03-104323City of Federal Way
Cotrm�unity Development Services Mechanical Permit #: 03 -104323 - 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: CHRISTIANSON
Project Address: 418 S 308TH St Parcel Number: 241330 0560
Project Description: Gas to gas furnace installation
Owner
Applicant
Contractor
Alvin E Christianson
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
418 S 308TH ST
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
l ipJ_laluation..........................................192
Over the Counter Permit.
.(206)•282.4700 ........ Yes
PERMIT EXPIRES March 20, 2004.
Permit issued on September 22, 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 W 9
Owner or agent: of Date:
;na
l
RECEIVED CONSTRUCTION P MIT APPLICATION `
CITY OF PPLICAMON NUMBER: —U —0 - - G
Federal Way SEP 1 9 2003 PPLICATION NUMBER:
CITY OFFPPLICAMN NUMBER: - -
ER R — — — — —
"The followingB�JIICQ). pAgw.mIiln - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
ASSESSOR'S TAX/ PARCEL 0: d-� � 37 Q '05 -4e6 -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT •• •
TYPE OF PROJECT (This application): o BUILDING o PLUMBING MECHANICAL ❑ DEMOLITION
o ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECTNAME: V �'' Chel'41,a•'• r] v
PEOPLE• •
PROPERTY OWNER: NAM :r , DAYTIME PHONE
e -M CL1 n 5�Iu vt SDY*, I
MAJUNG ADDRESS (STREET ADDRESS; CS.RY. STATE, ZIP):
CONTRACTOR. NAt7E:, l
(J(J DAYTIME PHONE: MAID G ADD 5T EET ADDRESS; ATE, ZIP : -;
^ O ice� ` ' EVENING PHONE' _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:
(copy o/card required) KJ �l-HI S' 1? Z ! 40I EXPIRATION DATE:
3 Q
APPLICANT: NAME,^au
``1 1 /DAYTIME R\HONE'
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE'
L-- S _ I(
0 ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): _
E-MAIL ADDRESS: --�
CONTACT PERSON FOR THIS PROTECT: 0 PROPERTY OWNER ❑ APPLICANT CONTRACTOR
DETAILED BUILDINr. INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION S
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $__/�/ L �I
T�
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES o NO
WATER SERVICE PROVIDER: IJ LAKEHAVEN ❑ HIGHLINE
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE
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0 TACOMA o PRIVATE (WELL)
❑ PRIVATE (SEPTIC)
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*NEW RESIOENTIALCONSMUCTIONONLw=
NUMBER OF BEDROOMS: ESTIMATED SELL11NG PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
E7QS G sq. Fr.
PROPOSED SQ. FT.
TOTAL
BASEMENT
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_
AIR HANDLING UNIT(S)
FIRST
GAS LOG(S)
REFRIG. SYSTEM($)
BBQ(S)
SECOND
H000(S)
WOOOSrOVE(S)
BOILER(S)
THIRD
RANGE(S)
MISC.
COMPRESSOR($)
FOURTH
DUCT(S)
OTHER FLOORS (DESCRIBE)
HEAT SOURCE:
G ELECTRIC GAS
DECK
BATHTUBS)
GARAGE
HOW MANY FLOORS?
URINAL(S)
WATER HEATER(S)
DISHWASHERS)
TOTAL:
VACUUM BREAKER(s)
a ELECTRIC O GAS
DRINKING FOUNTAIN(S)
�ISCLAIhhER/SIGNATURE 6LC
I certify/ under penalty of perjury that the infonnation furllshed by me Is true and correct to the best of my knowledge, and
fur'ttwi, 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
I-csdgation and defense of such dalnn), which may be -ado by any person, Including the undersigned, and tiled against the City of
Federal Way, but only where to calm arises out of the reliance of the city, Including Its officers and employees, upon the accuracy
of the Information su 8ed to a til as a part of this app tion. C�
NAME/TITLE: C( DATE:
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a PROPERTY OWNER a APPLICANT o CTOR
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FIXTURES
Indicate number of each type of fixture
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MECHANICAL
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_
AIR HANDLING UNIT(S)
EVAPORA E . )
GAS LOG(S)
REFRIG. SYSTEM($)
BBQ(S)
FANS)
H000(S)
WOOOSrOVE(S)
BOILER(S)
FIREPLACE INSE
RANGE(S)
MISC.
COMPRESSOR($)
= FURNACE(S)
f
DUCT(S)
GAS PIPE OUTLE
HEAT SOURCE:
G ELECTRIC GAS
NG
BATHTUBS)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHERS)
RAIN WATER SYS.
VACUUM BREAKER(s)
a ELECTRIC O GAS
DRINKING FOUNTAIN(S)
SHOWERS)
WASH MACHINE OUTLET
GAS PIPE OUTLETS)
SINK(S)
WATM CLOSVI (S)
Mm- f t
INTERCEPTORS)
sump(S)
�ISCLAIhhER/SIGNATURE 6LC
I certify/ under penalty of perjury that the infonnation furllshed by me Is true and correct to the best of my knowledge, and
fur'ttwi, 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
I-csdgation and defense of such dalnn), which may be -ado by any person, Including the undersigned, and tiled against the City of
Federal Way, but only where to calm arises out of the reliance of the city, Including Its officers and employees, upon the accuracy
of the Information su 8ed to a til as a part of this app tion. C�
NAME/TITLE: C( DATE:
[ ,
1
a PROPERTY OWNER a APPLICANT o CTOR
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COMMUMW DEVELOPMIEWT SERVICES • 33530 RR5T WAY SOUTH - YO BOX 9715 • rMGtAL WAY, WA 4JM -9718 - 253-661-4000 • FAX: Z53 661-4129
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COMMUMW DEVELOPMIEWT SERVICES • 33530 RR5T WAY SOUTH - YO BOX 9715 • rMGtAL WAY, WA 4JM -9718 - 253-661-4000 • FAX: Z53 661-4129
9'd 62TbT992S2T:01 :WO�id SS:60 2002-GT-d3S