04-101378City 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: ALI /��
Project Address: 29254 12TII-S
Project Description: Gas to gas furance changeout
Mechanical Permit #:04 -101378 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 516200 0080
Owner
Applicant
Contractor
Ejaz Ali & Rabia E Ali
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
29254 12TH PL S
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98003-3770
(206)282-4700
Mechanical Valuation..........................................2201 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
C_Description _ Quanti DescriptionQuantity I Description Quantity
maces —
PERMIT EXPIRES October 13, 2004.
Permit issued on April 16, 2004
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: til Date: ` C G ((�
APR -14-2004 07:35 FROM:
RECEIVED
Federal Way . PERMIT
T0: 12536614129 0 Y _(F049 78 `KE,
�vamwnu r Urvt:WFAE.Yr5ERVICES
jimo FIRST WAY SOUTH • PO BOX 9718.
FEDERAL WAY, WA 96--7Id
APPLICATION 253461-41 I5- FAX ?53-661 1?9
.� i�nu,u rirun/r ACM,
-. - ------ - • ,' _ _ _ — ` _ r vv an%rrs yr LAl 1 :
LEGAL DESCRIPTION (e.g.: Acme Estates, Lot l)
(Attach separate page for lengthy legal description)
TYPE OF PERMIT (This application): O BUILDING O PLUMBING WVECHANICAL O DEMOLITION
O ELECTRICAL O ENGINEERING ❑ IRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detai d description of work included on this Permit onl
3 /z/qfiVgc;p// a / 1 , duz,
PROJECT NAME (Name of Business/Owner Last Name)-
PEOPLE
MFORMATION
PROPERTY
OWNER-
CONTRACTOR.
WNER
CONTRACTOR
LENDER
APPLICANT:
NAME' PRIMARY PHONE:
R.vh 16 ) � - e64b
MAW NG ADDRESS (STREET ADDRESS;(: CITY, ST ZIP
NAME
COMPANY
OFFICE PHONE,
c
zk� 7(Z)MAILINGADD
ST
L L
CELL PHONE:
CITY�up, FEDE%L WAY BUSINESS LICE�qSf NUMBER:EXPIRATION DATE: �
FAX NUMBER: --
CONTRACTORS REGISTRATION NUMBER: r\ ^ EXPIRATION DATE:
(eopy et % � / /
Low
card •egalred with each appUeatlon( G V _ Z V
NAME: /DAYTIME PHONE:
l � -
MAILING ADDRESS (STREET ADDRESS;(: CITY, STATE, ZIP
NAME: • " /
COMPANY
(OFFICE PHONE: -
MAILING ADDRESS (STREET ADDRESS):
CITY, STATE. ZIP
EVENING PHONE:
RELATIONSHIP TO PROJECT:
O Architect O Tenant 0 Other (Describe]
FAX NUMBER:
( ) -
CONTACT PRSON FOR THIS PROJECT: O Property Owner Contractor O Applicant E-MAIL ADDRESS:
E
DEfAILED BUILDING I• . u •
EXISTING USE: PROPOSED USE;
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED?: O YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLINE O TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLINE O PRIVATE (SEPTIC)
a♦
APR -14-2004 07:35 FROM:
TO:12536614129 P.10
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
o I[EW , '. a ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
FIRST
BUILDING. SHELL ONLY?
d YES ONO
BASIC PLAN?
SECOND
o NO
ZONINGDESIGNATION:
THIRD
o YES
❑ NO
NEW ADDRESS REQUIRED?
FOURTH
UP/SEPA/SU?
a YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
a YES o NO
DEMO PERMIT REQUIRED?
a YES
DECK (COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TWAT toasmtn
WrAL PROPosm
TMAL vamt.c Ann PROPOSeD
"NEW HOM1:S ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
Indicate number of'each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
-AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS FANS HOODS (c...4 WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES G_451 WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS twTub/snovaco bol SHOWERS WATER CLOSETS rr.a q MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAYS I stnk VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE RLC
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 abovc 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 investigation and defense of such cWrrq, 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 nd employe e , upon the accuracy the info oration sup lied to the city as a part of this application.
NAME TITLE: GL DATE:
(Signature) (Tim)
RELATIONSHIP TO PROJECT: O Property Owner Applicant Contractor O Architect ❑
FOR OFFICE,VSE ONLY
o I[EW , '. a ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING. SHELL ONLY?
d YES ONO
BASIC PLAN?
o YES
o NO
ZONINGDESIGNATION:
CHANGE OF USE?
o YES
❑ NO
NEW ADDRESS REQUIRED?
a YES ONO
UP/SEPA/SU?
a YES
o NO
PLATTED LOT?.
a YES o NO
DEMO PERMIT REQUIRED?
a YES
o NO
Ftullci�n tiIOG - ,J.�r?'a., •; 1 . SU(; -I
Page 2
N