04-101808City of*17,4erat Way
Comr mnity Development Services
33 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: PETE
Project Address: 1014 S 301ST 5 "
Project Description: Gas to gas water heater
Mechanical Permit #:04 - 101808 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 515390 0110
Owner
Applicant
Contractor
Keith M Pete
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
1014 S 301ST ST
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98003-4110
(206)282-4700
Mechanical Valuation..........................................600 Over the Counter Permit...................................... Yes
PERMIT EXPIRES November 9, 2004.
Permit issued on May 13, 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 en • (,� Date: //w
MAY -10-2004 15:09 FROM: TO.12536614129 G _6_<zf f
COMAfUNM DEVEWPAIEAT SERVICES
73530 FIRST WAY SOUTH • PO BOX 9718
Cm FEDERAL WAY, WA 98067.9718
Federal wayPERMIT APPLICATION 2$3-661-41 IS- FAX. 2S3-661 29
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FW File Number: —
The following is required information — an incomplete application will not be accepted. Please print legibly/ (in ink) or tvoe-
SITE ADDRESS: �� l S 3Q �gsnt - SUITE/APT h
ASSESSOR'S TAX/PARCEL #:T/ zV
�! / O SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1)
(Attach separate pnge for lengthy legal description)
PROJECTMFORMATION
TYPE OF PERMIT (This application(: ❑ BUILDING ❑ PLUMBING �AIECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of wprk included on
PROJECT NAME (Name of Business/Owner Last Name):
PEOPLE•- •
PROPERTY
NAME: PRIMARY PHONE:
OWNER
CONTRACTOR
LENDER
ptrrop"vat..> 0,0001
APPLICANT:
�!
(2.531 qelL -623
MAILING ADDRESS (STREET At DRFJSS;):
/b 0
CITY, STATE, ZIP
CITY, STATE, ZIP
EVENING PHONE:
NAME
I
V 169 F
COMPANY
OFFICE PHONE:
MAILING
/A�D'DST ErET^ /�D�; S:):
a�'�'�/ Y , (fes' �'•
.STAT , Z _� C
e
l ELL PHONE:
J` _
CITY OF FEDE L WAY BUSINESS LICE S NUMBER: EXPIRATION DATE:
FAX NUMBER
CONTRACTORS REGISTRATION NUMBER: /'� 9EXPIRATION DATE;
ca
(copy of rd required with each applleadon) WAS ` S5-7 60,9 4 / "'Z_ l b
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS;):
CITY, STATE, ZIP
NAME: �%
�` J r v , • Kms..
COMPANY
OFFICE PHONE:
MAILING ADDRESS (STREET ADDRESS):
CITY, STATE, ZIP
EVENING PHONE:
RELATIONSHIP TO PROJECT:
O Architect O Tenant O Other (Describe]
FAX NUMBER:
( ) -
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner Contractor ❑ Applicant E-MAIL ADDRESS.
•BUILDING INFORMATION
EXISTING USE: _ PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE
VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? ❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED?: O YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE O TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 IIIGHLINE 0 PRIVATE (SEPTIC)
MAY -10-2004 15:09 FROM: TO:12536614129 P.9
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FANS
HOODS
WOODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (Describe)
SECOND
FURNACES
GAS WATER HEATERS
THIRD
GAS PIPE OUTLETS
o NO
NEW ADDRESS REQUIRED?
FOURTH
UP/SEPA/SII?
o YES
a NO ,
ADDITIONAL FLOORS (DESCRIBE)
SHOWERS
WATER CLOSETS Iruaep
MISC (Describe)
DECK (COVERED?)
SINKS
DRINKING FOUNTAINS
GARAGE/CARPORT
SUMPS
RAINWATER SYS
HOW MANY FLOORS?
TOTAL cusrua
T07AL PROPOSED
TOTAL =7 nNC ARD PROPOSED
"NEWHOMES 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.
MEC L4MCAL
Value of Mechanical Work $ (�
--AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
_COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
o NO
NEW ADDRESS REQUIRED?
PLUMBING
UP/SEPA/SII?
o YES
a NO ,
BATHTUBS to,T..h/Sh—Ca 1.I
SHOWERS
WATER CLOSETS Iruaep
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYS
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS le,uae wrik
VACUUM BREAKERS
ELECTRIC WATER HEATERS
]ISCLAiMER /SiGNATi IRE RL(]
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 ouirter 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 Bled against the City of Federal Way, but only where such claim arises out of the reliance of the city,
including its officers and emp'loy upon the accuracy of the information supplied to th_4tr�_ne city as a part�o this application.
NAME/TITLE: `�%LGGL DATE: �` `
IStgnaturel tel
RELATIONSHIP TO PROJECT: a Property Owner
Applicant o Contractor ' ` t7 Architect o
V2,j- 7-70 3
FOR OFI¢ ICE�USE ONLY
ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
13Ur0JING SHELL ONLY?
o YES o NO
BASIC PLAN?
o YES
o NO
ZONING'DESIGNATION:
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SII?
o YES
a NO ,
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
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