04-101389%--"y 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: MIHALEVIC
Project Address: 510 SW 332ND Cf
Project Description: Installing a new Bryant A/C unit
Mechanical Permit #:04 -101389 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 729801 0120
Owner
Applicant
Contractor
Donald J Mihalevic & Pamela J Mihalevic
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
510 SW 332ND CT
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-6169
(206)282-4700
Mechanical Valuation..........................................5359 Over the Counter Permit...................................... Yes
Mechanical Fixtures
Description Quantity I Description I Quantity F Description _Quantity
Air Handling Units
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 .
-A"Owner or agent: Z Date: l�
r
APR -14-2004 11:17 FROM:
ECEIVED
Federal Way .
APP 1 4 2004
For Offk. Um Only:
The
SITE ADDRESS:
04-(0139y Hf.
TO:12536614129 P.4
wMroup/II UEVEI.OPA/ENT SERVICES
-13530 JgRST WAY SOVT H • PO BOX 9718.
fEDERAL WAY, WA 96063.9710
PERMIT APPLICATION ( 253-661-f I IS- FAX' 25J-661-4129
- an
Ptd G
will not be accepted. Please print legibly (in inky or
Z411,81010". •
SUITE/APT M
ASSESSOR'S TAX/PARCEL N: 7 Z!j !N9 I - Z)4�a Q SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORAIATION
TYPE OF PERMIT (This application(:&LECTRICAL
UILDING O PLUMBING MECHANICAL ❑ DEMOLITION
O ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DFSCR FTION (Promde detailed des�ptioR of work included on
PROJECT NAME (Name of BusinesslOwner Last Name): . hQ I �Q V/c-
PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR:
LENDER
(If rropow• v due > $3,0001
APPLICANT:
NAME: PRIMARY PHONE:
[d 1(271-3)93?
MAILING ADDRESS (STREET ADDRESS;1: � C1TY ATE' u � O Z
to W 2� •rim=p
NA�COMPArIy
► OFFICE PHONE: ��pp
(-C )
MAILING ADDRE EET D ►:
STAT 2
CELL PHONE:
CITY OF FEDE WT BUSINESS LICENSIrNUEXPIRATION DATE:
FAX NUMBER --
CONTRACTORS REGISTRATION NUMBER/� EXPIRATION DATE:
(copy of esrd :equJs•d with each appltc•tlon) SN1 1 '�_'S5
I 7
NAME:DAYTIME
PHONE:
(
MAILING ADDRESS (STREET ADDRESS;(:
CITY, STATE, ZIP
NAME:
COMPANY-
OFFICE PHONE:
( 1
MAILING ADDRESS (STREET ADDRESS):
CITY, STATE, ZIP
EVENING PHONE:
RELATIONSHIP TO PROJECT:
O Architect ❑ Tenant O Other (Describer
FAX NUMBER:
CONTACT PERSON FOR THIS PROJECT: O Property Owaer Contractor ❑Applicant E-MAIL ADDRESS:
DETAILED :• • INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? 0 YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES 0 NO
WATER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE O TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
APR -14-2004 11:18 FROM:
TO:12536614129 P.5
C-
'�W- At 14"1P V'(C• 5 �US4r 33 Z�
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
GAS LOOS REFRIG. SYSTEMS
BBQS FANS
HOODS (Commao.q WOODSTOVES
FIRST
RANGES MISC (Describe)
_COMPRESSORS FURNACES
GAS WATER HEATERS
SECOND
a NO
ZO' G`DESIGNATION: ..
THIRD
o YES
a NO
NEW ADDRESS REQUIRED?
FOURTH
UP/SEPA/SU?
a YES
a NO
ADDITIONAL FLOORS (DESCRIBE)
o YES a NO
DEMO PERMIT REQUIRED?
a YES
DECK (COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
Toru. oasnxa
TOTAL tatorosre
IWAL Erosnt+o MD PROPMED
"NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
JNECSAATCAL z
Value of MechanimI Work
-AIR
HANDLING UNITS EVAPORATIVE COOLERS
GAS LOOS REFRIG. SYSTEMS
BBQS FANS
HOODS (Commao.q WOODSTOVES
BOILERS FIREPLACE INSERTS
RANGES MISC (Describe)
_COMPRESSORS FURNACES
GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
a NO
PLUMBING
BATHTUBS 10 T„b/sh._c._" SHOWERS WATER CLOSETS Tr.a.,l MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAJNWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS lath- Sink VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/STGNATURF ALC
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 ou�rtcr 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 claire (including costs, expenses, and
attorneys' fees incurred in the investigation and defense of such claire), 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 a ees, upon the accuracy of the information supplied to the city as ap� of this application.
NAME/TITLE: z a44tZ)DATE:
(Signature) L ri fTitlel 11
RELATIONSHIP TO PROJECT: ❑
❑ Applicant
` d Architect ❑
FOR OFFICE USE;:OIiLY ..
b ADDITION
o ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILD ING'SHELL ONLY?
o YES n NO
BASIC PLAN?
o YES
a NO
ZO' G`DESIGNATION: ..
CHANGE OF USE?
o YES
a NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU?
a YES
a NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED?
a YES
a NO
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