03-105131r
City Federal Way
Community Development Services Mechanical Permit #: 03 - 105131 - 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: SCHAMBERG
Project Address: 30840 8TH W Parcel Number: 555820 0140
Project Description: Gas water heater replacement
Owner
Applicant
Contractor
Melinda J Schamberg
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
30840 8TH AVE SW
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-4605
(206) 272-4700
Mechanical Valuation..........................................600 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. h
Owner or agent: Date: v
9
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���� CONSTRUCTION PERMIT APPLICATION
CITY OF PPPLICA-1710N
PLICATION NUMBER:
Federal Way Nov % ?003 PLICATION NUMBER:
CITY OF FEDERAL WAY NUMBER:
—The fogot UnnggjkLq FFAd information - Please print (in ink) or type' •
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTYINfORMATION
SITE ADDRESS: -309�)� c� 1-i l/ L EW ASSESSOR'S TAX/PARCEL tt: �Y Z� - C� �O
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRJPTION IF LENGTHY):
PROIECT INFORMATION
TYPE OF PROTECT (This application): O BUILDING 44LUMBING 0 MECHANICAL O DEMOLITION
a ELECTRICAL a ENGINEERING 0 FIRE PREVENTION SYSTEM
PR03ECT DESCRIPTION (Provide detailed description):
PR03ECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
IISAMNS1IP TO OROJECT: FAX MJME£R. ;
O ARCHITECT D TENANT 'OTHER (DESCRIBE):`=�` i
EMAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: O PROPERTY OWNER O APPLICANT CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE:
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDLNG7 a YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: n YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN a HIGHLINE O TACOMA D PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN O HIGHLINE 0 PRIVATE (SEPTIC)
2'd 62TbT992S2T :01 :WONJ 22:2T 2002 -,LT -PION
=ANEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING; PRICE >f
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED 59. FT.
TOTAL
BASEMENT
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t3t1I�DINS'l i>L >y Y?d",YE3`'t�0 ;` �` ;moi
M TIQ
'SEC 'G
FIRST
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TONAW-OwNSNIP„
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SECOND
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eCHANGEOF USE?. '? �% E 'L}}�ilO �* .t 4,•�
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
138Q(S)
BOIt.ER(S)
COMPRESSOR(S)
DVCT(S)
BATHTUB(S)
CISHWASHER(S)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
indicate number of each type of fbcture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FANS) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGtE($) MISC. � 1
FURNACE(S)
GAS PIPE OUTLETS) HEAT SOURCE: p ELECTRIC O GAS
PWMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWERS)
SIKK(S)
SUMP(G)
URINALS)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSETS)
DISCLAIMER/SIGNATURE FILC
.� WATER FATER(S)
o ELECTRIC AGAS
MISC. ( )
I certify under penalty of pwjury that the Information furnished by me Is bus and Cornea to the best of my knowledge, and
further, that I am authorized by tete owner of the above premises to perforin 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, expense* and attorneys'fees Incurred In the
Investigation and defense of such claim), which may be made by any perm, including the undersigned, and filed against the City of
Federal Way, but only where such claim ansae out of the reliance of the dty, including Its offcars and employees, upon the accuracy
of the Information su fedne�d plication.l(/ty NAME/TITLE. -Af DATE:
Q
n PROPERTY OWNER O APPLICANT CONTRACTOR
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M TIQ
'SEC 'G
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TONAW-OwNSNIP„
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4B ND1 Mr -SM WEk
eCHANGEOF USE?. '? �% E 'L}}�ilO �* .t 4,•�
C7 WINUT DEVELOPMENT SERVLCFS • 3.3530 F06T WAY SOLA" - PO 60X 97L8 • F7:DFRIIL WAY, WA 98063.9718 •253-661-4000 • FAX: 253-6614129
b'd 62TbT99P-S2T:01 :WOdA 22:2T 2002 -LT -PION