06-103083City °'Fedeme
Community Development ntServices • Mechanical Permit #• 06 -103083 -00 -ME
�
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: BEAUSOLEIL
Project Address: 34728 26TH PL SW Parcel Number: 502945 0400
Project Description: Installing 60,000 BTU Gas Furnace with 5' of Gas Piping
Owner
Applicant
Contractor
DEBBIE BEAUSOLEIL
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
34728 26TH PL SW
2800 THORNDYKE AVE W
WASHIES971OB (9/2/06)
FEDERAL WAY WA 98023
SEATTLE WA 98199
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation............................................4349 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Furnaces ......................................... 1.00 Gas Pipe Outlets............................. 1.00
PERMIT EXPIRES Sunday, December 24, 2006
Permit Issued on Tuesday, June 27, 2006
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 andvegulatibns of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE
- e�F Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -103083 -00 -ME
Owner: DEBBIE BEAUSOLEIL
Address: 34728 26TH PL SW
FEDERAL WAY, WA 98023-3086
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 Q Date7.13140
JUN -21-2006 07:49 FROM:PERMIT 4257756315
tIECEIVED
iQLifalway JUN 2 1 2006 PERMIT
a NUMMLWAY, 'I O044 -mm ;ms. TW OF FEDEBUILDING DR/1I. �L1 CATI O N
s�ussl orA *
",A iallawlna is remimit intamm Ian - an ineomaUte avoftadien win not be
SITE ADDRESS l T 4-tk
ASSF.WOR'8 TMOVIAR= •
LEGAL DROCRYP?ION (e.g. Acme Rstatea, Loi 1)
TYPE OF PP.R3m U WILDING a pLVlama �IRECI
O D15MOLIrlon 0 ?I.r=lucAL O EZIGI
Pa0jNCT DESCRDMOIr fAdvide deta9v dem nptWn 4f work b&cWdsd on Oda Hermit mlul
V
PROTECT NA= (Name o Bua6teas or Owner La.+! N
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APPLICANT
CONTACT
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ZMTIAQ USE PROPOSED USE
EXISTING ASSES92D/APPRAISED VALUE VALUE OF PROFI
SPRINID+ERLD B=DMG? o TEE O NO FIRE SUPPRESSION SYSTEM PROF
WAITER SERVICE PROVIDER o LAKEHAVP.N o IiOMMIZ O TACOMA o
SBWER SERVICE PROVIDER O LAREHAVER . O HIGIMU E o P111VAITIBEF
WORK J(r
I%REOIIQtED? O Y6q O HO
AVFL aANt HAWN
Grp pHaffs
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ZMTIAQ USE PROPOSED USE
EXISTING ASSES92D/APPRAISED VALUE VALUE OF PROFI
SPRINID+ERLD B=DMG? o TEE O NO FIRE SUPPRESSION SYSTEM PROF
WAITER SERVICE PROVIDER o LAKEHAVP.N o IiOMMIZ O TACOMA o
SBWER SERVICE PROVIDER O LAREHAVER . O HIGIMU E o P111VAITIBEF
WORK J(r
I%REOIIQtED? O Y6q O HO
JUN -21-2006 07:49 FROM:PERMIT 4257756315 TO:12538352609 P.3
'r -A
RS?
TED
MG
�• i-aL
artof project Do no include existing furfures to remain
Indicate number of each type ojftxture to be installed or relocated as p
KECHAMCAL
t
OYES
i O NO
Value of Mechanical Work $
ONO
❑ YE$
o NO
.nom D YES
o NO
REFRIG. SYSTEMS
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
HOODS(c.�—i
WOODSTOVES
BBQS
FANS
- _
RANGES
MISC (Describe)
BOILERS
FIREPLACE INSERTS
GAS WATER HEATERS
COMPRESSORS
FURNACES
DUCTS
GAS PIPE OUTLb'iS
PLLrh1BING
WATER CLOS (r-ac
MISC (Describel
BATHTUBS 1-Tub/sho crComeol
SHOWERS
DRINKING FOU AINS
DISHWASHERS
SINKS
RAINWATER SY
GAS PIPE OUTLETS
SUMPS
HOSE BIBBS
WASHING MACHINES
URINALS
ELECTRIC WAT R HEATERS
VACUUM BREAKERS
LAVS 9ahro0olsnlcs
dq1, and
1• certify under penalty of perjury that the Information furnished. by me is which
and correct to thetica io best f isym dc. tel furtherfurther, agree to hold
am e�uthorized by the owner of the above premises to perform the work for whtch the perrrrtetes fri
curred in the investigation and defense of
harmless the city of Federal Way as to any claim (including costs, 4 parises. td a atnst the Ci of Federal Way, but only where such claim
such elatrN, which may be made by any person, Including the undersigned, f 9
arises out of the reliance. o the city, incl in its officers and employees, upon the accuracy of the i formation suppltcd to the city as a part o
this application.C�h
je�..
DATE T
NAME/TITLE(TitleI
(Signature► ,
RELATIONSHIP TO PROJECT C1Owner Agent o Contractor o;Architect ❑ O er
FOR OFFICE USE ONLY .
o NEW o ADDITION o ALTERATION D REPAIR
b TENANT
BUILDING SHELL ONLY? DYES ANO BASIC PLAN?
CHANGE OF USE?
ZONING DESIGNATION UP/SEPA/SU?
I NEW ADDRESS REQUIRED? o YES o NO
PLATTED LOT? a YES D NO DEMO PERMIT REQ'
ROVEMENT
OYES
i O NO
OYES -
ONO
❑ YE$
o NO
.nom D YES
o NO
Bulletin N 100 - March 30, 2004 - Page 2 or 4
K\I{andouts - RevisedWermit Application,