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04-102955City of Federal Way Community Development Services 33530 1 st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: ELSNER-MADSEN Project Address: 32317 10TH S. ASC 5 echanical r� Project Description: Replace existing furnace and add air conditioner. Permit #: 04 - 102955 - 00 - ME Inspection request line: 253.835.3050 Parcel Number: 150240 0530 Owner Applicant Contractor Kathleen Elsner -Madsen WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO 32317 10TH AVE S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199 98003-5925 (206)282-4700 Mechanical Valuation..........................................8240 Over the Counter Permit...................................... Yes Mechanical Fixtures Description IlQuantity I DescriptionQuantity Description �Quanti Air Handling Unitsi Furnaces F J PERMIT EXPIRES January 25, 2005. Permit issued on July 29, 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:0.1 Date: -OW jw THIS CARD IS TO REMAIN ON-SITE Ci TY OF Community* w ity Development Inspection Record .heal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-102955-00-ME Owner: KATHLEEN ELSNER-MADSEN Address: 32317 10TH AVE S FEDERAL WAY, WA 98003-5925 This cart; 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 tc 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 JUL-26-2004 09:51 FROM: T0: 12536614 29y 10411 CDMAR/NITy DEVELOPMENT SERVICES CTIA OF �� 33530 FIRSt'WAY S0IIT}I. pp97IQ, FEDERAL WAY. WA 98063-97It Federal way JUL '2 9 ZOWERMIT APPLICATION 2S3-661-41 IS- 1,-,. 1.1139 -_.�+huny.mm F.o11ia U -only: CI Y..Q,F-FECLERAL W1% iJ The following is required information -an incomplete application will not be accepted. Please SITE ADDRESS: 3Z3 Lb t ' ` 111 S SUITE/APT Y . _ ASSESSOR'S TAX/PARCEL is L C5 �L D - Q 5730 � SQUARE FOOTAGE OF LOT: LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1 ) (Attach separate page for lengthy legal description) PROJECT1 . - , . TYPE OF PERMIT (This application): ❑ BUILDING ❑ PLUMBING xMECHANICAL ❑ DEMOLITION D ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM rxu.lrc;r DESCRIPTION (Provide detailed description ojwork included on this Permit only`: ev 3 `cC7� d OZsa K l i1VI4,/ /dpi,/ Z -5- -71rn, PROJECT NAME (Name of Business/Owner Last Name): PEOPLE $- PROPERTY OWNER CONTRACTOR: LENDER: (If►. -P. -A V.4— . . —. $3.0001 APPLICANT: NAME: `S k3 PRIMARY PHONE: MAILINGDDRF.SS ( R ET ADDRESS;(: CfIY, STATE, ZIP or NA� COMPANY OFFICE PHONE: ) OFFICE PHONE: (C MAILING ADDRE§p JSTIJEFT D ff7A'T , Z RELATIONSHIPTO PROJECT: LL PHONE: - CITY OF FEDE WAY BUSINESS 13CERSQ`NU}M�BE�R EXPIRATION DA/E: FAX" M' ER: CONTRACTORS k isTRATioNT4UMBER., �/�� (' �/' /� (-Py of —d mq u d ..1th wch .PPU—tion) 3! & 1 L C V �{ -7 to. � EXPIRATION DATE: / Z / a NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS;): CITY, STATE. ZIP NAME:►,C/, "�� COMPANY_ OFFICE PHONE: ) MAILING ADDRESS (STREET ADDRESSg CITY, STATE• ZIP EVENING PHONE, RELATIONSHIPTO PROJECT: FAX NUMBER: ❑ Architect ❑ Tenant ❑ Other (Describe): CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner Contractor ❑ Applicant E-MAIL ADDRESS: DETAILED . 1 $ $ EXISTING USE: PROPOSED USE: EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED?: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN O HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN O HIGHLINE 0 PRIVATE (SEPTIC) JUL-26-2004 09:51 FROM: TO:12536614129 P.4 C PROJECT••AREAS - AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT BASIC. PLAN?;; o YES Value of Mechanical Work $ FIRST ` CHANGE OF. USE? r-AIR HANDLING UNITS SECOND GAS LOGS REFRIG. SYSTEMS BBQS THIRD HOODS WOODSTOVES BOILERS FOURTH RANGES MISC (Describe) -COMPRESSORS ADDITIONAL FLOORS (DESCRIBE) GAS WATER HEATERS DUCTS DECK (COVERED?) GARAGE/CARPORT HOW MANY FLOORS? WrALppsrwa Wru.MOPOSw IWAL==NGAMMPOSEo —NEW HOMES 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 Q /,LTERATION existing fixtures to remain. A ECKA.ivICAL BIIIIlDING SHELL ONLY?01 BASIC. PLAN?;; o YES Value of Mechanical Work $ ZORINti'DE$tQrNATIUN. ` CHANGE OF. USE? r-AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODS WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) -COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS (o,Tnb/ste— C..bo) SHOWERS WATER CLOSETS (roma MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OU97.ETS SUMPS R/UNWATER SYS WASHING MACHINES URINALS HOSE BIBBS LAVS (a th.00msink VACUYM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE RLC I certVy under penalty of perjffry that the informardon furnished by me is true and correct to the best of my knowledge, and furthxw, that I am autitorized by the ouutcr of the aboc a premises to perform the work for which the permit application is made• I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by any person, Including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city, Including its officers and empl esY��,,-m6a uon the accuracy of the information supplied to the city as apart of this appI ation. NAME/TITLE: DATE: �� (Signature) U (Title) RELATIONSHIP TO PROJECT: ❑ Property Owner o Applicant ❑ Contractor d Architect' - ❑ 1--,2 T x70 -f zs-g�- Q'NE'W p ADDITION Q /,LTERATION o REPAIR q TENANT IMPROVEMENT BIIIIlDING SHELL ONLY?01 BASIC. PLAN?;; o YES t NO ZORINti'DE$tQrNATIUN. ` CHANGE OF. USE? o .YES o NO: NEW"AD'IiR>;.SS;RF;QUIRED? o,YES o NO UP/SEPA/SU? v YES o NO 'PC ATTED_LOT?"` a YES o NO DEMO PERMIT REQUMED? a YES D NO 1;1ulleUrt 11pO - .)Wurlla 1, 1,0()..1 Page 2