04-102568City 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: LEWIS `r
Project Address: 31726 47TH SW UnitB
Project Description: Install 70,000 btu furnace.
"—I
Mechanical Permit #:04 - 102568 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 784301 0270
Owner
Applicant
Contractor
JANICE LEWIS
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
31726 47TH LN SW UNIT B
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA 98023
SEATTLE WA 98199
SEATTLE WA 98199
(206) 282-4700
Mechanical Valuation..........................................4905 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quanti [ _ Description _uantty [_ Description _ Quantity
Furnaces [ 1
PERMIT EXPIRES January 4, 2005.
Permit issued on July 8, 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: Date:
'A
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON-SITE ,
1)
Community Development Inspection Record
IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04 -102568 -00 -ME
Owner: JANICE LEWIS
Address: 31726 47TH LN SW Unit B
FEDERAL WAY, WA
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
❑
Mechanical Rough -in (4165)
❑
Gas Piping (4125)
❑
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By
Date
JUN -28-2004 11:42 FROM: T0: 12536614129- t OZF'-6
COMMUNITY DEVELOPMENT SERVICES _
uTr •��
33530 FIRST WAY smrm - PO BOX 9718,
FEDERAL WAY, WA 98063.9718
Federal way PERMIT APPLICATION 7S3 M.—Ci(un/I�Ac( dlva�6inn
For OZ- U— Oaty: I ln_ TD:
FW File Number: .L {/..C) /Y�^L SJfL Y��[/.
The following is required information - an incomplete application will not be accepted. Please print legibly fin ink) or
SITE ADDRESS: `3 J -7 ZLp 42 Tv% LAJ `3 LL SUITE/APT A
ASSESSOR'S TAX/PARCEL #: — _ _ _ _ _ - ^ _ _ _ SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.: Anne Estates, Lot 1)
(Attacch separate page or lengthy legal description)
PROJECTWFORMATION
TYPE OF PERMIT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL O DEMOLITION
K ELECTRICAL 0 ENGINEERING D FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Protride detailed description of work included on this permit onlut
IS-
PROJECT NAME (Name of Business/Owner Last Namj-
PEOPLE iNFoRrdATION
PROPERTY
OWNER:
CONTRACTOR--
LENDER-
of
ONTRACTOR:
LENDER:Of F-P—J V-3— > $3,0001
APPLICANT:
OZ.LFp-7a
NAME: PRIMARY PHONE:
GZLf (�3
3�MAILiNG ADDRESS ( �� AD� t CrITY.— $y � WA
3
NA
q"A / Jl
COMPANY
MAIUNG ADDRESS (STREET ADDRESS):
OFFICE PHONE:7a,41
HUNG ADD
ST ET ;): �
T Z
/ �/
� L ( 4
(ELL PHONE: -
CITY OF FEDE
7�-0,
WAY BUSINESS LICE S NUMBER:
' -I6_c 61(f -L3 PvNIR.,---
EXPIRATION DATE:
FAX NUMBER.
CONTRACTORS REGISTRATION NUMBER
(copy of � I S lO
EXPIRATION DATE:
i' -Z
cud required
with each appneation)
NAME: _ DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS;): CITY, STATE. ZIP
NAME: (/ I ` r • ���
COMPANY
OFFICE PHONE: -
( )
MAIUNG ADDRESS (STREET ADDRESS):
CITY, STATE, ZIP
EVENING PHONE:
RELATIONSHIP TO PROJECT:
0 Architect 0 Tenant 0 Other (Describer
FAX NUMBER:
CONTACT PERSON FOR THIS PROJECT: 0 Property E-MAIL ADDRESS:
p rty Owner Contractor O Applicant
DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? D YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED?; O YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE O TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: O LAKEHAVEN 0 HIGHLINE O PRIVATE (SEPTIC)
JUN -28-2004 11:42 FROM: TO:12536614129 P.6
3/72-4
J ki
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUIT.DINCt SHELL ONLY? "' c VMS . o NO
BASIC PLAN?` o YES
FIRST
ZQPiIIiG DESIGNATION:
CHANGE OF USE? o YES
a NO
SECOND
UP/SEPA/SU? o YES
a NO
PLkATTED LOT? D YES a NO
THIRD
a NO
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
rorni o�ru+o
IMAL PROPOSED
WTAL EOSTWO Aim PROPOSM
• MWHOMESONLY" 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.
2f2I!4MC4L D
Value of Mechanical Work $ —1 L
• -AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRJG. SYSTEMS
BBQS FANS HOODS lcomo_dap WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Descnbej
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS I., rue/Sha Cas"
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (sathr m sink
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS Irn�y
DRINKING FOUNTAINS
RAINWATER SYS
HOSE BIBBS
ELECTRIC WATER HEATERS
71SCLAIMPR /SIGNATURE BLC
MISC (Describe)
I certVy under penalty of perjury that the Igformation furnished by me is true and correct to the best of my
knowledge, and further, that I am authorised 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 officersd employee , pon the accuracy of the informs on supplied to the city as apart of this application-
NAME/TITLE: 4 DATE: LP�z
RELATIONSHIP TO PROJECT: O Property Owner O Applicant o Contactor o Architect o
770 -3 2�
i20 F:.5EYlA a�rr TC -J
AW . p ADDITION p ALTERATION
❑ REPAIRo TENANT IMPROVEMENT
BUIT.DINCt SHELL ONLY? "' c VMS . o NO
BASIC PLAN?` o YES
o NO
ZQPiIIiG DESIGNATION:
CHANGE OF USE? o YES
a NO
NEW ADDRESS.REQUIRED? a YES o NO
UP/SEPA/SU? o YES
a NO
PLkATTED LOT? D YES a NO
DEMO PERMIT REQUIItED? o YES
a NO
r
I'lullOUY1 4l Oil ,!}[.'!U.if':• I, _1004 - Pagc 2