03-101308City 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: SHEPPARD
Project Address: 2054 S 308TH St
Mechanical Permit #:03 - 101308 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 053700 0270
Project Description: Replacing fire -damage ducting, vent range hood, 2 bathroom fans & installing approx. 50' of new gas
line for range
Owner
Applicant
Contractor
Janet E Sheppard
WESTERN MECHANICAL
WESTERN MECHANICAL
2054 S 308TH ST
31718 SE 176TH ST S
31718 SE 176TH ST S
FEDERAL WAY WA 98003-4822
AUBURN WA 98092
AUBURN WA 98092
(206) 570-1719
PERMIT EXPIRES September 30, 2003.
Permit issued on April 3, 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.
Owner or agent: jdl�� Date: ' 3 ^0 3
Mechanical rough -in:
Gas pipe:
FINAL MECHANICAL:
0
-4-3'3 -C i'v-_
Date
Dto
7
Date
Z�%
RECEIVED CONSTRUCTION PERMIT APPLICATION _
CITY OF �./ APPLICATION NUMBER:
Federal Way APR o 3 2003PPLI14jiJOF,NUMBER: _ _ - _ _ -_ - _ - _ _
CITY OF FEDERAL WAY APPLICATION NUMBER: - -
WILDING DEPT.
- - - - - - - - - -
—The fo owing Is required information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY •. •
SITE ADDRESS: c� c?� ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application)
o ELECTRICAL
o PLUMBING MECHANICAL ❑ DEMOLITION
❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): ;06rP1A-rt,2- 6
_ a i Baa L .1 &:211` i
PROJECT NAME:
�= PEOPLE INFORMATION
PROPERTY OWNER: i NAME-� ^�
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
CONTRACTOR: I NAME
MAILING ADDRESS/(STREET ADDRESS; CITY, STATE, ZIP):
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
(a)py of card required)
APPLICANT: I NAME:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
RELATIONSHIP TO PROJECT:
o ARCHITECT o TENANT D&THER ( DESCRIBE): h3?1jrU�
DAYTIME PHONE:
EVENING PHONE:
FAX NUMBER:
(2s3) 69 1 -
EXPIRATION DATE:
) 'CO 1-7 /
EVENING PHONE:
1 ( �
i FAX NUMBER:
E-MAIL ADDRESS: I
I
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER ❑APPLICANT CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
o YES
EXISTING BUILDING ASSESSED/APPRAISED VALUATION ;
PROPOSED VALUATION FOR IMPROVEMENTS-'$
�! r
E) NO FIRE SUPPRESSION SYSTEM PROPOSED/REQ .
❑ LAKEHAVEN ❑ HIGHLINE
❑ LAKEHAVEN ❑ HIGHLINE
❑ TACOMA ❑ PRIVATE (WELL)
❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • l
'-']ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
GAS LOG(S)
`JV REG. SYSTEM(S)
AIR HANDLING UNIT(S)
FIRST
BBQ(S)_
SECOND
WOODSTOVE(S)
BOILER.(SJ
FIREPLACE INSERTS)
THIRD
MISC. ( )
COMPRESSOR(S)
FURNACE(S)
FOURTH
(_ DUCT(S)
i
GAS PIPE OUTLET(S)
OTHER FLOORS (DESCRIBE)
❑ ELECTRIC ❑ GAS
PLUMBING
DECK
BATHTUB(S)
LAVATORY(S)
GARAGE
HOW MANY FLOORS?
WATER HEATER(S)
DISHWASHER(S)
RAIN WATER SYS.
TOTAL:
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S)
WASH MACHINE OUTLET
1TSCLOTMFR/SIGNATURE 13LC
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, 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 (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 employees, upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: a ( �GQn/h/b�----- fr DATE:
TY OWNER ❑APPLICANT i�CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.citvoffederalway.com
Indicate number of each type of fixture
MECHANICALi,
GAS LOG(S)
`JV REG. SYSTEM(S)
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
BBQ(S)_
FAN(S) Z HOOD(S)
WOODSTOVE(S)
BOILER.(SJ
FIREPLACE INSERTS)
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FURNACE(S)
(_ DUCT(S)
i
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINKS)
WATER CLOSET(S)
MISC. ( )
INTERCEPTORS)
SUMP(S)
1TSCLOTMFR/SIGNATURE 13LC
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, 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 (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 employees, upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: a ( �GQn/h/b�----- fr DATE:
TY OWNER ❑APPLICANT i�CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.citvoffederalway.com