03-104565City of Federal Way Mechanical Permit #:03 -104565 - 00 - ME
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: TALLEY �G
Project Address: 31823 32ND SW Unit44 Parcel Number: 698000 0440
Project Description: Install fireplace insert with gas piping
Owner
Applicant
Contractor
ALAN TALLEY
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
31823 32ND AVE SW UNIT 44
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA 98023
SEATTLE WA 98199
SEATTLE WA 98199
Mechanical Valuation ..........................................2845
Over the Counter Permit..
(2.06)•282-4700 ........ Yes
Mechanical Fixtures
Description Quantit Description lQuanfityl I Rescrii tion Quantity
j Fireplace Inserts Gas Piping 1
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: � Date:
tU��/CJ;0
Z4 t -
r CONSTRUCTION PERMIT APPLICATION
CITY OF P�� 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: J L L L(i �'PASSESSOR'S TAX/PARCEL #: wI X U O6 -6661::3
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT•• •
TYPE OF PROJECT (This application): 0 BUILDING O PLUMBING MECHANICAL O DEMOLITION
O ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
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PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
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MAILING ADDRESS -5 (S7REET� �Q� /, , ZiPFQ�� � �
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MAILING ADD
MAiLINGESS (ME ADDRESS; , STATf_ ZIP).
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EVENING PHONE' _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION HUMBER
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i EXPIRATION % A�
(�vr fr ofd fequked)
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NAME: DAYTIME oMORE!
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MAILING ADDRESS (MEET ADDRESS; Cn)�Z
Y, STATE, P): EVENING PHONE:
IP
RELATIONSHIP TO PROJECT: I FAX NUMBER -
0 ARCHITECT 0 TENANT VOTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER' O APPLICANTCONTRACTOR ( I
DETAILEDIY
BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:
SPRINKLERED BUILDING? O YES 0 NO
WATER SERVICE PROVIDER: O LAKEHAVEN
SEWER SERVICE PROVIDER: O LAKEHAVEN
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PROPOSED VALUATION FOR IMPROVEMENTS: $
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: O YES O NO
O HIGHLINE 0 TACOMA ❑ PRIVATE (WELL)
O HIGHLINE 0 PRIVATE (SEPTIC)
:WONA ST:LO 2002-9-100
"NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
BASEMENT FLOOR
EXISTING SQ. FT.
PROPOSED SO. FT.
TOTAL
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNiT(S) EVAPORATIVE COOLER(S) GAS LOG(S)BBQREFRIG. SYSTEM(S)
BOILER(S)
ER(S) FIREPLACE INSERTS HOODS) WOODSTOVE(S)
COMPRESSOR(S) FURNACE(S) () RANGE(S) MISC. (
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: p ELECTRIC -XGAS
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(s)
INTERCEPTORS)
PLUMBING
LAVATORY(S)
RAINWATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HEATER(S)
o ELECTRIC 0 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 Cityof Federal Way as to any claim (including costs, expenses, and attomeys' 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 su lied to city as apart of this application.
NAME/TITLE; DATE:
0 PROPERTY OWNER 0 APPLICANT ?106 TRACTOR/Q,P�1
J b V CU"L A f. v
COMMUNITY DEVELOPMENT SERVICFS • 33S30 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAy, WA 98063,9718 . 253.661-4000 • FAX: 253.661-4129
b'd 62TtT99€S2T:01 :WOdJ 9T:10 2000-9-100