02-104979City or Federal Way
Commtmity Development Services Mechanical Permit #: 02 - 104979 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: ORTIZ
Project Address: 634 SW 308TH S♦ Parcel Number: 178880 0390
Project Description: MECH - Replacing a gas furnace
Owner
Applicant
Contractor
Angel R & Patricia A Ortiz
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
634 SW 308TH ST
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-3959
(206) 282-4700
Mechanical Valuation..........................................2755
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Furnaces
Over the Counter Permit......................................Yes
Mechanical Fixtures
PERMIT EXPIRES May 11, 2003, IF NO WORK IS STARTED.
Permit issued on November 12, 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, riles and regulations of the State of Washington and
the City of Federal Way.
Owner or agent:
Ce application Date:
0
F ' "r /�o V 2r
(� ' 1sJ 2 2—
10 '-1%'l07I2002 23:22 3609452091
NWPERMIT
PAGE 02
SITE ADDRESS: 634 SW 308TH ST 98023 1 7 8 8 8 0_ 0 3 9 0
._., ASSESSOR STAR/ PARC!'E #• ..� _ ._
LEGAL DESCRIPTION OF SU9JECT PROPERTY' (ATTACH SEPARATE DESCRIPTION IF LENGTHY);
TYPE OF PROJECT (This appikation): C BUILDING ❑ PLUMBING 0 MECHANICAL o DEMLITiON
o ELECTRICAL a ENGINEERING ❑ FIRE PRlVENTION SIFSTEM
PR03ECT DESCRIPTION (Provide detailed desctiptIoo).
REPLACE 70 MBTU GAS FURNACE
PItO]l CT NAME:
POOPERTYOWNER: NAME; ANGEL ORTIZ DaYTIMEFNOW;
;WU—M Ab-(5TRET Aon • CffY, sYATE nv): ( 253 ) 529 0897
634 SW 308TH ST 98023
CONTRACTOR: NAME:
WESCO eAYT' ' O"Omr
(206 ) 282 4780
MAAING nWURFS5 (ST
f T A0PRIVEr, STATS YIP): EVENING C}dONL:
2800 TH0RNDYW, SEATTLE WA 98999
CITY OF MDERAL WAY gUS (NESS NUMBER: FAX NUM,E
GONTRZCTOR'S ON NUMB; PiRAT70N ,
of ooml requk w) W A S H I E S 9 9 0 C W 02 /28 /2003
APPLICANT; NAME_ —
ANGEL ORTIZ DAYnK PWNE:
MAIL ING ADDRESS (STREET ADDItE55; CIFI'(253 ) 529 089.7, STAYS, Zp)t 6HENjN6 PITONS:
634 SW 308TH ST 98023 ( )
�IATiON5flIP ro RROJECT:
0 ARCH! TECI, p TENANTPAX NUI+ ER:
O OTHER (DESCRIBE):
CONTACT PERSON FOR THIS PR09E'CT: q PROPERlY OWNER 0 APPLICANT 0 CONTRACTOR E•f1105t ADpRE55:
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
EKISTING RUILDXW ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $, 2755.00
to YES ❑ NO FlltE SUPPRESSION SYSTEM PROPOSED/RI=QUIRED: a YES p NO
o LA"HAVEN ❑ HIGNLINE o TACOMA 0 PRIVATE (WELL)
o LAKEHAVem a HIGHLINE o PRIVATE (SEPUc)
11/07/2002 23:22 3609452091 NWPERMIT PAGE 03
"NEW RESIDEN'1'ZA.L CONSTRUCTION ONLY*
NUMBER OF BEDROOMS-.
SELLING PRIC£:
- -FLOOR
EXISTTfyGft FT.
PROPOSED Fr.
TOT
BASEMENT
riXTURFS
Indicate number of each type of fo¢ure
FIRST
AM HANDLING UNIT(S)
RRCs)
SECOND
GAS LOG(S)
REPRiG. SYSTEM(S)
sonlR(S)
COMPRES"R(s)
THIRD
HOOD(S)
RANGtM
WOODSTOVE(S)
_.. MISC. [ 1
DUCT(S)
FOURTH
HEAT SOURCE,
0 ELECTRIC U GAS
OTHER FLOORS (DESCRIBE)
BATHTUB(S)
DECK
URINAL(S)
WATER HEATER(S)
DISHWASHER(s)
DRINKING FOUNTAIN(S)
GARAGE
HOW MANY FLOORS7
YAcuum BREAKER(s)
WASH
0 ELECI'Rm 0 GAS
GAS PIPE OUTLET(S)
TOTAL:
MACHINE OUTLET
WATER CLOSET(S)
MISC. ( l
INTERCEPTOR(5)
PISCtAIMPR SIGNATURE FLOCK
I cerofy ander penalty of pedary that the -Aki stion furnished by me is bwe and correct to the best of my lawwfedge, and
further, that I am authorised by the owner of the above pr&ndsee to pefform the work for whkh the permit application Is made. I
futtimr agree to hold harmless tine City of Federal Way as to any claim (Including costs, arses, and attpmeW 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 Wary, Nut only where such claim arises out of tlhe reliance Of the city, ineiudlng its ofiicem and employees, upon the accuracy
of the &rformatian suppped a patty applicallipn,
NAME/TITLE: 4fiC r�0 � DATE: 1117/02
JIV
0 PROPERTYOWNER o APPLICANT ylCOMMACtOR
COMMUKTY DEVaGPMCW SEP.WCEs • 33930 FIRST waY SOUTH - PCO AOX 9718 • FEDERAL WAT, YVA 9BD63-9718 •253-66.1-4000 • FAX: 253-661-4129
x+�t�.cPrlt�'t0�x�►Y e�1
riXTURFS
Indicate number of each type of fo¢ure
MECHANICAL
AM HANDLING UNIT(S)
RRCs)
EVAPORATIVE COOI..HR(S)
GAS LOG(S)
REPRiG. SYSTEM(S)
sonlR(S)
COMPRES"R(s)
FAN(S)
FIREPEACIE VnERT(S) _.
�y FURNACE(S)
HOOD(S)
RANGtM
WOODSTOVE(S)
_.. MISC. [ 1
DUCT(S)
— - GAS 'PIPE OUTLERS)
HEAT SOURCE,
0 ELECTRIC U GAS
PLUMOM
BATHTUB(S)
LAVATORY($)
URINAL(S)
WATER HEATER(S)
DISHWASHER(s)
DRINKING FOUNTAIN(S)
RAIN WATER SYS,
SHCWER(S)
YAcuum BREAKER(s)
WASH
0 ELECI'Rm 0 GAS
GAS PIPE OUTLET(S)
SINKS)
MACHINE OUTLET
WATER CLOSET(S)
MISC. ( l
INTERCEPTOR(5)
SUMP(S)
PISCtAIMPR SIGNATURE FLOCK
I cerofy ander penalty of pedary that the -Aki stion furnished by me is bwe and correct to the best of my lawwfedge, and
further, that I am authorised by the owner of the above pr&ndsee to pefform the work for whkh the permit application Is made. I
futtimr agree to hold harmless tine City of Federal Way as to any claim (Including costs, arses, and attpmeW 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 Wary, Nut only where such claim arises out of tlhe reliance Of the city, ineiudlng its ofiicem and employees, upon the accuracy
of the &rformatian suppped a patty applicallipn,
NAME/TITLE: 4fiC r�0 � DATE: 1117/02
JIV
0 PROPERTYOWNER o APPLICANT ylCOMMACtOR
COMMUKTY DEVaGPMCW SEP.WCEs • 33930 FIRST waY SOUTH - PCO AOX 9718 • FEDERAL WAT, YVA 9BD63-9718 •253-66.1-4000 • FAX: 253-661-4129
x+�t�.cPrlt�'t0�x�►Y e�1