02-103936City of Federal Way Mechanical Permit #:02 - 103936 - 00 - ME
el
Fedelst Way S
Federal Way, WA 98003-6210 (\)
Ph: 253.661.4000 Fax,: 253.661.4129 ' v 0 Inspection request line: 253.835.3050
Community Develo;+ment Services
Project Name: ELLISON
Project Address: 3006 SW 300TH P Parcel Number: 416660 0200
Project Description: MECH - Replace 80 MBTU oil furnace for existing residence.
Owner
Applicant
Contractor
Dr. Robert E Ellison
NORTHWEST PERMIT
WASHINGTON ENERGY SERVICES CO
3006 SW 300TH PL
2320 1 ST AVE SUITE 250
2800 THORNDYKE AVE W
FEDERAL WAY WA 98023-2327
SEATTLE WA 98121
SEATTLE WA 98199
(206) 282-4700
Mechanical Valuation..........................................3955.81
f "!9'.�dGrlpt;On.
Furnaces
Over the Counter Permit......................................Yes
Mechanical Fixtures
aescriptiorl Quantity
PERMIT EXPIRES March 12, 2003, IF NO WORK IS STARTED.
Permit issued on September 13, 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 11 e i accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Y.
Owner or agent: Date:
City 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: ELLISON
Mechanical Permit #:02 - 103936 - 00 - ME
Inspection request line: 253.835.3050
Project Address: 3006 SW 300TH Parcel Number: 416660 0200
Project Description: MECH - Replace 80 MBTU oil furnace for existing residence.
Owner
Applicant
Contractor
Dr. Robert E Ellison
NORTHWEST PERMIT
GENESEE FUEL&HTNG CO INC
3006 SW 300TH PL
2320 1ST AVE SUITE 250
P.O. BOX 18206
FEDERAL WAY WA 98023-2327
SEATTLE WA 98121
SEATTLE WA 98118
(206) 722-1545
/gr
Mechanical Valuation..........................................3955.81
Description
Furnaces
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
PERMIT EXPIRES March 12, 2003, IF NO WORK IS STARTED.
Permit issued on September 13, 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 oragent: Date:
@' 11/2002 16:21 3609452091
ti
�ur�r C
"Tkc foliowln4 is 0*ir�c�,i*66i'llwq — Pt a print (in ink) orxgpe t;*
Pieara noi+e: Elec*rkml, Fire P--tAion Systems Knd E-9k-eering pemit. may (cquim a separate appikation,
SITE ADDRESS: 3006 SW 300TH PL, FEDERAL WAY
_ ASSESSORS TAX/PARCEL a: 4 1 8 6 8 0 _ 0 2 R O
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY),
TYPE OF PRC 7ECT (This:tppJjcaiost): ❑ BUILDING Z PLUMBING 0 MECHANICAL a DEMOLITION
❑ ELECTRICAL = ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide dRtaiied dtsuiPtia>a)= REPLACE 80 MBTU OIL FURNACE
_
PROJECTNAMI=
PROPERTY OWNER: I I miR
CONTRACTOR:
APPLICANT.
'1S2tI
CONTACT PERSON FOR TtlIS P1107ECT: 0 pRopERTI' OIMIIER = APPLICANT o WNTRACTOR
F e L ► e .
CKMING USE: EXIMN6 BUILDING ASSESSEDIAPPRAISED VALUATION
PROPOSED USE: , PROPOSED VALUATION FOR IMPROVEMENTS: � 38��•81
SPRINKLERED BUILpxN6?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
J YES u NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIREDi t_ YES -I NO
-1 L KEHAVEN 7 HIGHLINE n TACOMA M PRIVATE (WELL)
3 LAKfimvEN = HIGHLINE 0 PRIVATE (SEPTtq
k
11/2002
16:21 3609452091
"NEW RESIDENTIAL CONSWUCrION ONLY**
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NUMBM Of SEDROO"S:
NWPERMIT
ESTIMATED SELLrwr. P*Trr�
PAGE 07
5EP9FJUT FLOOR
EXIS-MNG SQ. FT.
PROPOSED Sq FT.
TQFAL
RST
C:OND
IRD
URTH
HER FLOORS (DESCRIME)
CK
1tAGE
W MANY FLOORS?
TOTAL:
~ I
Indlaitto numberafeach type offixtune
MECHANICAL
--- - AIR HANDUNG UNIr(Si)�_ EVAPORATM COOLOt(S) GAS LOQ(S)fti FRTOa. SYSTPM(5)
fax( FAN(S) tlOgD(s) WOODSTOVE(>S)
CQMpRES
(S NINSiERT(S) RAkG3E(5)
SCNi(S) 1 FURNACES)
DUCi(S) G" PIPE OUTLeir(s) HEAT SOURCE,; > ELECTRIC 0 GAS
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(5) WATER HEATERS)
_..� DRIN TING Fit('N � PA1N wATERsys, VACUUM BREAKER(S) 0 ELECiRJC 0 GAS '
GASFXIF. UTLETAIN(B) SH0W]Ws) WASH MACHINE OUTLET
XNT PIPE TORS) (s) Slt�l,x(s) WATER CLOSEr(s) f+lm. ( )
INTERG£PTQR(S) SUM P(S)
I t7Ct ft undeF pe/laj�y of u� that the ihfaraeat%an fusntdted by me is true and wrrect the best of my knoxvledgc7 and
fultber, that I gm —"-Fized by the owcneref the shone FF*mkies to PeTFOM UK- Work for whkA the permit applfca#ivn U made. I
further agree to held harmfCss the City of Fedel9f Way as to aPy cfahn (Including cxw&, Oxpcncee, and sttwrocys' fess hKwered in tim
invevilgation and defense of such daim), which lnay be made by a" Person, including the undersigned, and Wed against the C" of
F•ederaf Way, but arov where such Gln* a6zes, out of 11h4 r¢liancs of fbft **1, induding its officers and empluyec�sy upon the aro racy
of the Informatfoo sup the ckty as aMAJ4 this application.
NAMF4TITLF: DATE 9f11/02
U PROPERTY OWNER ...t AP w ,WWNTRACFGR
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100M KR Y I EVELOPMENT sERVICFS - 33539 FMST VWe .1. 1TH • PO WX 971,8 . FEC1EPAL WAY, WA 90063-+3?18 . 253-664-4000 • FAX; 253-661-41.29
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