06-104277A 1i
City of Federal Way Mechanical Permit #• 06 -104277 -00 -ME
Community Development Services •
t P.O. Box 9718
p Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (753) 835-3050
Project Name: SANDERS
Project Address: 1704 SW 354TH PL Parcel Number: 252103 9064
Project Description: Replace gas to gas furnance & replace A/C unit
Owner
Applicant
Contractor
MAYNARD T SANDERS
ALLISON SZABO
WASHINGTON ENERGY SERVICES CO
1704 354TH PL SE
NORTHWEST PERMIT
(WESCO)
FEDERAL WAY WA 98023-3115
1574 GULF RD SUITE 1512
WASHIES9710B (9/2/06)
PT ROBERTS WA 98281
2800 THORNDYKE AVE W
SEATTLE WA 98199
- Additional Permit information
Mechanical Valuation............................................7882 Over the Counter Permit? ...................................... Yes
THIS CARD IS TO REMAIN ON-SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3650
PERMIT #: 06 -104277 -00 -ME
Owner: MAYNARD T SANDERS
Address: 1704 SW 354TH PL
FEDERAL WAY, WA 98023-3115
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 W Date -
RECEIVED
CITY OF AUG 2 3 2006
Federal nask1jeLF PERMIT
COMM AMDEVELOFEDERAL WAIF33325 I AVENUEsWU,a•,b718.DING DEPAPPLICATION
FEDERAL WAY, WA 9806 .
253-83S-2607• FAX 2,"-83S-2609
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Q&--1.0!!�/ 2�Z 7Z
SF MF CO EEL PL DE EN FP
SITE ADDRESS
ASSESSOR'S TAX/PARCEL # j— Q -
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
■ PROJECT INFORMATION
LOT SIZE (sf)
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
of work included on this permit ontu)
PROJECT NAME (Name of Business or Oumer Last Name) _ V L V ICA Ir -1y �
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
a c Gi P�i'S (('9S3)S - O0-,)-7MAI O DR_
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
zuesCA
ill
( ate 3 W - Le ce
LINO AA/DDy
j ,�DRRESS CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LI SE NUMBER
EXPIRATION DATE
FAX NUMBER
iCONTRACTORS REGISTRATION NUMBER (copy of card required with epch application)
EXPIRATION DATE
d l 6>12— L
[Y rT ll Q
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
( �'('6
I'
ill
3 - -1
MAILING ADDRESS
I � C4 U If i217
CITY, STATE, IP
n� j2d 1-;;<-x L --J Vn
CELL PHONE
( ) -
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant Agent ❑ Other
FAX NUMBER
(Describe)
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
MAILING ADDRESS CITY, STATE, ZIP PHONE
EXISTING ASSESSED/APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK $ / D
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSEWREQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKERAVEN . 11 HIGHLINE ❑ PRIVATE (SEPTIC)
r
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED7)
GARAGE ❑ CARPORT ❑
msmo mom= corer.
NUMBER OF FLOORS
—NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate
to be installed or relocated as part of this project. Do not
"CHANICAL a j p
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
_ BOILERS
_ COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub/shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
IAVS (Bathroom std
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (commerciaq
RANGES
GAS WATER HEATERS
WATER CIASETS (roneq _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
to remain.
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certVy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is .made. I further agree to hold
harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of
such claim), which may be made by any person, including the undersigned, andfiled against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. 2
NAME/TITLE DATE
)Signature) rre�)
RELATIONS TO PROJECT o Owner 4Agent O Contractor ❑ Architect o Other
r.._....... t onnc ID.-- I -f A LAM—A—tAP^r 4 Annlirafintl