04-101527'ii ity of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:04 - 101527 - 00 - ME
Inspection request line: 253.835.3050
Project Name: ADAMS Q\
Project Address: 33447 11THSWParcel Number: 926496 0360
Project Description: Installing new 3.5 ton A/C unit; Removing and replacing existing gas furnace and water heater
Owner
Applicant
Contractor
BRIAN & MEGHAN ADAMS
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
33447 11TH PL SW
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA 98023
SEATTLE WA 98199
SEATTLE WA 98199
(206) 282-4700
Mechanical Valuation..........................................9684 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description—Quanti C Description Quantity Description�QuantityI
Air Handling Units 1 Furnaces 1
PERMIT EXPIRES October 24, 2004.
Permit issued on April 27 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 ina cordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way. l
Owner or agent: Y"4G Date:
k
GY
APR -23-2004 10:57 FROM: TO:12536614129 P.3
1� LvMAIUMTY DEVELOPAIENT SERVICES
C" w �� 33M0'gRST WAY SOU11t • M BOX 9718,
FEDERAL WAY, WA 98063.9718
Foderal way PERMIT APPLICATION 151 6''InIMll '6mlmis9
F..oax.D:only T FW File Number: - -
The following is required information -an incomplete application urill not be accepted. Please print Legibly (in ink) or tripe.
SITE ADDRESS: —A I'1—*` P S W SUITE/APT M
ASSESSOR'S TAX/PARCEL 0: -L - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
TYPE OF PERMIT (This application): ❑ BUILDING ❑ PLUMB MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGiNEE ❑ FIRE P ON SYSTEM
PROJECT NAME (Name of Business/Owner Last Name): 404a YV L1
PROPERTY
OWNER
CONTRACTOR
LENDER
lit r -""d Va.. > ".0001
APPLICANT:
NAMEk V/r l ( -5-7) PHONE:
P tib �
4 -
MAIUNG ADDRESS (SIRE AODRESS;I CITY, STATE, Zip
NAME
COMPANY
OFFICE PHONE: -
OFFICE PHONE:
C�--
MAIWNG ADDRESS (S_ET ADDigE^�O :): el — RE-ISCRY,
STAT , Z �✓J
L ( C
CELLPHONE: -
CITY F Fl30{ WAY�UBNUMBER:EXPIRATION�
DA
R
FAX NUMBER:
O
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CONTRACTOR'S REGISTRATION NUMBER-EXPIRATIONDATE:
W ,^
1. -7 Low
/ --z-
(eoP7 of card rir
equed Frith each upplleatlos) I L
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2
NAME:
NAME: /DAYTIME PHONE:
l � -
MAIUNG ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP
NAME: Cr 1 •
COMPANY
OFFICE PHONE: -
MAIUNG ADDRESS (STREET ADDRESS):
CITY. STATE, ZIP
tEVENING PHONE:
l
RELATIONSHIPTO PROJECT:
❑ Architect ❑ Tenant ❑ Other (Describef
FAX NUMBER:
( ) -
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner Contractor ❑ Applicant E-MAIL ADDRESS.
DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? ❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED?: ❑ YES ❑ NO
h
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
APR -23-2004 10:57 FROM:
S.
■ PROJECT FLOOR AREAS
TO:12536614129 P.5
AREA DESCRIPTION
EXISTING S ..FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
a ALTERATION
o REPAIR o TENANT IMPROVEMENT
FIRST
D YES o NO
BASIC PLAN? o YES
o NO
SECOND
CHANGE OF USE? o YES
o NO
THIRD
o YES o NO
UP/SEPA/SU? o YES
o NO
FOURTH
o YES a NO
DEMO PERMIT REQUIRED? a YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL. DRSnNO
TDTAL PROPOSW
TOTAL WSiV/c AND PROPOSED
"NEWHOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: S
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.
X901AA11CAL 49r-.
Value of Mechanical Work $ 5
2
_ -AIR HANDLING UNITS -31 5*"*1 EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS FANS HOODS W OODSTOV ES
BOILERS FIREPLACE INSERTS ,,j,,� RANGES MISC (Describe)
_COMPRESSORS FURNACES 9D)OWA65 Gq3 WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS I.,T„b/Sh—Co.W1 SHOWERS WATER CLOSETS (Doan) MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS (ache .Sh* VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER /SIGNATTTRF RT.C7
Z 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 City of Federal Way as to any claim (including costs, expenses, and
attorneys'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 of and emp es upon the accuracy of the information supplied to the city as aYpaof this application. rt
NAME/TITLE: DATE:
(Signature) gitle)
RELATIONSHIP TO PROJECT: ❑ Property Owner O Applicant XContractor ' b Architect ❑
4Z-5- -7 _? 6 3 2.S -e
FOR OFFICEUSE,OI�TLY � ' ,
o IiEW b ADDITION
a ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING, SHELL ONLY?
D YES o NO
BASIC PLAN? o YES
o NO
ZONIHCr DESIGNATION:
CHANGE OF USE? o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU? o YES
o NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED? a YES
o NO
l lulit:uri 'i? o(; Page 2