04-103686 City of Federal Way
Comrhunity Development Services Mechanical Permit #:04 - 103686 - 00 - ME
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax 253.661 4129 Inspection request line: 253.835.3050
Project Name: FRANKLIN//p t.
Project Address: 31517 37TH'SW Parcel Number: 873198 1350
Project Description: Gas to gas furnace changeout
Owner Applicant Contractor
Robert W Franklin WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
31517 37TH AVE SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-4009 (206)282-4700
Mechanical Valuation 6468 Over the Counter Permit Yes
Mechanical Fixtures
Description 'Quantity Description Quantity Description Quantity
Furnaces 1
PERMIT EXPIRES March 22,2005.
Permit issued on September 23,2004
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 Wa
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Owner or agent: Date:
1 0 lk p4
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103686-00-ME
Owner: ROBERT W FRANKLIN
Address: 31517 37TH AVE SW
FEDERAL WAY, WA 98023-4009
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.
0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date 1,1/0
•
SEP-14-2004 08:06 FROM: TO:12538352609 P.2
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The allowing is re• fired in orma/Ion-an taco •fete a• •Neatiort will not be aeee•ted. Please •rint Ie•••t (in in • or •
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■ PROPERTY INFORMATION
SITE ADDRESS S 15^1 7 Q-3� , T v�]c l 3 SUITE/UNIT e
ASSESSOR'S TAX/PARCEL• L. 3 , l Q LOT SIZE(sn
LEGAL DESCRIPTION(e.g.Aane Estates,Lot 1)
• • PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL El ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Prnuide detailed description of work included on this permit onto)
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PROJECT NAME(Name of Business or Owner Last Name) -Fril- I
IN PEOPLE INFORMATION
PROPERTY b ,i K II `-rlc vi k-Ort (3R -z VIC
Pim i—M—MY PM
OWNER
�3ATE.ZIP
is(7 3'7 Al 1LU F= cf eft 18023
CONTRACTOR LI/
MPANY./�t, I 'L$1yk E i C{t (Q�y�ti // OFFICE to aNE
.29- - T.7C)
tiAILU$O ADDpp��RF��B,���i� /►� �p� / / ��jy�
zo.D {. I a�/ TeSiAT`� 6,/yt, L-u4eiA'FL/ ( N) -
CtrY OP PEDER7 AL.WAY BUSIIX R 1 Nom,`/-`�•PIRATION DATE V`L, PAX NUMBER
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coUyC t7— � .tt<eac►.Ptta.tlo■� w77oM DATE
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APPLICANT COMPANY /tNe OFFICE e
y ZJY ( } 2,0-- Ct..)
MAILING AUDRFS4 CRY,STATE.ZIP CELL PHONE
( ) -
RELATIONSnIP TO PROJECT • TAX NUMBER
0 Architect 0 Tenant 0 Agent O Other(Desaibe) p ( ) -
CONTACT NANE�I v l'+l 4- PRO�} 770
- '3 Q E-MMLADDRESS
LENDER - -YsYRCW 49i'l49s::Landes;information i4 TtAME
wire¢ifpnefeetvalue e+ftesd■$5,000
.•
MAAJNO ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
ElQSTING USE PROPOSED USE
•
. EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINI{LEREDD BUILDING? 0 YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES o NO
I WATER SERVICE PROVIDER 0 LAKEHAVEN O HIGHLTNE O TACOMA 0 PRIVATE(WELL)
i
SEWER SERVICE PROVIDER 0 LAREHAVEN a HEMLINE 0 PRIVATE(SEPTIC)
SEP-14-2004 08:06 FROM: TO:12538352609 P.3
1
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL aOstwo Toru.PROPOSED Toni.IDFMNO AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value echanical Work $ '' I -
---AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS Mamma WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS / FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS •
PLUMBING
BATHTUBS oet..b/u....rCamila) SHOWERS WATER CLOSETS cr.iks MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OWLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAYS la.w....Rink VACUyM BREAKERS ELECTRIC WATER HEATERS
■ DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perAthat the informaition true furnished by me is and correct to the best of my
knowledge, and further,that I am authorized by the owner of the aboz a premises to perform the work for which the permit
application is made. '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,and filed against the City of Federal Way,but only where such claim arises out of the reliance of the city,
including its officers a d employees on the accuracy of the information supplied to the city as a part of app cation.
NAME/TITLE: / 14A4 CcVk\ Ul CilS� Z l
(Signature) DATE:
(Title)
RELATIONSHIP TO PROJECT: O Property Owner fl Applicant Contractor "' d Architect 0 Q
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R i°FrEvsE'oLiuc '_1 : t
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ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
:BUl�''L__DIN}SHELL ONCY?_ d'YES a NOT ��
BASIC•PLAN?' DYES ONO
C (i`DI:Sk1UATION CHANGE OF USE?
ti YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PIXTTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
/,-/
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