03-104480__ V
City of Federal Way `
Community Development Services Mechanical Permit #: 03 -104480 - 00 - ME
33530 1s[ Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: CHRISTENSEN
Project Address: 31029 6THtSPPW Parcel Number: 072104 9238
Project Description: Replace gaso"urnace and airconditioner installation
Owner
Applicant
Contractor
Terrance L Christensen & Deborah L Christenst
NONE
WASHINGTON ENERGY SERVICES CO
31029 6TH PL SW
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
N§g91gy14*2Valuation..........................................9136
NONE Over the Counter Permit..206)•282-47%
........ Yes
PERMIT EXPIRES April 3, 2004.
Permit issued on October 6, 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 or agent: //4 Date: qlo10
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aury of r .CITY HALL
Federal Way 33530 1st Way South • PO Box 9718 Federal Way, WA 98063-9718
(253) 661-4000
www.cityoffederalway.com
March 11, 2004
Terrance and Deborah Christensen
31029 6t' Place SW
Federal Way, WA 98023-4602
RE: 03 -104480 -00 -ME; CHRISTENSEN
31029 6t" Place SW; Expiration of Permit, Notice to Extend
Our records indicate that on Monday, October 6, 2003, the City of Federal Way
issued permit 03 -104480 -00 -ME. This permit expires by limitation and becomes null
and void if the building or work authorized by the permit is not commenced within 180
days from the date of issuance, or if the building or work authorized by the permit is
suspended or abandoned at any time after the work is commenced for a period of 180
days. The building official may extend the time for action by the permittee for a period
not exceeding 180 days upon written request by the permittee showing that
circumstances beyond the control of the permittee have prevented action from being
taken. No permit may be extended more than once.
To avoid expiration of your permit, you may call the inspection request line (253-835-
3050) to set up an inspection; or request an extension of your permit by submitting a
written request to the building official by Saturday, April 3, 2004. This request may
be submitted via the regular mail or e-mail at buildingofficial@ci.federal-way.wa.us.
The request should include information indicating that circumstances beyond your
control have prevented you from taking action on this permit.
If you choose not to request an extension for this permit, your permit will become null
and void' on Sunday, April 4. Work shall not continue at any time after expiration of
the permit until a new permit is obtained.
If you have any questions, please call 253-661-4115.
Sincerely,
9KK. 914artin
Building Official
cc: WA Energy Services; Attn: Candace; 2800 Thorndyke Avenue W; Seattle, WA 98199
file
CONSTRUCTION PERMIT A P ICATION
CITY OF
PLICATION NUMBER: _
Federal Way
PLICATION NUMBER:
VPPLICATION 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: ,J 1 �� ly` " Q L() ASSESSOR'S TAX/PARCEL #:6 7 2 1 d L/ 2 3$
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): O BUILDING O PLUMBINGMECHANICAL o DEMOLITION
O ELECTRICAL o ENGINEERING O RE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide
deserintion)e
PROJECT NAME: �� i��Y (241 % CT-Pnf.,e r
PEOPLE. •
PROPERTY OWNER: NAME: , DAYTIME PHONE'
NAME: Chis Q2h (2s3)a q1 -W(0
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP),
CONTRACTOR:
APPLICANT:
„j/L�iJ I^
MAI
JDD tQr\
j DAYTIME PHONE"
^/�
N
MAILIESS ( RE ADDRESS; , STATE, ZIP .
)
'"
EVENING PHONE' �
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
-
FAX NUMBER:
CONTRAC70R5 REGISTRATION NUMBER:
;z �� / D — —
(aovy a and re�,aeo
EXPIRATION /ATE:
2
VI.�L, _
0 S
NAME:' „ �� DAYnME PHONE:
MAIUNGA ADDRESS (STREET ADDRESS; STATE, P): EVENING PHONE: -
RELATIONSHIP 70 PROJECT: FAX NUMBER:
O ARCHITECT O TENANT OTHER ( DESCRIBE):
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER O APPLICANT CONTRACTOR !
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:
PROPOSED VALUATION FOR IMPROVEMENTS: S
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES ❑ NO
WATER SERVICE PROVIDER: O LAKEHAVEN o HIGHLINE O TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE O PRIVATE (SEPTIC)
Z'd 62Ti7T992S2T:01 :woaj S2:80 2002-62-83S
-Pa
M "" RESIDENTIAL CONSTRUCTION ONLY'*
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE..
FIRST
R
DECK
GARAGE
HOW Ma
TOTAL:
Indicate number of each type of fixture
AIR
MECHANICAL.
HANDLING UNITS)
BBQ(S)
EVAPORATIVE COOLER()) --�
GAS LOGS)
BOILER(S)
COMPRESSORS)
FAN(S)
FIREPLACE INSERT(S)
FURNACE())
HOOD(S)
RANGE ()
REFRIG. SYSTEM(S)
WOODSTOVE(S)
MISC.
DUCT(S)
GAS PIPE OUTLETS)
1
HEAT SOURCE:
o ELECTRIC GAS
PLUMBING
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
_ LAVATORY(S)
RAIN WATER SYS.
URINAL
S
()
VACUUM BREAKER(S)
WATER HEATER(S)
GAS PIPE OUTLET(S)
SHOWER(S)
SINKS)
WASH MACHINE OUTLET
O ELECTRIC o GAS
INTERCEPTOR(S)
SUMP(S)
WATER CLOSET(S)
misc.
I Certify under penalty Of perjury that the information furnished b
further, that I am authorized y me Is true and Correct to the
best of further a by the owner of the above premises to perform the work for which the permit aappicattiion Is made. and
gree to hold harmless the City of Federal Way as to any claim (including costs
Investigation and defense of such Claim), which may be made b an and attorneys'
Federal Way, but only where such claim arises out of the reliance of the duty, including 1 mofficers ,and employee,,upon ees n�d in the
Y Y person, Including the undersigned, and fled againsttheCity of
Of the Information suppii to the duty as a part of this application.
accuracy
NAME/TITLE q
❑PROPERTY OWNER Co) gpp rCq DATE: ! /Z� /6 - r
O CONTRACTOR
fob 11'fIt��4� r-", A 9'/::z /n
COMMUNITY DEVELOPMENT SERVICES • 33536 FIRST WAY SOl1IFi . PO BOK 9718 •—��
FEDERAL WAY, WA 98063-9718.253-661.4000 • FAX: 2S3-661-4129
6`d 62tibZ992S2T:01 :WOaA 92:eO 2002-62-d3S