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04-101805IN M � City of its Development Services of �iay Community DeMechanical Permit #: 04 - 101805 - 00 - ME P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-7000 Fax: (253) 835-2609 Inspection request line: (253) 835-3050 Project Name: WEISZ Project Address: 33720 7THSWParcel Number: 729804 0340 0— " Project Description: Install gas furnace and heat pump. **11/4/04 -Include gas hot water tank** Owner Applicant Contractor RANDY WEISZ WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO 33720 7TH 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..........................................12581 Over the Counter Permit...................................... Yes Mechanical Fixtures Description Quantity Description Quantity Description Quanti Air Handling Units Furnaces 1 I hereby certify that the aboveinformation is the occupancy and the use will be in accord the City of Federal Way. Owner or agent:'` PERMIT EXPIRES November 9, 2004. Permit issued on May 13, 2004 orrect and that the construction on the above described property and :e with the laws, rules and regulations of the State of Washington and Date: ` ` ct�0.. The following is required information -an incomplete application urill not be accepted. Please print legibly /in ink) or type. SITE ADDRESS: 72-0 SUITE/APT N ASSESSOR'S TAX/PARCEL M: 7ZfJ>0 - �_VOSQUARE FOOTAGE OF LOT: LEGAL DESCRIPTION (e -g.: Acrne Estotes, Lot 1) (Attach separate page for lengthy legal description) TYPE OF PERMIT (This application): ❑ BUILDING ❑ PLUMBING XMECII.ANICAL ❑ DEMOLITION AELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM PROD T D CRIPTION (Provide d •fed description of work included on this nerrnit onl PROJECT NAME (Name of Business/Owner Last Name): (XPi/ J mopm wpoRmmw PROPERTY OWNER CONTRACTOR LENDER pr r...r vim.. , u,000l APPLICANT: NAME PRIMARY PHONE: end V 6-el.Tz. tZS�) - /,,F- -3-32 � 1� MAILING ADDRESS (STREET ADDRESS;I: CITY, STATE, ZIP NA �� COMPANY OFFICE PHONE, ( E 76- jr /'per MAILING STEE H[ 'Y-11=.1-2_004 1.5:10 FPOM: TO. 125:36614129 P. 121f:z1_r__ 1` NAME: wmn+vnn f ut vrlOPFlEKT SERVICES cm os' CITY, STATE- Zip 37S70 FIRST WAY SOM • PO BOX 9718. Federal WayPERMIT MAILING' ADDRESS ISrREET ADDRESSr CITY, STATE. ZIP APPLICATION FEDERAL WAY, WA 98067-9718 75Jb611115 FAZ 75.1 61-•i?9 FAX NUMBER: ( ) - �n n<m1 Por 06« Um aVY FW Fife Number: tf- 1 - Q L ss o s o -o TD. 1 � The following is required information -an incomplete application urill not be accepted. Please print legibly /in ink) or type. SITE ADDRESS: 72-0 SUITE/APT N ASSESSOR'S TAX/PARCEL M: 7ZfJ>0 - �_VOSQUARE FOOTAGE OF LOT: LEGAL DESCRIPTION (e -g.: Acrne Estotes, Lot 1) (Attach separate page for lengthy legal description) TYPE OF PERMIT (This application): ❑ BUILDING ❑ PLUMBING XMECII.ANICAL ❑ DEMOLITION AELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM PROD T D CRIPTION (Provide d •fed description of work included on this nerrnit onl PROJECT NAME (Name of Business/Owner Last Name): (XPi/ J mopm wpoRmmw PROPERTY OWNER CONTRACTOR LENDER pr r...r vim.. , u,000l APPLICANT: NAME PRIMARY PHONE: end V 6-el.Tz. tZS�) - /,,F- -3-32 � 1� MAILING ADDRESS (STREET ADDRESS;I: CITY, STATE, ZIP NA �� COMPANY OFFICE PHONE, ( E 76- jr /'per MAILING STEE ELL PHONE: - CITY OF FEDE�L W� BUSINESS E� NUMBER: EXPIRATION Dq�� Z-E2 - D 6_ Z !AX NUMBER: -- CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE. (copy of eud rcgntred with each application)%LV LO / Z / d NAME: /DAYTIME PHONE: l ) MAILING ADDRESS (STREET ADDRESS:), CITY, STATE- Zip NAME: �^ + ' COMPANY OFFICE PHONE: - MAILING' ADDRESS ISrREET ADDRESSr CITY, STATE. ZIP EVENING PHONE: RELATIONSHIP TO PROJECT: ❑ Architect ❑ Tenant O Other (Descnbej. FAX NUMBER: ( ) - CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner Contractor ❑ Applicant E-MAIL ADDRESS: DEiAMED BUMIDING INFORMATION EXISTING USE: PROPOSED USE: EXISTING ASSESSED/APPRAISED VALUE S VALUE OF PROPOSED WORK: $ SPRINKLERED BUILDING? O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED?: ❑ YES O NO WATER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE O TACOMA O PRIVATE (WELL) SEWER SERVICE PROVIDER O LAKEHAVEN ❑ HIGIFLINE O PRIVATE (SEPTIC) MAY -10-2004 15:11 FROM: 3 ?ce-,v Gze lJ Z TO:12536614129 P.14 AREA DESCRIPTION E3USTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT GAS tAmS REFWG. SYSTe)<S __L__ • BBQS FIRST HOODS K ---d4 __ WOODSTOVES BOILERS SECOND RANGES MISC (Desmbe) _-cObtPRES.SORS THIRD GAS WATER HEATERS DEMO PERMIT REQUIRED? o TES DUCTS FOURTH PLUMM IN G ADDITIONAL FLOORS (DESCRIBE) BATHTUBS p,n,s/se..ec. by DECK(COVFRED->) WATER CLOSETS meed MISC (Ih.cribe) DISHWASHERS GARAGE/CARPORT DRINKING FOUNTAINS OAS PIPE OUTLETS HOW MANY FLOORS? 1O1"`�'A1O 1OR""iOPDMM rorty tx a Axoraa.MED ONLY'• NLIMH£R 4F 6EDRQOMS ES'ITIMATED SELLING PRICE: $ NI:Iv laoi�s number of each type of fixture that is to be installed or relocated as part of this project. Do not include cxiating fixtures to remain- AMCUAWCAL Value of Mechanical Work -NR HANOUNO UNITS EVAPORAnVE COOLERS GAS tAmS REFWG. SYSTe)<S __L__ • BBQS FANS HOODS K ---d4 __ WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Desmbe) _-cObtPRES.SORS FURNACES GAS WATER HEATERS DEMO PERMIT REQUIRED? o TES DUCTS OAS PIPLr OUTLE"17S PLUMM IN G BATHTUBS p,n,s/se..ec. by SHOWERS WATER CLOSETS meed MISC (Ih.cribe) DISHWASHERS SINKS DRINKING FOUNTAINS OAS PIPE OUTLETS 3UMP3 RAINWATER SYS WASHING MACHINES URINAIS HOSE SIBBS MVS VACUUM BREAKERS BLEC WC WATER HEATERS .)ISCLAIMPRISIGNATURE BLC I certify under penalty of perjury that the ti —radon jUs-nished by rte is true and cormet to the best of my irnewtedge, and further, that l a n aut"r cd by the owner of the ab,,_ psi _I_s to perform the work for which the permit applicatfon is made. 1 further agree to hold hmatless the City of Federat Way as to any claim (Enctuding costs, expenses, and attarnays' faes incurred in the investigation and defense of such claim), which may be made by anal person, bwbiding the undersigned, and filed against thea Federal Way t only where such claim arises out of the reliance of the city, including its officers and employ s, n the accuracy aj mformation supplied to the city a a part of this application. NAME/TI'CI.E DATE a R£LATIONSIIIP TO PROJECT`. O Property 14 O Applicant a Contractor 6 Architect. • ❑ (12'r -,?-26 32"pr ,FOIL 0FFjCEl3SE a�ItFW�s'• •� ' = P ADDMON BIIIS.'I61ING SBELL ONLY? o ALTERATION o IES a NO o REPAIR o TENANT IMPRDVEL4�dIT BASIC PLAN? o YES o Ito 2b?t 7G DESIGNATION: CHANGE OF USE? a YES n NO KLM ADDRESS REQUITM13? YES ONO UP/SEPA/SII? o YES a NO PLATTED LOT? _0 DYES O NO DEMO PERMIT REQUIRED? o TES a NO t3ullcL•n 410"1 _ ,I.are�.�, 1. stA( 4 Page 2 DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST.' # EXP.: DATE CC01 WASHIES990CW 02/16/2005 EFFECTIVE DATE 02/16/2001 WA.SHINGTON ENERGY SERVICES CO 2800 THORNDYKE AVE W SEATTLE WA 98199-2997 Detach .and D!,e!ae Cerut,cate State of Washington County of Snohomish i I certify that this is a true and correct copy of said document as of this date Date: o Title My Appointment Expires on 10/9/63 0 0