04-101379City of Federal Way
Conununity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: PURYEAR ?
Project Address: 32321 26TH SW
Project Description: Gas to gas water heater changeout
a r
Mechanical Permit #:04 -101379 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 873180 0940
Owner
Applicant
Contractor
David B Puryear & Sara S Puryear
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
32321 26TH PL SW
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-2551
(206) 282-4700
Mechanical Valuation..........................................600 Over the Counter Permit ...................................... Yes
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 Way
Owner or agent: Date: `
stk�c)4 (26m4t�,,�
APR -14-2004 07:34 FFD=CEI V GD T0: 12536614129 D ` jcr ('S7
1� @�� �C• wauwN1IT VEVEIAPMEM SERVICES
ens a 33530 FIRST WAY SOVIil • PO BOX 9718
FEDERAL WAY. WA 98063.9718
Federal wayAPR � 4 PERMIT APPLICATION 253-661-411S•FAX 759661 !?9
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Per osGn u: oNy: �' e F4Fjq�RA
ASSESSOR'S TAX/ PARCEL il: 4e 3 3 ! k() - v !? V40 SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 11
(Attach separate page for length, legal description)
PROJECT INFORMATION
TYPE OF PERMIT )This application): 0 BUILDING ❑ PLUMBING kly
F MECHANICAL ❑ DEMOLITION
O ELECTRICAL ❑ ENGINEERING 0 IRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Protide detailed description of wnrk inrhirfnd nn thic no—it nn1uF
PROJECT NAME (Name of Business/Owner Last Name):
PEOPLEl .-
PROPERTY
OWNER:
CONTRACTOR
LENDER;-
[it
ENDERIlt rrep 4 value > $3.0001
APPLICANT:
NAME: rDr l 0 D PRIMARY PHONE:
�)
VO -347Y
Y -3� SS•
MAIUNO ADDRESS/ (STREET ADD S:): CITY�TE, ZIP
ZC� C 1-'� �e�
NA
COMPANY
OFFICE PHONE:
izoo �KJ
MAIUNO ADDRE S7 ET D`
, STAT . Z
`
CELL PHONE: -
CITY OF FEDE13g WAY BUSINESS LICE S NUMBER: EXPIRATION DATE:
Z.
FAX NUMBER
) ---
CONTRACTORS REGISTRATION NUMBER:
'
C
EXPIRATION DATE:
(eopY of eard required with e•eh opplie•tlon)
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NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS;): OITY, STATE. ZIP
NAME:
COMPANY
OFFICE PHONE: -
( )
MAILING ADDRESS (STREET ADDRESS):
CITY, STATE, ZIP
EVENING PHONE:
RELATIONSHIP TO PROJECT:
D Architect 0 Tenant O Other (Describe]
FAX NUMBER:
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner Contractor O Applicant EMAIL ADDRESS:
DETAMED BUILDING INFORMATION
EXISTING USE:
PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: O YES O NO
WATER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
APR -14-2004 07:34 FROM:
TO:12536614129 P.8
AREA DESCRIPTION DESCRIPTION
EXISTING SQ. FT.
PROPOSED SO. FT.
TOTAL
BASEMENT
SUMPS
WASHING MACHINES
URINALS
FIRST
VACUUM BREAKERS
DRINKING FOUNTAINS
o NO
SECOND
HOSE BIBBS
a NO
THIRD
a YES o NO
UP/SEPA/SU? o YES
o NO
FOURTH
o YES a NO
DEMO PERMIT REQUIRED? o YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
rotAL nttsttnc
rorAL PRoroam
Toru, wants AND PROPOSED
—PrWHOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
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.
MECIZANICAL ,�/� r--
ValueofMechanioal Work $. �4 r
—AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
PLUMBS NG
BATHTUBS (—Tub/Sh—C.mba1
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (Bath—.sh*
VACUUM BREAKERS
GAS LOOS
REFRIG. SYSTEMS
HOODS tcam—cL q
W OODSTO V ES
RANGES
MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS rrokq
MISC (Describe)
DRINKING FOUNTAINS
o NO
RAINWATER SYS
HOSE BIBBS
a NO
ELECTRIC WATER HEATERS
a YES o NO
nISCI_ATMFR/STr.NATTTRP nT.r,
I certify under penalty of pe that the information furnished by me is true and correct to the best of my
knowledge, and further, that I am autHerized 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' Jees 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 emplol s, upon the accuracy of the infosupplied to the city as a pgrt Of this application.
NAME/TITLE: DATE: �r-Ig/ �7
(Signature)C/ fritiel
RELATIONSHIP TO PROJECT: ❑ Property 010 ❑ Applicant I✓Contractor .. ❑ Architect C3
FORM.OFFICEtUSE,ONLY
13u1LcLn ? I (1;s l tea,!
o NEW o ADDITION
o ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
C YES a NO
BASIC PLAN? o YES
o NO
ZONING DESIGNATIOIN:
CHANGE OF USE? o YES
a NO
NEW ADDRESS REQUIRED?
a YES o NO
UP/SEPA/SU? o YES
o NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED? o YES
❑ NO
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