03-102573City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #: 03 -102573 - 01 - ME
Inspection request line: 253.835.3050
Project Name: WILLIAMS V.tv
Project Address: 34421 25TH�SW Parcel Number: 011470 0030
Project Description: Installing new gas fireplace insert with associated gas piping & new air conditioner. REVISED to include
installation of gas waterheater and associated gas piping.
Owner
Applicant
Contractor
GLADYS WILLIAMS & Robert L Williams
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
34421 25TH AVE SW
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA 98023
SEATTLE WA 98199
SEATTLE WA 98199
(206)282-4700
Mechanical Valuation..........................................7330 Over the Counter Permit...................................... Yes
INARMI
Air Handling Units 11
Mechanical Fixtures
PERMIT EXPIRES December 28, 2003.
Permit issued on July 1, 2003
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 Way_. r.
Owner or agent:
Date: 2"1-63
RECEIVED
JUN 2 3 200 CONSTRUCTION PERMIT APPLICATION
CITY OF V
PLICATION NUMBER: I�AV��Federal Way CIrBUILDING DEPWAYPUCAT1ON NUMBER:PLICATION NUMBER: - -
-The following is required information — Please print (in ink) or type --
Please note: Electrical, Fire PreVQrlti0I1 Systems ana Engineering permits may require a separate application.
ASSESSOR'S TAXI PARCEL St: -01 1 170 - OLO 3.0
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY)-
PR03ECT INFORMATION
TYPE OF PROSECT (This application): o BUILDING o PLUMBING MECHANICAL D DEMOLITION
VELECTRICAL U ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT NAME:
PEOPLE•• •
PROPERTY OWNER: NAME: ; f)AY11MF 1'H()Nt.
g 74 - LI-IGLA
CONTRACTOR:
APPLICANT:
T
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lv�1'� _ _ �zd�o3 Z9L • �70�^�
HARING A00kl;S$ CITY. STATE. ZIP): EVENING PHOW
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I
CrrY OF FEDERAL WAY BUSINESS UC ENSE NUMBER: -- - -- �— FAX NUMBER:
or card
NAME:
MAILING ADDRESS isFREET ADDRESpyS,;; QTY, STATE. ZIP)).
S'a
RELATIONSHIP lU i;iC60 is
i EXPINA110H DATE: -
DAYTIME PHONE,
EVENING PHONt
I O ARCHITECT LI TENANT O OTHER ( DESCRIBE)-
E-MAIL ADDRESS: -�
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANTCONTRACTOR L
DETAILED BUILDING•• -
EXISTING USE: EXISTING BUILDING ASSESSED/ APPRAISED VALUATION ;
PROPOSED USE: PROPOSED YAtUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? O YES n NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: O YES O NO
WATER SERVICE PROVIDER: O LAKEHAVEN o HIGHLINE
SEWER SERVICE PROVIDER: O LAKEHAVEN o HIGHLINE
£0'd ZSZ£ bZtp 9Zb
o TACOMA o PRIVATE (WELL)
o PRIVATE (SEPTIC)
77nFr wo 7A : AA
pac
' ((JJ �-
"*ANEW RESIDENTIAL CONSTRUCTION ONLY** --
NUMBER OF BEDROOM-' ESTIMATED SELLING PRICE:
■ PROJECT FLOOR AREAS
FLOOR
EXISTING 54, FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNTT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(8)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) GO SOR(S) URNACE HEAT SOURCE: O ELECTRIC AGAS
DUCTcir(S) _! -GAS PIPE OUTLET(S)
PLUMBING
SATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAINWATER SYS. VACUUM RREAKER(S) a ELECnUC o GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.(
INTERCEPTORS) SUMP(S)
ntSCLATMEn/SIGNA1ORE SLC
I certify under penalty of podury that the information (Unllshed by me Is true and correct to the best of my knowledge, and
nKttu r, that I am authorized 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 (Induding costs, expenses, and attorneys' fees Incurred in the
Investigation and defense of such dalm), which may be made by any person, Including the undersigned, and filed against the City Of
Federal Way, but only where such daim arises out of the reliance of the city, including Its officers and employees, upon the accuracy
of the Information plied to city as a part of this application.
NAME/TITtE:
DATE: 7
El PROPERTY OWNi R a APPLICANT NTRACTOR
OOMMUF M DEYaj0PMr4rr SERVIa=S • 33S30 FIRST WAY SOM • PO BOX 9718 • FWMAL WAY, WA 98063,9718 . 2S3-661-8000 • FAX; 253-661-4129
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