03-105294City unity Development Services Federal Way
mun
ComMechanical Permit #: 03 -105294 - 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: MURPHY
Project Address: 1040 S 295TH Parcel Number: 515180 0070
Project Description: Remove and replace gas furnace
Owner
Applicant
Contractor
LORENA MURPHY & Scott Murphy
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
1040 S 295TH PL
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
SEATTLE WA 98199
SEATTLE WA 98199
\FEDERAL WAY WA 98003
(206) 282-4700
Mechanical Valuation..........................................4125 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES June 1, 2004.
Permit issued on December 4, 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 o agent• ` Date:
' Z /,4 i h* el G
RECEIVED
• ` CONSTRUCTION PERMIT APPLICATION
CITY OF DEC 0 2 2003 PPLICKWN NUMBER: -
Federai Way CITY OF FEDERAL WAY PPLICATION NUMBER:—
BUILDING DEPT. 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.
• •
nL
SITE ADDRESS: (J7y J k p 1 ASSESSOR'S TAX/ PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): 0 BUILDING O PLUMBING 10IRE
ECHANICAL O DEMOLITION
O ELECTRICAL O ENGINEERING PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
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PROJECT NAME: / ' ` wi' h
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
N;IjE�A�� � 1 j /I
DAYTIME PHONE: -
MAILING ADDRESS (ME'(ME91 ADDRESS; a7.
STATE. ZIP).
EVENING PHONE'
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:N
(OWY of card mqulred)
� �•�
�j
�� S '-7 % ! D
—
; EXPIRATIO/A� / 6 -_
PHONE:
) 29Z -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, PP): EVENING PHONE:
RELATIONSHIP TO PROJECT: "Y
1 rAX NUMBER:
O ARCHITECT O TENANT 'OTHER ( DESCRIBE);
R
It•MAII AUVlCC�J: I
CONTACT PERSON FOR THIS PROJECT: O PROPERTY OWNER O APPLICANT CONTRACTOR I
DETAILED •ING INFORMATION
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $
O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: O YES 0 NO
0 LAKEHAVEN O HIGHLINE 0 TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER: O LAKEHAVEN O HIGHLINE 0 PRIVATE (SEPTIC)
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•'NEW RESIDENTIAL
NUMBER OF BEDROOMS:
ONLY"
ESTIMATED SELLING PRICE:
■ PRO]ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
B BQ(S)
BOILERS)
COMPRESSORS)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACEINSERT(S) RANGE(S) MISC.[ )
FUliNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC XGAS
PLUMBING
LAVATORY(S)
RAINWATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
3ISCLAIMER/SIGNATURE Al C
WATER HEATER(S)
o ELECTRIC ❑ GAS
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 uppiied to the dty as apart of this application.
NAME/TITLE:0 3
DATE:
o PROPERTY OWNER ❑ APPLICANT A CONTRACTOR
doe VAtul-,A6A 41 Z,�,
COMMUNITY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX 253-661-4129
www.ctvoffederatway.com
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