATION
CITY OF �` p f PLICATION NUMBER:
Federal V ayPPUCATION NUMBER: - -
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: Cd 3 Ig* ,S f ASSESSOR'S TAX/ PARCEL #:
LEGAL DESCRIPTION OF SU83ECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
Mimi
■ PRO)ECT INFORMATION
TYPE OF PR03ECT (This application): 0 BUILDING O PLUMBING 0 MECHANICAL O DEMOLITION
O ELECTRICAL D ENGINEERING O FIRE PREVENTION SYSTEM
PR03ECT DESCRIPTION (Provide detailed description):
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
Is
)338 753a
I 33D s �w 31s�� ST q�o ( '.. L4 -.f A !
9j
I O ARCHITECT O TENANT KOTHER ( DESCRIBE)•
E -rout ADMSS: •l
CONTACT PERSON FOR THIS PROSECT: 0 PROPERTY OWNER' Cl APPLICANT V/CONTRACTOR
0 DETAILED r • ./�O
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: s
5PRINKLERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED. DYES ONO
WATER SEJRVICE PROVIDER: O LAKEHAVEN O HIGHLINE O TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: c LAKEHAVEN O HIGHLINE O PRIVATE (SEPTIC) ,
62TbT99SS2T:Ol :WO�JJ Btb.ST 2002 -S -PION
"NEW RESIOENTIALCONSTRUCTION
NUMBER
-P�qI-c 2 f--,niry
ESTIMATED
P- LC
■ PROJECT FLOOR AREAS
PRICE:
BASEMENT FLOOR
E)(ISiING SQ. U,
PROPOSED SO.W.-
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 COOLERS) CCAS LOGS) REFRIG. SYSTEMS)
88Q(S) FANCS) HOODS) EFRIG. YSTE
SOILER(S) FIREPLACE INSERT(S) RANGES) ly OO ( 1
COMPREMR(S) FURNACE(S)
Ovcr(S) GAS PIPE OUTLET(S) HEAT SOURCE.' a ELECTRIC a GAS
BATHTUB(S)
OLSHWASHER(S)
DRINKING: FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
PLUMBING
LAVATORY(S)
MIN WATER SYS.
SHOWelt(S)
SINKS)
SUMP(S)
WATER H
VACUUM BREAKER(S) oELECTRIC GAS R(S)
WASH MACHINE OUTLET
WATER CLOSET(S) I4ISG [ t
under
fturuw, that I am authoKted penalty theof eoowneer of the above premises to perforrn theorkury that the Inftmiatlon furntshed by me is eand for which e a tmthebeaPl �o edge, and
further agree to hold harmless the City of Federal Way as bo any datm (including oa permit spplicatlon Is made. I
ImresUgatlan and defense of such damn which � �nacs6 and attorneys' fees Incurred In the
Federal Way, but only whew stub dalm arises out of the reliance of thedtty including Its officers and mployees, upon thing the undersigned, and filed againct e aemrraCity cy
of the Information pliesd be lily as a partof this appJicatiorf. //''
NAMEfTrIIE. �` �L DATE:
0 PROPERTYOWNER a APPLICANT a CO CTOR
)ob 1/dtUw4t -A 1606.66
COMMUNITY DejaopMENT St7tVUjS • 33530 FIRST WAY SOUTH • PO 8OX 9714 - FsoERAL WAY; WA 990539716.2M46 L -W00 . FAX: 259-66(-4129
8'd 62tibZ992S2T:01 :WOaA 8b:2ti 2002-S-OON