06-102316Vlob.!
City of Federal Way
Community Development Services Mechanical Permit #' 06-102316-00-M E
P.O. Box 9718
Federal Way, WA 98063-9718 ' kA •
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (2553) 8355-30550
Project Name: DICKSON
Project Address: 2733 SW 347TH PL Parcel Number: 502946 0320
Project Description: Gas Furnace and Water Heater Replacement;
Owner
Applicant
Contractor
MICHAEL E DICKSON
LINDA THORNQUIST
WASHINGTON ENERGY SERVICES CO
BRENDA DICKSON
PERMIT GROUP, THE
WASHIES9710B (9/2/06)
2733 SW 347TH PL
PO BOX 2034
2800 THORNDYKE AVE W
FEDERAL WAY WA
KIRKLAND WA 98083
SEATTLE WA 98199
98023-3085
Additional Permit Information
Mechanical Valuation............................................6672 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
.................. `I
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 ac rdance with the laws, rules and regulations of the State of Washington
nd t e City of Federal Way. Owner or agent: Date: "/ `lZ&(�2
A THIS CARD IS TO REMAIN ON-SITE
CITY OF 4A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102316 -00 -ME
Owner: MICHAEL E DICKSON
Address: 2733 SW 347TH PL
FEDERAL WAY, WA 98023-3085
This card is part of your required inspection documents Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence On-going inspections
are logged on the back of this card.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By g:=_ (x) Date 5
MAY -8-2006 12:59 FROM:PERMIT 4257756315
ana RECEIVED
Federal way PERMIT
.� COMmuff" DEVELOPMENT SERVICBSMAY 0 9 2006
33325 AVENUESOUTH • PO BO
X971•
FEDERAL WAY,WA'9d06397 . PLICATION
t 253•635.2607• FAX 253d3S•2&
BUILDING DEPT.
The following is reauired information - an incomplete application will not be
SITE ADDRESS / f �) `A PL
ASSESSOR'S TAX/PARCEL # D Z! -
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
TO:12538352609 P.2
0 2 -
SF MF CO E)EL PL DE EN FP
epted. Please print leaiblu (in inkJ or tune_
05Z a
SUITE/UNIT
LOT SIZE (sn
(Aft.ch -,P-.1e pa9/ k gft k9d Ctfa.poonl
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
PROJECT NAME (Name of Business or Owner Last Name)C-'�`/�/v'
>• •- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
'�' r
CONTACT
�� t,, k
ENDER r
EXISTING USE
NA� PRIMARY PH0jNE
MAILINGADDRESS
JW 3(/7 CITY SnTE, ZIP
CONE
WP�S K 2 �j /
APPLICANT NAME
OFF
C26 v re Y
MAILING ADDDDR
CI'T'Y, STATE IP
CELL PHONE
SCI/7Y0OFF FEDERAL WAY BUSINESS ICCE "NUCMBFR EXPIRATION DATE
FAX NUMBER
CONTRACTORS RE61SfRAT10JLNU�.IBER (copy of e d requ4ed with each spp[icatlon) �/ EXPIRATION DATE
/�J( �(J710 GCCC�<//' l l
Q=FANY NA ^ ^ � ' C! V
-meq ►'Y t-
A PUCANT A OF�CE PHOe�NE -�
l�L(/''•�{�°")
LO NO 8V X l 3. 3 RESS /
t7[
CITY, STAT , P /C
, & f w ELL PHONE -
G/.(�Jf Lir . )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent a Other (Describe) _._ l ) -
NAMq' JC�a M �R1 tARY PHON T- - E•MAILADDRESSt47f
Per RCW :1,9 2Tr095 Lender irpformation is :;
NAME
,;
i'equired,lJproject value exceeds. ,f 5,000
MAI LINO ADDRrSS
CITY, STATE, ZIP
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? O YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN O HIGHLINE O TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAIMIA`1EN ❑ 11IGHLINE 0 PRIVATE (SEPTIC)
r
a
MAY -8-2006 12:59 FROM:PERMIT
4257756315
TO:12538352609 P.3
"D
FdECFIAMCAL
Value Of Mechanical Work $ REFRIG. SYSTEMS
EVAPORATIVE COOLERS GAS LOGS WOODSTOVES
AIR HANDLING UNITS FANS HOODShDDD«<taq MISC (Describe)
BILERS FIREPLACE INSERTS RANGES
--^
BOILERS � FURNACES � GAS WATER HEATERS
COMPRESSORS
DUCTS GAS PIPE OUTLETS
ryvuo..... SHOWERS
BATHTUBS *-r-b1Sh--'comb1 SINKS
DISHWASHERS SUMPS
GAS PIPE OUTLETS URINALS
WASHING MACHINES VACUUM BREAKERS
LAVS u.,J. S6,ks
WATER CLOSETS rrau<e1 MISC (Describe)
_ DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
P-LECTRIC WATER HEATERS
I certify under penalty of perJury that the Information furnished by me is true R, d correct to the best on s madno e.
edge, and further, that 1
s' fees in
in the investigation and defense of
am authorized by the owner of the above premises to perform the work for which the permit application is made. T jurtiaer agree to hold
and led a ainst the City of Federal Way, but only where such claim
harmless the City of Federal Way as to any claim including costs, ezp'enses, and attorney
such claim), which may be made by any person, including the undersigned, 9 1.
arises out of the reliance of the city. i Ing its officers and employees, upon the accuracy of the info
rrrtation supplied to the city P j
this application.
DATE L V,p�---
NAME/TITLE (Title(
(Stgnatucq y,
RELATIONSHI4''rm ECT ❑ Owner D nt O l OritraCtOT O:ArChiteCt G Other -
"
3 3 �/'w 3 `�7 ��D[c ��l
Page 2 of 4 L- Mandouts - RevisedWerinit Application
Bulletin 6100 -March 30, 2004 g
ti TENANT IMPROVEMENT
FOR OFFICE USE ONLY
o NEW D ADDITION
o ALTERATION
oPR o y
u Il0
BUILDING SHELL ONLY?
a YES ONO
BASIC PLAN?
CHANGE OF US.E? a YES
o NO
ZONING DESIGNATION
? o YES
UP/SEPA/SU.
a NO
NEW ADDRESS REQUIRED?
a YES o NO
DEMO PERMIT REQUIRED? o YES
o NO
PLATTED LOT?
o YES o NO
3 3 �/'w 3 `�7 ��D[c ��l
Page 2 of 4 L- Mandouts - RevisedWerinit Application
Bulletin 6100 -March 30, 2004 g