04-102928E,
City of Federal Way
Community Development Services
33530 1st Way S
Federal Wav, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #: 04 -102928 Co -D ME
Inspection request line: 253.835.3050
Project Name: WEISZ Q\
Project Address: 33720 7TH SW Parcel Number: 729804 0340
Project Description: Installing 2 new gas logs and their associated gas piping
Owner
Applicant
Contractor
Randy L Weisz
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
33720 7TH PL SW
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-5045
1 (206)282-4700
Mechanical Valuation..........................................3858 Over the Counter Permit...................................... Yes
Mechanical Fixtures
Description �Qua_nti r Description anti 1 Description Quantity
Gas Logs -2 Gas Piping 200
— -- — - — L---�
PERMIT EXPIRES March 9, 2005.
Permit issued on September 10, 2004
I hereby certify that the above information is correct and that the constriction 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.
q1(6 �
Owner o agent: _ Date:
City Federal Way Mechanical Permit #: 04 -10292
Commuu nity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line:
Project Name: WEISZ
Project Address: 33720 7TH SW Parcel
Project Description: Installing new gas logs and 50 feet of gas pipin
-0%- ME
3.835.3050
0340
Owner
Applicant
Contractor
Randy L Weisz
WASHINGTON ENERGY SE V ES CO
W SH GTON ENERGY SERVICES CO
33720 7TH PL SW
2800 THORNDYKE AVE W
28 HORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
ATTLE WA 98199
98023-5045
206)282-4700
Mechanical Valuation..........................................2658
Description Quantity
Gas Logs 1� C
I hereby certify that the above infi
the occupancy and the use will be
the City of Federal Way
Owner or agent: �K"
fthe Counter Pe it ...................................... Yes
res I
PE T XPI S JVrIation
9,
Pe 't is a on Ju4
on is correct n the constth
ordance wit the I'' s, rules an
'Cl
U
Da
r
THIS CARD IS TO REMAIN ON-SITE M `,
CITY Oi Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04 -102928 -00 -ME
Owner: RANDY L WEISZ
Address: 33720 7TH PL SW
FEDERAL WAY, WA 98023-5045
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.
❑
By
Mechanical Rough -in (4165)
Approved
Date
❑
By
Gas Piping (4125)
Approved to release test
Date
EV Final - Mechanical (4065)
Approved
By 5 Date (( - Z
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
33325 8`h Avenue South
PO Box 9718
Federal Way WA 98063-9718
253-835-2607; Fax 253.835.2609
www.citvoffederalway.com
�rl slw rJ 2004
APPLICATION FOR BUILDING REVISION
Original Permit Number: D q ` oz- z-2,S�5)10 M
Site Address: --;12
Building Owner/Tenant:
Contact Person: OR(t�—
Nature of Revision(s):
Phone: C 7 J— 7 20 3 ZA?
n � a-C)d ! lam. J -e -f
Revision Valuation: 1$4
Owner/Ag ent: X44k,-t�Date: C
f GI q S
Bulletin # 112 — April 6, 2001 Page I of 1 k:\Handouts — Revised\Application for Bldg Revision
.TUL-23-2004 07:22 FROM:
j�c�.wVED
Federal W9YL 2 3 2N4
TO:12536614129 P.5
CONMUAm DEVELOPA(ENr SERVICES
33530 FfRSr WAY SOM . PO BOX 971$
FEDERAL -WAY, WA 9806!-9718
PERMIT APPLICATION 3-,666J-411unnPAX'
-66)-4119
I --A—CF:OFJW (umber V 4 - 1 0 C I —/-- -) _ J lu-7 re
The following is
- an
will not be accepted. please
SITE ADDRESS: ::f2-:::::5--2 2-0 5-N OS�
ASSESSOR'S TAX/PARCEL 9: 17 SQUARE FOOTAGE OF LOT:
SUITE/APT M
LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 11
(Attach separate page for lengthy legal description)
TYPE OF PERMIT (This application): ❑ BUILDING O PLUMBING MECHANICAL O DEMOLITION
❑ ELECTRICAL O ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECILM'FrION (Provide detailed description work included an this ermit onl
�
PROJECT NAME (Name of Business/Owner Last Name):
PEOPLE•- •
PROPERTY
OWNER
CONTRACTOR
or
NAME: PRIMARY PHONE:
LING ES
y w a-(j'e (2Jr3)831' - (P
MAIADDRS (STREET ADDRESS;): CITY, STATE, ZIP
W 7e 02?
NA
COMPANY
OFFICE PHONE:
MAILING ADDRESS (STREET ADDRESS):
CITY, STATE, ZIP
C �d V
MAILING ADDRE ST ET D ;):�
��
STAT j
C L
;ELL PHONE: -
CITY OF FEDE WLY BUSE/N�ESS�LIICE(115f NUMBER: % !EXPIRATION DATE:
FAX NUM/BER
CONTRACTOR'S REOISTRATION NUMBER: JJ
(oePY d cud reg O -d -ith each appli-ti..1
r G
EXPIRATION DATE:
LENDER NAME:
P1 P -P --d Vada. > •s,000l
APPLICANT:
NAME:
COMPANY
OFFICE PHONE: -
MAILING ADDRESS (STREET ADDRESS):
CITY, STATE, ZIP
EVENING PHONE:
RELATIONSHIP TO PROJECT:
❑ Architect ❑ Tenant ❑ Other (Describe]
FAX NUM) ER:
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner Contractor o Applicant
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILDING? ❑ YES O NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER 0 LAKEHAVEN
VALUE OF PROPOSED WORK: $
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED?: O YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
0 HIG11LINE 0 PRIVATE (SEPTIC)
JUL-23-2004 07:22 FROM:
PROJECT FLOOR AREAS
TO:12536614129 P.6
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
"-AIR HANDLING UNITS
EVAPORATIVE COOLERS
FIRST
BBQS
BOILERS
FANS
HOODS WOODSTOVES
SECOND
FIREPLACE INSERTS
RANGES MISC (Descnbe)
COMPRESSORS
THIRD
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
1WAL IMSTWO
rove. PROPOSEp
"AL ewmHG AKD PwPaSM
—NEWHOMES ONLY"` NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
adicate 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
AIZECHdmCAL rI �`j
Value of Mechanical Work $ 2_(.Q J Q
"-AIR HANDLING UNITS
EVAPORATIVE COOLERS
l
L GAS LOGS REFRIG. SYSTEMS
BBQS
BOILERS
FANS
HOODS WOODSTOVES
FIREPLACE INSERTS
RANGES MISC (Descnbe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
PLUMBING
BATHTUBS torT�b/s,--combo) SHOWERS WATER CLOSETS froacq MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
OAS PIPE OUTLETS SUMPS IWNWATER SYS
WASHING MACHi9ES URINALS HOSE BIBBS
LAVS (s. m su„t VACUYM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER /SIGNATURE RLC
I certify under penalty of per that the tnformct ion furnished by me is true and correct to the best of my
knowledge, and further, that I ant aut orized by the oatrner of the abotle 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 flied against the City of Federal Way, but only where such claim arises out of the reliance of the city,
including Its officers and
n ,e�m/p_lo s, upon the accuracyof the information supplied to the city as apart of this application.
NAME/TITLE: G
��� DATE:
(Signature) (IItJc)
RELATIONSHIP TO PROJECT: ❑ Property O r 0 Applicant Contractor 0' Architccf O
"I J f.�i✓�
-70 2ZJ00� -
�R O�FFMICE USE-ps�,rxY,• �,,y.: "tr:
a.«Ma u
Fr 1; k r p ADDITION 9 ALTERATI.QN o REPAIR
{
o TENANT IMPROVEMENT
SUILbINti SEELL ONLY?" dirYE3 a .NO.
BASIC"PLAIf?.':' o YFS -bNo
ZOFIII(3 DESGNATIUN. ,CHANGE OF, USE? ❑YES ❑ NO
NEW`'ADbRESS REQUIRED? ❑:YES a NO IJP/SEPA/SU? a YES o NO
PLATTED LO ? o YES o NO DEMO PERbUT REQUIRED? o YES b NO
I:Sulleun =tt(1U-,),iriult;y J. ZUU-1 Parc 2