03-105323City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: SAYLES
Project Address: 2842 SW 302ND P�
Mechanical Permit #:03 -105323 - 00 - ME
Project Description: Install fireplace insert with gas piping
Inspection request line: 253.835.3050
Parcel Number: 416660 0381
Owner
Applicant
Contractor
Joan E Sayles
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
2842 SW 302ND PL
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-2344
1 (206) 282-4700
Mechanical Valuation..........................................2775 Over the Counter Permit...................................... Yes
Mechanical Fixtures
�escnptlons ,,,; , t!, _ ; descri tl.
Fireplace Inserts 1 Gas Piping 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 Wa
Owner or agent: Date: 6
'7'f(/v c, _.
4%
CONSTRUCTION MIT APPLICATION
CITY OF PPLICATION NUMBER: _
Federal Way PPLICATION 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.
SITE ADDRESS:/11 CDs
,-, L -2� S LA O 2- 0--3p( I ASSESSOR'S TAX/PARCEL
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT•- •
TYPE OF PROJECT (This application): O BUILDING o PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
PEOPLE•- •
PROPERTYOWNER: NAME: DAYTIME PHONE'
CONTRACTOR:
APPLICANT:
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DAYTIME PHONE:
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MAILING ADDRESS (STREgr ADDRESS; CIl ,STATE, Z� �
EVENING PHONE'
-
QTY OF FEDERAL WJkY BUSINESS LICENSE NUMBER:
FAX NUMBER:
-
CONTRACTORS REGISTRATION NUMBER:
D
EXPIRATION DATE:
/,03 16 -
(copy of card required)
-5
NAME'
'."+—^'_' DAYTIME PHONE: _
(0!P) ZRZ 7
UNG ADDRESS
✓YI/K--(STREET ADDRESS;, PP): EVENING PHONE: -
RFIATTONSHIP TO PROJECT: FAX NUMBER: '
O ARCHITECT O TENANT'OTHER ( DESCRIBE): ( }
i
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER p APPLICANT CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION ;
PROPOSED USE:
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN
2'd 62Ti7T992S2T:01
_ PROPOSED VALUATION FOR IMPROVEMENTS: $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES O NO
❑ HIGHLINE o TACOMA 0 PRIVATE (WELL)
o HIGHLINE 0 PRIVATE (SEPTIC)
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"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED 52. FT.
TOTAL
BASEMENT
CAMPPLA: DlSIGNATION��
oma
FIRST
r
1?LATTED CQT?�rO'fES o" NOym..t°, ,,,, E CFANGE F USE7r?p+Yt:SNO
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTALS
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
B BQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: O ELECTRIC GAS
PLUMBING
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
LAVATORY(S)
RAINWATER SYS.
SHOWER(S)
SINK(S)
SU MP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
'ITSCLATrdER/STC.NATIIRF nh 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 wort 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 dalm arses out of the reliance of the city, including Its officers and employees, upon the accuracy
of the Informati7;7u
dty as a part of this application. /
NAME/TITLE: DATE:
0 PROPERTY OWNER 0 APPLICANT o 44RACTOR
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CAMPPLA: DlSIGNATION��
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1?LATTED CQT?�rO'fES o" NOym..t°, ,,,, E CFANGE F USE7r?p+Yt:SNO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •2S3-661-4000 • FAX: 253.661-4129
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