02-104390City of Federal Way
Connnunity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: HOMER
Project Address: 2902 SW 330TH CR'
Mechanical Permit #:02 - 104390 - 00 - ME
Project Description: MEC- Gas to gas furnace replacement
Inspection request line: 253.835.3050
Parcel Number: 894520 0830
Owner
Applicant
Contractor
JACOB HOMER
NORTHWEST PERMIT
WASHINGTON ENERGY SERVICES CO
2902 SW 330TH ST
2320 1 ST AVE SUITE 250
2800 THORNDYKE AVE W
FEDERAL WAY WA 98023
SEATTLE WA 98121
SEATTLE WA 98199
(206)282-4700
Mechanical Valuation..........................................2174
®escri tion,Eelp 04m
Furnaces 1
Over the Counter Permit......................................Yes
Mechanical Fixtures
PERMIT EXPIRES April 8, 2003, IF NO WORK IS STARTED.
Permit issued on October 10, 2002
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: See Application Date: 211 'L
�i �I er
uc�l
10/07/2002 08:57 3609452091 NWPERMIT PAGE 08
RECEIVED CONSTRUCTION PERMIT APPLICATION
O C T O 7 ZOOZ Emig
CITY OF FEDERAL WA
"The following Bdf�ibA�fSiaw',tion — Please Print (in ink) or type*w
Please note: Electrical, Dire Prevention Systems artd Engineering Permits may require a separate application,
SITE ADDRESS: 2902 SW 330TH FEDERAL WAY 98023
ASSESSOR'S TAX/ PARCEL #: 8 9 4 5 2 0_ 0 8 3 0
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SE=PARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): n BUILDING t-1 PLUMSINT ECHANIC LI
n DEMOTION
(,"'
U ELI RICAL :� ENGINZ'k G44— ELATION SYSTEM
PROJECT DESCRIPTION (Provide detailed descTiptlM),
GAS TO GAS FURNACE REPLACEMENT
PROJECT NAME:
PROPERTY OWNER: nAmr::
JACOB B HOMER °A`'T."e P+10NE.
r'WIL2.0 AVURE (STREETADORE55: UFf, STATe, ZIP): 253 $74 Q0'Qa
2902 SW 330TH FEDERAL WAY 98023
CONTRACTOR. NAME:W
ESCO DArfiM PPHONE: ----
(206 ) 378 6680
1AA141NG Av6fsEE5
2800 THORNDYKE AVE W, SEATTLE WA 98199 a veNlNu aHpNE.
CITv pK FEDERAL WAY BUSINESS LICENSE NUMBER: — )-.,..,..,..._
(AX NUmBER: '�
C,ONTRAC-i�OR-RtQSTRATIONNLARpft:.
(CMS Of pro rcpuirae) _ W A S H 1 _E S 9 9 o eXVIRATION DATE: ---
C �/il 02 ! 28 ! 2003
APPLICANT:
JACOB B HOMER DAYTIME PHONE: �—
t 253 ) 874 4024
MAILING ADORES$ CSTREcT ADURe55; CITv, 5T'A7G, ZIP); EVENINGPHONE:
2902 SW 330TH FEDERAL WAY 98023 )
FEtATIONSWIP 70 PR03EC7: _
— ^-----
n ARCmMcT M TENANT a OTHER ( DESCRIBE)' FAX NUMMAR
CONTACT PERSON FOR THIS PROJECT: C] PROPERTY QWtY$R ❑APPLICANT C7 CONTRACTOR E MnrLAuf,leE,s.
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USN: PROPOSED VALUATION FOR IMPROVEMENTS; $_2174-00 _ � --
S,PR.INKLEIRED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: CI YES � NO
WATER SERVICE RRO.VIDER: t3 LAKEMAVEN• HIGHuNE ❑ TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER: n LAKE14AVEN 2 HIGrHLxNiE 0 PRIVATE (SEPTIC)
10/07/2002 08:57 3609452091 NWPERMIT PAGE 07
I
"NEW RESIDENTIAL CONSTRUCnON ONLY-.
NUMBER OF
ESTIMATED SELLING PRICE'
Indicate number Of Such type of tjkUge
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOt6R(S) GAS LOG(S)
BRQ(S) FAN(S) Rt'fRIG. 5YSl EM(S)
ROMER(S) FIREPLACE INSERT(S) RANGE S) MI�DSfOVE(S)
COMPRESSOR(S) ��— FURNACE(S) )
DUCT(S) GAS Pin OUTLET(g) HEAT SOURCE: 17 ELECTRIC �, GAS
aATHTUR(S)
DISHWASHERS)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
PLUMBING
LAVATORY(S)
PAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
UIUNAL(S)
VACUUM BREAKr=K($)
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HFATER(S)
0 t:LECTRxC p GAS
MISC. ( _)
]'certify under penalty of perjwY that the info""&tlon furnished by me is true and cvrrea to the best M my inndwledge, aridfurther, that i am authorized by the owner of the above premises tO perform the work for which the the
application Is trade. I
further agree to hold harmless the City of Federal Way as to any claim ("uncluding costs, expenses, and attorneys' fees incurred in the
Investigation and dee claim), defense of such aim), which may be made by any person, including the undersigned, and filed against the Clty of
Federal Way, put attly... such claim ari t di' the reliance of the city, including Its kers and employees, upon the accuracy
of the intdrntatidn t4'the c df ap; on.
NAM E/TITLE: DATE: 10/4/02
C' PROPERTY OWNER r APPLICANT ❑ CONTRACTOR
❑ NEW C7 ADDITION p
ZONING DESIGNATION 1
COMP PLAN DBSIGNATiON
SECTION TOWNSH
LO,-
PtAiT€D T? n Y8S
BASIC PLAN? P
NEW ADDMLMREQ
CHANGE OF USE7
.Y?
IMPROVEMENT
.YES -1 YES
❑ YES �- NO
COW-7UN17Y DFVL%OpME rr SERVICES • 3353o rM-C'T WAY SOUTpi • PO BOX 9718 • FEDERAL 1NAYI WA 98D53-9718 • 253.661-400() • FAX: 25g-661-9129