02-105000City 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 #:02 - 105000 - 00 - ME
Inspection request line: 253.835.3050
Project Name: GLAZE 0
Project Address: 27724 23RDIS Parcel Number: 757561 0130
Projtt Description: MECH - Replace gas furnace and gas water heater
Owner
Applicant
Contractor
Karan Lea Glaze
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
27724 23RD AVE S
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98003-6936
1
1 (206) 282-4700
Mechanical Valuation..........................................5000
Furnaces 1
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, rules and regulations of the State of Washington and
the City of Federal Way. See Appfieatian
Owner or agent:
Date:
11111/2002 19:06 3609452091
NWPERMIT
PAGE 26
�-
CONSTRUCTION
PERMIT APPLICATION
OW
a The fo1lovdng is required i4ormation — Please prlrtt (in ink) or txpeO*
Please nom: EHedrk24 pine PMentlon Systems and EnglReedog pe rmRs max require a separate appll'"100.
PROPFPTY lNFbpLmA-Tl0N
SITE ADDRESS-
27724 23RD AVE S 96003 ASSESSOR'S TA]UPARCIU. 7 8 7 5 6 1 _ 0 1 8 0
#: — — v
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LINGTHY)t
TYPE OF PRQWM (This application): ❑ BUILDING = PLUMBING a MECHANICAL a DEMOLITION
o ELF-CfRMAL = ENGINEERING a FIRE PREVENTION SYSTEM
PAWECTDESCRIPTION (PronidedutsN d d tbo)-
REPLACE 70 MBTU GAS FURNACE & GAS WATER HEATER
CONTRACTOR:
"_:;4cop1l 1T
NAME W
Yf P{W:
( 206 ) X82 4700
MAD NG ADM55 ET 55; Uri', STATE, MP):
2800 THORNOWE AYE W, SEATTLE WA 98139.
-
CRYOF FS)SW WAY BUS146S UMt6E N "S%
FAX NUMSM
,. T - — —
-
WtiTWiaWS PEQ5PPKrM NUMBER:
WIPATMITE;
tc•pr aTara rec�ulretll W A S H I E S 9 9 0 C W
Q2 1128
12003
KAREN GLAZE ( 253 ) $39 7273
hU1D M AOOREb'5 OMET AW05% LCT,, STA -16, Z!P); EUE m pmlf e
27724 23RD AVE s 980M
n ARCHMX:T -1 TENANT -1 OTHER (DESCRIBE),
CONTACT Pi MN FOR THIS PROTECT: 0 PROPERTY OWNER = APPLICANT n CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSFSSE^IAPPRAISED VALUATION
PROPOSED USE: — PROPOSED VALUATION FOR IMPROVEMENTS: $5000.00
KPRINKLEREp 5U=PING7 -i Yee u NO FIRE SUPPRESSION SYSTEM PROPOSEDIREQUIRED: YES -j NO
WATER SERVICE PROVIDER- -1 LAKEHAVER "t HI6HUINE n TACOMA - PRIVATE (YfrE1.L)
SEWER 5E3MICE PROVIDER: D LAKEHAVEN :1 HESHLINE a PRIVATE (SEPTIC)
11/11/2002 19:06 3609452091 NWPERMIT PAGE 25
mxwEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS, ES"MTED SELLING PRDCE:
L. .......... ... _ ... --
■ PP.OJF..CT F! 00P ARFAS -
FLOOR
BASEMEXT
NG SQ, FT.
PROPO"D Stir FT,
TATA!
FIRST
rodkote number of each type of fixture
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SECOND
AIR HANDLING UNIT(S)
THIRD
GAS LOG(C)
REFRI& SYSTEM(S)
BBQ(S)
FOURTH
HOOD(S)
WOODSTOUIE(S)
lMOMER(S)
OTHER FLOORS (DESCRIFIE)
DECK
RANMS)
COMPRESSOR(S)
GARAGE
HOW MANY FLOORS?
DUCT(S)
TOTAL,.i
f
4
rodkote number of each type of fixture
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HE 14ANWAL
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOG(C)
REFRI& SYSTEM(S)
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOUIE(S)
lMOMER(S)
nINSEfM b)
RANMS)
COMPRESSOR(S)
NWtACE
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
, ELECTRIC P GAS
PLIIMSIN6
BATHTUBS)
LAVATORY(S)
URINAL(S)
WATER HEATERJS)
DISHWASHERS)
RAW WATER SM _
VACUUM BREAKER(S)
n ELECTRIC a CAN
ORMNING FOUNTAINM
SHOVilElt(S)
WASH MACHINE QUTLVr
GAS PIPE OUTLETS)
SINI:(S)
WATER CLOSETS)
MISC.( )
INTERCEPTORS)
SUMPES)
I cwbVy under panaRy of peM jar that the inFarutlan hwal hed by use k true and aomect to the best of my k.eovAedge, and
feather, that I am authorized by the owner ar the above iot miss to perfoan the ww* for 0" Um peer tk appiipAbo is made. T
furtiscr agrm to hold harmicsa the C" of Fe4ernl W'aty An to may dalnl (Including aostri, expenses, and attorneys' frimm Incurred in the
investigation and defense of SUCI1 claim), whkb may be made by mW pamon, including the undersigned, and fled agair6st the City of
fvOeml Wdy, but only whwe such derkn Arbmw out of the raMiraee of the xaty, induding to offtows and employees, upon the amuFacy
of the irr(orumboln to the � in a !a this appiketbn.
NAME/Tl;1•L� , 'OF - -
DATE 11112102
U FROPERTY OWNER -j APPUCA TT u CONTRACTOR
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