03-105439City of Federal Way
Conununity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:03 — 105439 — 00 — ME
Project Name: JOHNSON
Project Address: 4730 SW 317TH--AptB
Project Description: Install gas furnace with 30' gas piping
Inspection request line: 253.835.3050
Parcel Number: 784300 0070
Owner
Applicant
Contractor
PAM JOHNSON
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
4730 SW 317TH LN UNIT B
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
(206)282-4700
Mechanical Valuation..........................................6315 Over the Counter Permit...................................... Yes
Mechanical Fixtures
Description Quantity Description Quantity I Description --][Quanti
[Fumaces F Gas Piping 1
PERMIT EXPIRES June 15, 2004.
Permit issued on December 18, 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 C/Aa"Owner ora ent: g � Date: l
J,
i — 4� -bti C�'�'
t-c%a—ati c •a---
CONSTRUCTION PERMIT APPLICATION
CITY OF
tPUCATION
PLICATION NUMBER: — _
Federal Way a .,9 �i j i NUMBER:
,, yy(��j PPLICATION NUMBER:__
-The following is req re2AIrmation — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: -1 7 Zy J Lk) —�) I TfN l.4 -
'S TAX/ PARCEL #:—I I q le Q
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT• •
TYPE OF PR03ECT (This application): 0 BUILDING 0 PLUMBING 4ECHANICAL 0 DEMOLITION
O ELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
�. NQ►� G14Y!stJV 1 DAYTIME
jPM3
4 / R(STRCE ADDRESS; Cr1 l.i ): Qxt J F�C !/C/a-" Wei C V '_ J i
NA E;, r„
DAYTIME PHONE:
MAILING ADDRESS (STRE§r ADDRESS; , STATL', Z _ `
EVENING PHONE:
CrTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: \ l i
?e v -v � 1 Y Z
FAX NUM I
CONTRACTOR'S REGISTRATION NUMBER: ]� t J % 1_ C �j �7
(cVy or card required) W kI S �[ [ `� J 7 / / D —
-7
I IXPIRAI'SON �A®3 16-5-
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L/U/ LI. T kck:.dU T 1 �^L 7
i
MAILING^``AAADD..RE''SS (STREET ADDRESS; CITY, STATE, ,IP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER: '
O ARCHITECT O TENANT OTHER (DESCRIBE):,a
CONTACT PERSON FOR THIS PROJECT: C1 PROPERTY OWNER U APPLICANTCCONTRACTOR
DETAILED BUILDING• •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION S
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
PROPOSED VALUATION FOR IMPROVEMENTS: $
❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: 0 YES 0 NO
O LAKEHAVEN O HIGHLINE O TACOMA O PRIVATE (WELL) `
SEWER SERVICE PROVIDER: 0 LAKEHAVEN O HIGHLINE ❑ PRIVATE (SEPTIC)
)'d 62TbT992S2T:01
WOdA 6T:22 2002-tT-D94
**NEW RESIDENTIAL CONSTRUCTION ONLY"*
NUMBER OF BEDROOMS:
2 -
ESTIMATED SELLING PRICE:
■ PROJECT FLOOR AREAS
i73C 31-7?`t'
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC. ( 1
COMPRESSOR(S) = FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC *GAS
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
DISCLAIMER/SIGNATURE BLC
WATER HEATERS)
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 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, 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 tate city, including its officers and employees, upon the accuracy
of the Informations [led to ty as a part of this lication.
NAME/TITLE: i DATE: 1 2/1 L
❑ PROPERTY OWNER ❑ APPLICANT O TRACTOR
doe
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH - PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 2S3-661-4000 • FAX: 253-661-4129
www.c ftn f f edera lway. aom
0'd 62TbT992S2T:01 :WO6A 02:22 2002 -17T -D30